Evidence map›Paper›PMID 26010890›Full record

Trial reportPloS one2015

Smartphone-Supported versus Full Behavioural Activation for Depression: A Randomised Controlled Trial.

Kien Hoa Ly, Naira Topooco, Hanna Cederlund, Anna Wallin, Jan Bergström, Olof Molander, Per Carlbring, Gerhard Andersson

Registry-linked trialOpen access · goldAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01819025 (Face-to-face CBT Treatment of Depression With Smartphone Support), which is not on this map. Cited by 81 papers, 18 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
81citing papers in PubMed, 18 pooled it
14.3field-weighted citation impact, top 1% 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.

NCT01819025 nacompletednot on this map

Face-to-face CBT Treatment of Depression With Smartphone Support

TypeinterventionalSponsorLinkoeping UniversityRan2013 to 2014Enrolled88ConditionsDepressionArms4 face-to-face therapy session and a smartphone-app, CBT, treatment as usual
3 · Its place in the literature

Who cites it

81 citing papers in PubMed, 18 syntheses or guidelines pooled it, 187 citations in OpenAlex.

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  10. Behavioural activation therapy for depression in adults.The Cochrane database of systematic reviews · 2020
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  19. Evaluation of the internet-based intervention "Selfapy" in participants with unipolar depression and the impact on quality of life: a randomized, parallel group study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024
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21 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

8 authors at 3 institutions in 1 country.

Kien Hoa LyDepartment of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden.
Naira TopoocoDepartment of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden.
Hanna CederlundDepartment of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden.
Anna WallinDepartment of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden.
Jan BergströmDepartment of Psychology, Stockholm University, Stockholm, Sweden.
Olof MolanderWemind Psykiatri Stockholm, Stockholm, Sweden.
Per CarlbringDepartment of Psychology, Stockholm University, Stockholm, Sweden.
Gerhard AnderssonDepartment of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden; Department of Clinical Neuroscience, Center for Psychiatry Research, Karolinska Institute, Stockholm, Sweden.
Linköping University · SEStockholm University · SEWeMind · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is need for more cost and time effective treatments for depression. This is the first randomised controlled trial in which a blended treatment--including four face-to-face sessions and a smartphone application--was compared against a full behavioural treatment. Hence, the aim of the current paper was to examine whether a blended smartphone treatment was non-inferior to a full behavioural activation treatment for depression.

methodsThis was a randomised controlled non-inferiority trial (NCT01819025) comparing a blended treatment (n=46) against a full ten-session treatment (n=47) for people suffering from major depression. Primary outcome measure was the BDI-II, that was administered at pre- and post-treatment, as well as six months after the treatment.

resultsResults showed significant improvements in both groups across time on the primary outcome measure (within-group Cohen's d=1.35; CI [-0.82, 3.52] to d=1.47; CI [-0.41, 3.35]; between group d=-0.13 CI [-2.37, 2.09] and d=-0.10 CI [-2.53, 2.33]). At the same time, the blended treatment reduced the therapist time with an average of 47%.

conclusionsWe could not establish whether the blended treatment was non-inferior to a full BA treatment. Nevertheless, this study points to that the blended treatment approach could possibly treat nearly twice as many patients suffering from depression by using a smartphone application as add-on. More studies are needed before we can suggest that the blended treatment method is a promising cost-effective alternative to regular face-to-face treatment for depression.

trial registrationCognitive Behavioral Therapy Treatment of Depression With Smartphone Support NCT01819025.

Indexed as

Cognitive Behavioral TherapySmartphoneAdolescentAdultAgedAnxietyDemographyDepressionFemaleHumansMaleMiddle AgedPatient CompliancePatient DropoutsPsychiatric Status Rating ScalesTime Factors

Identifiers

PMID26010890
PMCPMC4444307
OpenAlexW1661634967

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.