Evidence map›Paper›PMID 21172765›Full record

ArticleJournal of medical Internet research2010

Feasibility of an eHealth service to support collaborative depression care: results of a pilot study.

Matic Meglic, Mirjana Furlan, Marja Kuzmanic, Dejan Kozel, Dusan Baraga, Irma Kuhar, Branko Kosir, Rade Iljaz, Brigita Novak Sarotar, Mojca Zvezdana Dernovsek and 3 more

Open access · goldAbstract readComparative StudyControlled Clinical Trial
In one paragraph

Article in Journal of medical Internet research, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 11 pooled it
3.6field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 11 syntheses or guidelines pooled it, 74 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Pooled it
  9. Pooled it
  10. Pooled it
  11. Collaborative care for depression and anxiety problems.The Cochrane database of systematic reviews · 2012
    Pooled it
  12. Trial
  13. Trial
  14. Article
  15. Article
  16. Article
  17. Observational
  18. Encouraging Patient Engagement Behaviors from the Perspective of Functional Quality.International journal of environmental research and public health · 2020
    Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 6 institutions in 2 countries.

Matic MeglicPrimorska Institute of Nature Science and Technology, University of Primorska, Koper, Slovenia. matic.meglic@upr.si
Mirjana Furlan
Marja Kuzmanic
Dejan Kozel
Dusan Baraga
Irma Kuhar
Branko Kosir
Rade Iljaz
Brigita Novak Sarotar
Mojca Zvezdana Dernovsek
Andrej Marusic
Gunther Eysenbach
Andrej Brodnik
University of Primorska · SIUniversity Psychiatric Hospital · SICommunity Health Centre Ljubljana · SIPsihiatrična Bolnišnica Ormož · SISchool Centre Celje · SIUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTreatments and organizational changes supported by eHealth are beginning to play an important role in improving disease treatment outcome and providing cost-efficient care management. "Improvehealth.eu" is a novel eHealth service to support the treatment of patients with depressive disorder. It offers active patient engagement and collaborative care management by combining Web- and mobile-based information and communication technology systems and access to care managers.

objectivesOur objective was to assess the feasibility of a novel eHealth service.

methodsThe intervention--the "Improvehealth.eu" service--was explored in the course of a pilot study comparing two groups of patients receiving treatment as usual and treatment as usual with eHealth intervention. We compared patients' medication adherence and outcome measures between both groups and additionally explored usage and overall perceptions of the intervention in intervention group.

resultsThe intervention was successfully implemented in a pilot with 46 patients, of whom 40 were female. Of the 46 patients, 25 received treatment as usual, and 21 received the intervention in addition to treatment as usual. A total of 55% (12/25) of patients in the former group and 45% (10/21) in the latter group finished the 6-month pilot. Available case analysis indicated an improvement of adherence in the intervention group (odds ratio [OR] = 10.0, P = .03). Intention-to-treat analysis indicated an improvement of outcome in the intervention group (ORs ranging from 0.35 to 18; P values ranging from .003 to .20), but confidence intervals were large due to small sample sizes. Average duration of use of the intervention was 107 days. The intervention was well received by 81% (17/21) of patients who reported feeling actively engaged, in control of their disease, and that they had access to a high level of information. In all, 33% (7/21) of the patients also described drawbacks of the intervention, mostly related to usability issues.

conclusionsThe results of this pilot study indicate that the intervention was well accepted and helped the patients in the course of treatment. The results also suggest the potential of the intervention to improve both medication adherence and outcome measures of treatment, including reduction of depression severity and patients becoming "healthy."

Indexed as

AdultCombined Modality TherapyDepressionFeasibility StudiesFemaleHumansInternetMaleMental Health ServicesMiddle AgedPatient Acceptance of Health CarePatient CompliancePatient Education as TopicPatient ParticipationPilot ProjectsPsychiatry

Identifiers

PMID21172765
PMCPMC3057312
OpenAlexW2160398616

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.