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(C) Mean GAD-7 scores at baseline and final score with 95% CIs for the PP sample (n=169) and all control groups. (D) Mean GAD-7 scores at baseline and final score with 95% CIs for the ITT sample (n=299) and all control groups. **P
Within-participant change in GAD-7a score from baseline to final score for the digital program sample and propensity-matched control groups.
a GAD-7: 7-item Generalized Anxiety Disorder Scale.
b CBT: cognitive behavioral therapy.
J Med Internet Res 2025;27:e69351
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(C) High screen time could have a direct negative effect on mental health and an additional indirect (mediated) effect by reducing physical activity. Without including physical activity in the model, in this case both the direct and the indirect (mediated by physical activity) effect on mental health would be “attributed” to screen time, and a partial dependence analysis would accordingly show the total effect (direct plus indirect effect) of a reduction in screen time.
JMIR Public Health Surveill 2025;11:e60125
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We calculated the Krippendorff c-α, a measure of separating relevant and irrelevant content whereby coders code texts of similar locations and lengths, and the Krippendorff cu-α, a measure of semantic domain reliability whereby coders code a given text for the presence or absence of a semantic domain [48]. Discrepancies were resolved through discussions between MW, LT, and SEL. Qualitative results were not returned to participants for feedback.
JMIR Serious Games 2025;13:e59515
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