Evidence map›Paper›PMID 27456689›Full record

Trial reportTrials2016

Guided Internet-delivered cognitive behavioural therapy in patients with non-cardiac chest pain - a pilot randomized controlled study.

Ghassan Mourad, Anna Strömberg, Egil Jonsbu, Mikael Gustafsson, Peter Johansson, Tiny Jaarsma

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Trials, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02336880 (Short-term Internet-delivered Cognitive Behavioural Therapy for Treatment of Cardiac Anxiety and Fear of Body Sensations in Patients With Non-cardiac Chest Pain - a Pilot Randomized Controlled Study), which is not on this map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
3.8field-weighted citation impact, top 6% 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.

NCT02336880 nacompletednot on this map

Short-term Internet-delivered Cognitive Behavioural Therapy for Treatment of Cardiac Anxiety and Fear of Body Sensations in Patients With Non-cardiac Chest Pain - a Pilot Randomized Controlled Study

TypeinterventionalSponsorLinkoeping UniversityRan2015 to 2016Enrolled15ConditionsChest Pain, Anxiety, FearArmsInternet-delivered cognitive behavioural therapy
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 47 citations in OpenAlex.

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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

6 authors at 3 institutions in 2 countries.

Ghassan MouradDepartment of Social and Welfare Studies, Linköping University, Kungsgatan 40, SE-601 74, Norrköping, Sweden. ghassan.mourad@liu.se.
Anna StrömbergDepartment of Medical and Health Sciences, Linköping University, Linköping, Sweden.
Egil JonsbuDepartment of Psychiatry, More and Romsdal Hospital Trust, Molde, Norway.
Mikael GustafssonDepartment of Medical and Health Sciences, Linköping University, Linköping, Sweden.
Peter JohanssonDepartment of Social and Welfare Studies, Linköping University, Kungsgatan 40, SE-601 74, Norrköping, Sweden.
Tiny JaarsmaDepartment of Social and Welfare Studies, Linköping University, Kungsgatan 40, SE-601 74, Norrköping, Sweden.
Linköping University · SELinköping University Hospital · SENorwegian University of Science and Technology · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with recurrent episodes of non-cardiac chest pain may experience cardiac anxiety and avoidance behavior, leading to increased healthcare utilization. These patients might benefit from help and support to evaluate the perception and management of their chest pain. The purpose of this study was to test the feasibility of a short guided Internet-delivered cognitive behavioural therapy (CBT) program and explore the effects on cardiac anxiety, fear of body sensations, depressive symptoms, and chest pain in patients with non-cardiac chest pain, compared with usual care.

methodsA pilot randomized controlled study was conducted. Fifteen patients with non-cardiac chest pain with cardiac anxiety or fear of body sensations, aged 22-76 years, were randomized to intervention (n = 7) or control (n = 8) groups. The four-session CBT program contained psychoeducation, physical activity, and relaxation. The control group received usual care. Data were collected before and after intervention.

resultsFive of seven patients in the intervention group completed the program, which was perceived as user-friendly with comprehensible language, adequate and varied content, and manageable homework assignments. Being guided and supported, patients were empowered and motivated to be active and complete the program. Patients in both intervention and control groups improved with regard to cardiac anxiety, fear of body sensations, and depressive symptoms, but no significant differences were found between the groups.

conclusionsThe Internet-delivered CBT program seems feasible for patients with non-cardiac chest pain, but needs to be evaluated in larger groups and with a longer follow-up period.

trial registrationClinicaltrials.gov NCT02336880 . Registered on 8 January 2015.

Indexed as

InternetAdultAnxietyChest PainCognitive Behavioral TherapyDepressionExerciseFearFeasibility StudiesFemaleHumansMaleMiddle AgedPatient Education as TopicPilot ProjectsRecurrenceCardiac anxietyCognitive behavioural therapyFear of body sensationsInternet-deliveredNon-cardiac chest painRandomized controlled study

Identifiers

PMID27456689
PMCPMC4960843
OpenAlexW2230491321

What OpenQuestion holds

Textmetadata
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.