Mid-course follow-up
16.3%
Average symptom severity decrease among the 99 users who completed the Phase 3 assessment.
Clinical outcomes
Early Choiceful users report meaningful OCD symptom improvement.
In a rolling internal outcomes analysis, users who completed Choiceful's in-app follow-up assessments showed lower average OCD severity scores after using the app's support features, including AI chat, exposure tools, and course content.
This is an internal, non-IRB-reviewed analysis of self-reported app data from users who completed the assessments. It is not a randomized clinical trial.
Average severity score
12.48 to 8.29
25.1% lower
Onboarding
12.48
Starting average · Baseline
Phase 3
10.34
16.3% decrease · 99 users
Phase 6
8.29
25.1% decrease · 17 users
End-course follow-up
25.1%
Average symptom severity decrease among the 17 users who completed the Phase 6 assessment.
Measure
5 items
A brief Y-BOCS-inspired severity check scored from 0 to 20 and completed inside the app.
How we measure
A brief in-app OCD severity assessment.
Choiceful uses a five-question severity assessment inspired by the Yale-Brown Obsessive Compulsive Scale. Users complete it during onboarding, then again at Phase 3 and Phase 6 course milestones.
The checkpoints are course-based measurement points, not a way to isolate the course from the rest of the app. Users may also be using Choiceful's AI chat, exposure tools, daily support, and other features between assessments.
The five symptom domains
1
Time occupied by OCD symptoms
2
Interference in daily life
3
Distress caused by OCD symptoms
4
Ability to let intrusive thoughts pass
5
Ability to resist compulsions
Assessment completion
Results reflect users who completed each follow-up.
These numbers are not calculated across all enrolled users. Follow-up completion is voluntary, the course is a paid feature, and users are not enrolled in a formal study or required to use the app in one standardized way.
Phase 3 assessment completed99 users
Phase 6 assessment completed17 users
What this suggests
Among users who progressed far enough to complete follow-up assessments, average self-reported OCD severity moved in the right direction. The measurements happen at course milestones, but the change reflects app usage overall, not the course in isolation.
Important limitations
- This analysis is self-reported and collected in-app.
- It has not been IRB reviewed.
- It is not randomized and does not include a control group.
- It includes only users who completed follow-up assessments.
- It reflects Choiceful app usage overall, including AI chat and exposure tools, not the course alone.
We are continuing to measure outcomes as Choiceful grows.
This rolling analysis helps us understand whether users are improving while using Choiceful's ERP- and ACT-based app experience, and where the product needs to get better.