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PreprintCC BY 4.0PsyArXiv

Identifying the active ingredients of a behavioral activation-based digital single-session intervention

Abstract

Digital single-session interventions (SSIs) have been shown to be effective in reducing myriad mental health conditions. However, it is unclear which components of SSIs drive their therapeutic effects. In this study, we divided a well-evaluated behavioral activation-based SSI into three candidate components—PSYCHOEDUCATION, TESTIMONIALS, and ACTION PLAN—each hypothesized to have independent therapeutic value. We conducted a 23 factorial experiment (N=889) to evaluate effects of the individual components on depressive symptoms. Our results showed that only the ACTION PLAN candidate component had a significant effect on depressive symptoms at 2-week (d=−0.18) and 8-week (d=−0.12) follow-ups. Additionally, user’s perceptions of the intervention’s credibility and their expectations of improvement were significantly associated with a reduction in depressive symptoms at both time points. Our findings offer a more nuanced understanding of which elements within digital SSIs may drive their therapeutic benefits.

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BibTeX
@misc{ghosh2026identifying,
  title = {{Identifying the active ingredients of a behavioral activation-based digital single-session intervention}},
  author = {Arka Ghosh and Benjamin Kaveladze and Jessica L. Schleider},
  howpublished = {PsyArXiv},
  year = {2026},
  month = sep,
  doi = {10.31234/osf.io/4er7m_v2},
  url = {https://osf.io/preprints/psyarxiv/4er7m_v2/},
  note = {CC BY 4.0},
}
RIS
TY  - UNPB
TI  - Identifying the active ingredients of a behavioral activation-based digital single-session intervention
AU  - Arka Ghosh
AU  - Benjamin Kaveladze
AU  - Jessica L. Schleider
PY  - 2026
DA  - 2026/09/03
PB  - PsyArXiv
DO  - 10.31234/osf.io/4er7m_v2
UR  - https://osf.io/preprints/psyarxiv/4er7m_v2/
AB  - Digital single-session interventions (SSIs) have been shown to be effective in reducing myriad mental health conditions. However, it is unclear which components of SSIs drive their therapeutic effects. In this study, we divided a well-evaluated behavioral activation-based SSI into three candidate components—PSYCHOEDUCATION, TESTIMONIALS, and ACTION PLAN—each hypothesized to have independent therapeutic value. We conducted a 23 factorial experiment (N=889) to evaluate effects of the individual components on depressive symptoms. Our results showed that only the ACTION PLAN candidate component had a significant effect on depressive symptoms at 2-week (d=−0.18) and 8-week (d=−0.12) follow-ups. Additionally, user’s perceptions of the intervention’s credibility and their expectations of improvement were significantly associated with a reduction in depressive symptoms at both time points. Our findings offer a more nuanced understanding of which elements within digital SSIs may drive their therapeutic benefits.
ER  -