Evidence map›Paper›PMID 27639557›Full record

Trial reportTrials2016

Guided Act and Feel Indonesia (GAF-ID) - Internet-based behavioral activation intervention for depression in Indonesia: study protocol for a randomized controlled trial.

Retha Arjadi, Maaike H Nauta, Willem F Scholte, Steven D Hollon, Neerja Chowdhary, Angela O Suryani, Claudi L H Bockting

Abstract 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. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 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.

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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Behavioural activation therapy for depression in adults.The Cochrane database of systematic reviews · 2020
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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

7 authors.

Retha ArjadiDepartment of Clinical Psychology and Experimental Psychopathology, University of Groningen, Groningen, The Netherlands.
Maaike H NautaDepartment of Clinical Psychology and Experimental Psychopathology, University of Groningen, Groningen, The Netherlands.
Willem F ScholteAcademic Medical Center, Department of Psychiatry, University of Amsterdam, Amsterdam, The Netherlands.
Steven D HollonDepartment of Psychology, Vanderbilt University, Nashville, TN, USA.
Neerja ChowdharyInternational Medical Corps, Washington DC, USA.
Angela O SuryaniFaculty of Psychology, Atma Jaya Catholic University of Indonesia, Jakarta, Indonesia.
Claudi L H BocktingDepartment of Clinical Psychology and Experimental Psychopathology, University of Groningen, Groningen, The Netherlands. c.l.h.bockting@uu.nl.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDepression is a leading cause of disease burden across the world. However, in low-middle income countries (LMICs), access to mental health services is severely limited because of the insufficient number of mental health professionals available. The WHO initiated the Mental Health Gap Action Program (mhGAP) aiming to provide a coherent strategy for closing the gap between what is urgently needed and what is available in LMICs. Internet-based treatment is a promising strategy that can be made available to a large number of people now that Internet access is increasing rapidly throughout the world. The present study will investigate whether such an Internet-based treatment for depression is effective in Indonesia.

methodsAn Internet-based behavioral activation treatment, with support by lay counselors who will provide online feedback on the assignments and supportive phone contact to encourage participants to work in the program (Guided Act and Feel Indonesia/GAF-ID), is compared to an online-delivered minimal psychoeducation without any support (psychoeducation/PE). Initial assessment for inclusion is based on a Patient Health Questionnaire-9 (PHQ-9) score of at least 10 and meeting criteria for major depressive disorder or persistent depressive disorder as assessed using the Structured Clinical Interview for DSM-5 (SCID-5). Participants with depression (N = 312) will be recruited and randomly assigned to GAF-ID or PE. Overall assessments will be done at baseline, post intervention (10 weeks from baseline) and follow-ups (3 months and 6 months from baseline). The primary outcome is the reduction of depression symptoms as measured by the PHQ-9 after 10 weeks from baseline. DISCUSSION: To our knowledge, this is the first study in Indonesia that examines the effectiveness of an Internet-based intervention for depression in a randomized controlled trial. The hope is that it can serve as a starting point for bridging the mental health gap in Indonesia and other LMICs.

trial registrationNederlands Trial Register ( www.trialregister.nl ): NTR5920 , registered on 1 July 2016.

Indexed as

Clinical ProtocolsInternetAdultDepressionHumansIndonesiaMental HealthPatient Education as TopicSurveys and QuestionnairesBehavioral activationDepressionDeveloping countryIndonesiaInternet-based interventionLay counselingLMICLow and middle income countryOnline therapyPsychological interventions

Identifiers

PMID27639557
PMCPMC5027079

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Registered trials

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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.