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© 2020 John Wiley Sons, Ltd.BACKGROUND Cognitive-behavioral therapy (CBT) works well to treat typical mental health issues, but the amount of sessions required to optimize enhancement in routine attention stays unclear. AIM This study aimed to look at the dose-response impact in low (LiCBT) and high (HiCBT) intensity CBT delivered in stepped care solutions. METHODS A multi-service information set included N = 102 206 patients across N = 1