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Backlinks do not have to be clicked in order for them to count as linkjuice. Recently my org (missionquest.org) joined MOZ and it helped our backlinks and  improved our SEO.

Hi Audrey, It's  very niche specific, sometimes you have to wait for months before the right opportunity comes up on HARO. That's why it could be part of your overall strategy but I would never ever completely rely on their services. Like Eslam mentioned it's probably a better idea to create the best researches or content yourself to make sure the press will mention you. It seems really hard to get stories up with the biggest publishers in the world but in the end it's not that hard if you put the right effort in. Usually it takes less time in my experience then writing the average guest post.

I don't have any experience with Cision, but I have tried a tool that may be similar. https://www.hey.press/list hope this helps, Anthony Biondo Creative LLC http://www.biondocreative.com