Can a chatbot match therapy? trial pits AI against standard depression handouts
NCT ID NCT07841483
First seen Sep 25, 2026 ยท Last updated Sep 25, 2026
Summary
Researchers are testing whether Ash, an AI chat tool for mental health, reduces depression symptoms as well as standard written psychoeducation. The trial enrolls 500 US adults with at least moderate depressive symptoms who are new to the Ash app. One group gets free access to Ash for six months, while the other receives four weeks of structured psychoeducation booklets before gaining access. Participants complete online surveys about depression, anxiety, sleep, and stress at several points over 36 weeks.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Ash, a conversational AI mental health tool accessed through mobile and web apps
- What this could lead to
- If Ash works as well as therapy, it could offer a low-cost, always-available way for people with moderate depression to get support between or instead of clinical visits.
- What could go wrong
- This is a pilot trial, so even positive results would need confirmation in larger studies. An AI chat tool may not suit everyone, and some people could find it less helpful than talking with a trained therapist.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 500 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Sep 2026
- Expected to finish
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May 2027
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Adults aged 18 years or older * Residents of the United States * New Ash users with active accounts at the time of recruitment * English-speaking * Able to provide informed consent * At screening: PHQ-9 total score \>= 10 (indicating at least moderate depressive symptoms) * During onboarding, indicated that they are willing to share their data and are interested in being contacted about and participating in research Exclusion Criteria: * Currently engaged in individual therapy or counseling * ASRM total score \>= 6 at screening (positive screen for mania) * PRIME-5 positive at screening, defined as \>= 1 item rated 6 (Definitely Agree) OR \>= 3 items rated 5 (Somewhat Agree) (positive screen for psychosis-spectrum symptoms) * Self-reported heavy episodic drinking at a frequency of weekly or more often on the NIAAA single-item alcohol screen (past 12 months) * Self-reported nonmedical drug use at a frequency of weekly or more often on the NIDA single-item substance use screen (past 12 months) * Any change to psychiatric medications in the 6 weeks prior to screening (any response other than "No changes to my meds in the past 6 weeks") * Currently in inpatient, residential, intensive outpatient (IOP), or partial hospitalization (PHP) mental health treatment * Suicidality - PHQ-9 item 9 score of 3 Special Populations: No minors are enrolled. Adults unable to consent are not enrolled. Pregnant women are not excluded. Prisoners are not targeted; the recruitment channel (an in-app prompt to consenting adult Ash users) is not anticipated to reach incarcerated populations, and prisoners will not be knowingly enrolled.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Slingshot AI
New York, New York, 10013, United States
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Other studies related to the condition(s) this trial covers.
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