A Preliminary Evaluation of Digital Behavioral Interventions

Eligibility Criteria

• * (1) age = 18 years;(2) 0-5 years post-diagnosis of Stage I, II, or III female breast cancer; (3) elevated symptoms of depression and/or anxiety as measured by the PHQ-8 (score \> 9) or GAD-7 (score \> 7)
• * (1) receiving individual (1 on 1) treatment for depression and/or anxiety to avoid treatment interference (note, individuals will be permitted to enroll if they are taking antidepressant medication and have not had an appointment to adjust the dosage over the past 2 weeks); (2) active suicidal ideation during the enrollment/screening call based on a trained staff member orally administering the suicidality item from the PHQ-9 to individuals on the phone ("In the last 2 weeks, have you had thoughts that you would be better off dead, or thoughts of hurting yourself in some way?"). If an individual responds in any way other than "not at all" based on the available response options (i.e., either "several days", "more than half the days", or "nearly every day"), or if they mention having suicidal ideation or thoughts of death during the enrollment/screening call, the Pitt-Optimum risk assessment tool will be administered. Only participants deemed low risk may proceed in enrollment; all will be given additional resources (3) do not have an app-compatible phone (i.e., iOS 10.3 or later or Android 4.0.3 or later); and (4) cannot read and speak English (interventions only available in English)