Overview of mean changes in outcomes
depression, anxiety
Both groups had reductions in anxiety and depression over time, indicating improvement in symptom severity from the Time 1 to 3 measurements. There was a more considerable reduction in both measures favoring the intervention group; however, the results were not found statistically significant with post hoc testing as described in the Preliminary efficacy outcomes section below. At Time 1, the intervention and control group mean anxiety scores were above the clinical cut-off of 10, indicating moderate anxiety symptoms (For depression, the mean scores at Time 1 was greater than 10, indicating moderate symptoms for participants in the intervention (Mean anxiety and depression by group, role and time