Evidence map›Paper›PMID 25252853›Full record

Trial reportBMC psychiatry2014

Effects of mental health self-efficacy on outcomes of a mobile phone and web intervention for mild-to-moderate depression, anxiety and stress: secondary analysis of a randomised controlled trial.

Janine Clarke, Judith Proudfoot, Mary-Rose Birch, Alexis E Whitton, Gordon Parker, Vijaya Manicavasagar, Virginia Harrison, Helen Christensen, Dusan Hadzi-Pavlovic

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC psychiatry, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06790030 (Does Self-Efficacy at the Start of Treatment Predict Treatment Outcome in Patients With EDs?), which is not on this map. Cited by 61 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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.

NCT06790030 recruitingnot on this mapstarted 2023, after this paper: background citation

Does Self-Efficacy at the Start of Treatment Predict Treatment Outcome in Patients With EDs?

Typeobservational_patient_registrySponsorAltrechtRan2023 to 2025Enrolled50ConditionsEating DisordersArmsCBT-T
3 · Its place in the literature

Who cites it

61 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. A Systematic Review on Sexual Health and Drug Use Prevention Interventions for Black Girls.International journal of environmental research and public health · 2022
    Pooled it
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  8. Matching depression management to severity prognosis in primary care: results of the Target-D randomised controlled trial.The British journal of general practice : the journal of the Royal College of General Practitioners · 2021
    Trial
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  12. Article
  13. Psychological Comorbidity in Patients Presenting to the Emergency Department With Low-Risk Chest Pain and Anxiety.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026
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  15. Article
  16. Article
  17. Review
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  20. Review

1 more citing papers are in PubMed but not listed here.

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

9 authors.

Janine Clarke
Judith Proudfoot
Mary-Rose Birch
Alexis E Whitton
Gordon Parker
Vijaya Manicavasagar
Virginia Harrison
Helen Christensen
Dusan Hadzi-Pavlovic

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOnline psychotherapy is clinically effective yet why, how, and for whom the effects are greatest remain largely unknown. In the present study, we examined whether mental health self-efficacy (MHSE), a construct derived from Bandura's Social Learning Theory (SLT), influenced symptom and functional outcomes of a new mobile phone and web-based psychotherapy intervention for people with mild-to-moderate depression, anxiety and stress.

methodsSTUDY I: Data from 49 people with symptoms of depression, anxiety and/or stress in the mild-to-moderate range were used to examine the reliability and construct validity of a new measure of MHSE, the Mental Health Self-efficacy Scale (MHSES). STUDY II: We conducted a secondary analysis of data from a recently completed randomised controlled trial (N = 720) to evaluate whether MHSE effected post-intervention outcomes, as measured by the Depression, Anxiety and Stress Scales (DASS) and Work and Social Adjustment Scale (WSAS), for people with symptoms in the mild-to-moderate range.

resultsSTUDY I: The data established that the MHSES comprised a unitary factor, with acceptable internal reliability (Cronbach's alpha = .89) and construct validity. STUDY II: The intervention group showed significantly greater improvement in MHSE at post-intervention relative to the control conditions (p's < = .000). MHSE mediated the effects of the intervention on anxiety and stress symptoms. Furthermore, people with low pre-treatment MHSE reported the greatest post-intervention gains in depression, anxiety and overall distress. No effects were found for MHSE on work and social functioning.

conclusionMental health self-efficacy influences symptom outcomes of a self-guided mobile phone and web-based psychotherapeutic intervention and may itself be a worthwhile target to increase the effectiveness and efficiency of online treatment programs.

trial registrationAustralian New Zealand Clinical Trials Registry ACTRN12610000625077.

Indexed as

Self EfficacyAdolescentAdultAgedAnxiety DisordersCell PhoneCognitive Behavioral TherapyDepressive DisorderFemaleHumansInternetMaleMiddle AgedPsychiatric Status Rating ScalesReproducibility of ResultsSocial Adjustment

Identifiers

PMID25252853
PMCPMC4189737

What OpenQuestion holds

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Registered trials

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.