The Tapping Evidence Base
Anxiety · Depression

Is online treatment as effective as in-person treatment? Psychological change in two relationship skills groups

Church, D., Clond, M. · Journal of Nervous & Mental Disease · 2019

Controlled trial👥 74 participants⚖️ vs. in-person group compared with online group (no inactive control)Preliminary✓ Source-checked📍 United States
In plain English. Thirty-seven people took an in-person 6-day workshop and another 37 took a 12-week online course, both teaching a set of stress-reduction and relationship skills including Clinical EFT. Both formats improved depression and relationship satisfaction over a year, but only the in-person group showed a significant reduction in anxiety, and improvements were generally sharper in-person. Since this compares two active delivery formats rather than either against no treatment, and other skills (mindfulness, breathwork, qigong) were bundled with EFT, it can't isolate EFT's specific contribution.

What they found

74
people took part

Anxiety reduced significantly in the in-person but not the online group; both groups showed significant improvements in depression (p<0.001) and relationship satisfaction (29% improvement, p<0.003), with sharper symptom declines in the in-person group; gains were maintained at 1-year follow-up in both groups.

How the study worked

Who took partparticipants in a relationship-skills program, delivered either in-person (6-day workshop) or online (12-week course) (n=74)
What they didIn a controlled trial, a tapping group was compared against a separate comparison group.
Compared within-person group compared with online group (no inactive control)
Measured withdepression, anxiety, and relationship satisfaction measures

💡 Where this could help

If findings like these hold up in larger trials, the promise is simple: a low-cost, self-administered tool that could reach people struggling with anxiety who can't easily access traditional care — at home, between appointments, or where there aren't enough clinicians to go around.

🔬 What to study next

The natural next step: longer-term follow-up to see how durable the benefit is, and an active ('sham tapping') control to isolate what's doing the work.

The full record

DesignControlled trial
Participants74 people
Populationparticipants in a relationship-skills program, delivered either in-person (6-day workshop) or online (12-week course)
Comparison groupin-person group compared with online group (no inactive control)
Outcome measuresdepression, anxiety, and relationship satisfaction measures
JournalJournal of Nervous & Mental Disease
Year2019
CountryUnited States
LanguageEnglish
MethodEFT / tapping
Publication typeStudy / trial
Verification✓ Confirmed against the primary source

Read the original study →

Cite this study

APA

Church, D., & Clond, M. (2019). Is online treatment as effective as in-person treatment? Psychological change in two relationship skills groups. Journal of Nervous & Mental Disease. https://doi.org/10.1097/NMD.0000000000000975

This record is part of the Tapping Evidence Base — an openly-sourced, fully-referenced directory of the research on EFT/tapping. Explore more studies on Anxiety · Depression

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THE TAPPING EVIDENCE BASE Anxiety 74 participants WHAT THEY FOUND Anxiety reduced significantly in the in-person but not the online group; both groupsshowed significant improvements… Controlled trial · 74 participants Church · 2019 · evidence.thetappingsolution.com