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The full dataset is available (URL to be added if accepted) and includes details of the decisions made regarding interpretation of ambiguous responses (see also Additional File 2)
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Conversely, sustained usage without psychological involvement may reflect click compliance rather than therapeutic exposure ( This complexity underscores the need for dose-response models of engagement, in which researchers specify what level, type, or dimension of engagement is needed for clinical benefit, which features contribute most to change, and what engagement trajectories (e.g., bursts vs
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