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Personalized AI-Driven Models in Cognitive Behavioral Therapy for Anxiety

SCH: Personalized AI-Driven Models for Supporting User Engagement and Adherence in Health Interventions: Validation in Cognitive Behavioral Therapy for Anxiety

Who can join

Ages 18 and older · All sexes

Inclusion Criteria:

* Are 18 years of age or older
* Are university students
* Are able to communicate in English
* Have corrected-to-normal vision and hearing
* Consent to have audio/video/interaction data recorded as part of the study
* Have a GAD-7 (Generalized Anxiety Disorder-7 item) score of 5 or greater, indicating mild to elevated levels of self-reported symptoms of anxiety
* Have a lower than minimal level of suicidality risk as measured by the Columbia Suicide Severity Rating Scale (C-SSRS) during screening ("NO" responses to items 3, 4, 5, and 6 on C-SSRS)
* Having access to home WiFi

Exclusion Criteria:

* Are less than 18 years of age
* Are not university students
* Are not able to communicate in English
* Do not have corrected-to-normal vision and hearing
* Do not consent to have audio/video/interaction data recorded as part of the study
* Have a GAD-7 (Generalized Anxiety Disorder-7 item) score of 4 or lower.
* Higher than a minimal level of suicidality risk as measured by the Columbia Suicide Severity Rating Scale (C-SSRS) during screening ("YES" responses to items 3, 4, 5, or 6 on C-SSRS)
* Don't have access to home WiFi

About the study

Untreated anxiety undermines long-term physical and emotional wellbeing, especially among college students, with rates worsening since the onset of the COVID-19 pandemic. Cognitive Behavioral Therapy (CBT) is the leading evidence-based intervention for anxiety, but many students fail to complete exercises between CBT sessions, reducing its effectiveness. Socially assistive robots (SARs) help promote adherence to home-based practice in the context of elder care, social skill learning, and physical therapy, but it is unknown how SARs can enhance CBT. The specific objective of this research is to develop personalized CBT SARs that can support CBT compliance for college students with anxiety. To meet the goals of the proposed work, these studies will determine how SAR personalization based on implicit and explicit feedback can help promote greater CBT compliance and anxiety reduction outcomes for students.

What is being tested

• Explicit CBT SAR Personalization for 6 weeks (behavioral)
• Implicit CBT SAR Personalization for 6 weeks (behavioral)
• Control CBT SAR for 6 weeks (behavioral)

Sponsor: University of Southern California · Participants: 140 · Started: Mar 30, 2026

Contact the study team

Official record on ClinicalTrials.gov — NCT07430800

Locations in the U.S.

Conditions

• Generalized Anxiety Disorder

From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.