TheresearchbehindTalkspace

Talkspace collaborates with major research institutions to expand knowledge of how virtual behavioral health care delivery can increase access and improve outcomes. See our industry-leading evidence defining best practices in virtual care and supporting Talkspace as a highly effective treatment method for mental health challenges.

Research with proven outcomes

Talkspace is committed to clinically validating our virtual mental health care methods and modalities through rigorous, independently conducted research. These peer-reviewed scientific findings have been published in numerous journals, and we’re grateful to have received four National Institutes of Health (NIH) grants to conduct further research.

30+

published
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20+

prestigious research
collaborators

4 NIH

grants
awarded

Published, peer-reviewed research on Talkspace therapy

Talkspace partners with major research institutions to validate the quality of our treatment methods.

Randomized trial of the effectiveness of videoconferencing-based versus message-based psychotherapy on depression

This study compared the engagement, clinical outcomes, and adverse events of text or voice message-based psychotherapy (MBP) to videoconferencing-based psychotherapy (VCP) among adults with depression. Participants in message-based therapy engaged with their therapists for a longer duration compared to those in the VCP, and no significant differences in overall improvement were observed between the two groups. These findings suggest that MBP may be a viable alternative to VCP for treating depression, enhancing accessibility to care.

Read the full report

Areán, P. A., Pullmann, M. D., Griffith Fillipo, I. R., Wu, J., Mosser, B. A., Chen, S., ... & Hull, T. D. (2024). Randomized Trial of the Effectiveness of Videoconferencing-Based Versus Message-Based Psychotherapy on Depression. Psychiatric Services, appi-ps.

Two-way messaging therapy for depression and anxiety: longitudinal response trajectories

In a study of more than 10,000 participants, text message psychotherapy was evaluated for its effectiveness and feasibility in treating patients with depression or anxiety. Over a 3-month period, approximately two-thirds of participants reported a reduction in symptoms, with nearly one-third experiencing minimal symptoms by the end of treatment. Notably, most patients completed the full 3 months of therapy, far surpassing the typical median number of sessions attended in face-to-face therapy.

Read the full report

Hull, T. D., Malgaroli, M., Connolly, P. S., Feuerstein, S., & Simon, N. M. (2020). Two-way messaging therapy for depression and anxiety: longitudinal response trajectories. BMC psychiatry, 20, 1-12.

A study of asynchronous mobile-enabled SMS text psychotherapy

This feasibility study in collaboration with Columbia University researchers is the first to explore psychotherapy outcomes delivered by licensed therapists via SMS text and web platforms, building on previous efficacy research. Results indicate promising effectiveness, with 46% of participants reporting clinically significant improvements, and a positive working alliance correlated with these outcomes. The study highlights the advantages of text therapy in terms of cost, convenience, and accessibility compared with benchmarks of traditional therapy.

Read the full report

Hull, T. D., & Mahan, K. (2017). A study of asynchronous mobile-enabled SMS text psychotherapy. Telemedicine and e-Health, 23(3), 240-247.

The effect of messaging therapy for depression and anxiety on employee productivity

This study supports existing literature showing a positive link between improvements in depression symptoms and increased productivity, with participants experiencing  reductions in depressive and anxiety symptoms (73% recovered, 21% improved) after approximately 3.5 months of asynchronous messaging therapy. The therapy not only enhanced workplace productivity by 36%, increased attendance by 50%, and quality of life by 39%, but also provided significant cost benefits for employers (an ROI of $2.75 for every $1 invested in behavioral health with Talkspace).

Read the full report

DellaCrosse, M., Mahan, K., & Hull, T. D. (2019). The effect of messaging therapy for depression and anxiety on employee productivity. Journal of Technology in Behavioral Science, 4, 1-5.

Message-based psychotherapy for older adults: A cohort comparison study

This study investigated the effectiveness of Talkspace text-message therapy on older adults (55+) compared to younger adults (26-35) with depression and anxiety. Results showed that older adults had similar symptom improvements as younger patients, although they took a bit longer to achieve the same results for anxiety. These results suggest that digital mental health interventions can effectively serve older adults, helping address gaps in mental health care.

Read the full report

"Raue, P. J., Fridling, N., Song, J., Hull, T. D., Alexopoulos, G. S., & Arean, P. A. (2022). Message-based psychotherapy for older adults: A cohort comparison study. Frontiers in Psychiatry, 13, 951354.

Explore our research library

Beyond proving the efficacy of our modalities, Talkspace research explores how virtual care can best meet the needs of specific populations, including older adults, teens, and veterans. The results of these studies inform our rigorous standards for delivering care through innovative methods.

Journal of Telemedicine and e-Health
A Study Of Asynchronous Mobile-Enabled Sms Text Psychotherapy

Thomas D. Hull & Kush Mahan

  • 80% of members reported Talkspace was as effective or more effective than traditional therapy
  • 98% reported Talkspace to be more convenient than traditional therapy
Journal of Medical Internet Research
Outcomes for Trauma and PTSD

Matteo Malgaroli; Thomas D. Hull; Shannon Wiltsey Stirman; Patricia Resick

  • This study concluded that multimedia message delivery for PTSD treatment showed symptom-reduction rates similar to traditional forms of treatment delivery
  • 48.6% of members demonstrated clinically significant reduction of PTSD symptoms
JMIR: Formative Research
Improving Detection and Treatment of Mental Health Challenges during COVID-19 Pandemic

Thomas D. Hull; Jacob Levine; Niels Bantilan; Angel N Desai; Maimuna S Majumder

  • This study found that people who sought out treatment during the COVID-19 outbreak experienced more severe intake anxiety than they did before the pandemic
  • Members reported a 20% increase in anxiety severity linked to the onset of COVID-19
Journal of Technology in Behavioral Science
Workplace Symptom Improvement and Productivity  

Meghan DellaCrosse; Thomas D. Hull; Kush Mahan

  • 84% of participants with clinically elevated depression and 64% of participants with clinically elevated anxiety experienced clinically significant symptom reduction.
  • To learn more about the impact of mental health on workplace productivity see Talkspace’s Employee Stress Check 2022 Report.

Ongoing research

Learn more about the ongoing research being conducted by the Talkspace research team alongside academic collaborators.

Message-based psychotherapy and digital treatment sequences for depression

  • Published results from the first randomized controlled trial (RCT) comparing daily messaging to weekly live video sessions (traditional telehealth; Arean et al., 2024). 
  • Recently completed data collection on a second RCT in a larger sample of 1000 adults.
  • The study aims to further establish the efficacy of messaging therapy and to develop methods for stepping care up or down depending on member response.

Funded by an National Institute of Mental Health (NIMH) Small Business Research Innovation Grant (R44MH124334) in collaboration with University of Washington

Telehealth 2.0: evaluating effectiveness and engagement strategies for asynchronous texting-based trauma-focused therapy for PTSD

  • Currently conducting an RCT comparing an evidence-based treatment for trauma adapted for digital messaging with culturally-informed treatment for PTSD as usual.
  • The study also uses a unique incentive strategy aimed to prevent early discontinuation in therapy and will implement a Natural Language Processing (NLP) approach to assessing fidelity to evidence-based treatment for PTSD.
  • A pilot study demonstrated the effectiveness of message-based treatment for PTSD, establishing the feasibility of delivering care in this modality (Malgaroli et al., 2020).

Funded by an NIMH Research Project Grant in collaboration with Stanford University and the University of Texas Health Center San Antonio (RF1MH128785)

AI Innovation Group Launch

  • The Talkspace research team contributes to Talkspace’s efforts to advance provider efficiency and enhance clinical quality through responsible and ethical use of artificial intelligence.
  • Published results from the development and validation of an NLP algorithm designed to detect and classify suicidal content in telehealth psychotherapy messages (Bantilan et al., 2020).
  • Identified two distinct trajectories of suicidal ideation in older adults undergoing treatment for major depression, and baseline hopelessness, neuroticism, and low general self-efficacy as key predictors of an unfavorable trajectory using machine learning models (Alexopoulos et al., 2021)

Meet the team behind Talkspace research

The scientists on the Talkspace research team are dedicated to advancing understanding of how clinical care and technology can work together to improve mental health outcomes, through collaboration with researchers at major academic institutions and internally within Talkspace.

Aarthi Padmanabhan
Senior Director of Research
Emily peake
research project manager
Sheryl nelson
research assistant
Mica poerio
Machine learning research assistant
Alyvia Barry
Machine learning research assistant
Speech bubbles

Let’s collaborate

We’re devoted to pursuing research on the cutting edge of virtual behavioral health care. If you’re a scientist, therapist, or psychiatrist interested in learning more about a research study, or collaborating on a project, please contact us at [email protected].

Any questions?

Find trust-worthy answers on all things mental health at Talkspace.

Illustration of two hands holding soil with a flower growing in it

Why is research on mental health care important?

Research is important for establishing the efficacy of a form of treatment, providing scientific evidence that therapy can deliver positive outcomes for people struggling with a variety of issues. This evidence is critical for building trust in treatment and demonstrating its long-term value and viability.

How does Talkspace use their research?

Talkspace uses research to ensure the validity of its therapeutic services and treatment methods. In addition, Talkspace uses research to inform innovative ways to protect client safety, inform product improvements, enhance the effectiveness of specific therapies, and understand the mechanisms of change for therapy generally. Talkspace always aims to be at the cutting edge of the latest treatment options, while also ensuring that all offered treatments are as effective as they can be.

Does Talkspace have their own research?

Yes, Talkspace conducts its own research internally, with research partners, and through the support of federal funding agencies like the National Institutes of Health. This research is designed to continue establishing the field of digital mental health and to explore the utility of digital care in three areas: 1) Clinical Effectiveness, 2) Improving Access, and 3) Developing Novel Therapy Tools to Improve Care.

How are study participants protected in Talkspace’s research studies?

Talkspace adheres to Good Clinical Practice (GCP) and principles of human subjects research by ensuring the protection of participant rights, safety, and well-being throughout the study. Informed consent is obtained from all participants, guaranteeing their understanding and voluntary participation. The study protocols undergo rigorous review and approval by an Institutional Review Board (IRB) to ensure ethical standards are met. Research data is collected, managed, and protected in compliance with Talkspace’s privacy policy, relevant federal and state regulations, and HIPAA requirements to ensure confidentiality and integrity.

How can I join a Talkspace research study?

You may be offered the opportunity to participate in these studies. If your protected health information will be disclosed as part of these studies, your information will only be included with your written authorization. You will be asked to review and accept terms and enrollment separately from the information included in this Policy. Information from these studies may be published by third parties including through various media platforms/academic journals.

Is Talkspace taking proposals for additional research projects?

Yes! If you’re a scientist, therapist, or psychiatrist interested in learning more about a research study, or collaborating on a project, please contact us at [email protected].