Evidence map›Paper›PMID 27714788›Full record

ArticleEpilepsia2016

A feasibility trial of an Internet-delivered and transdiagnostic cognitive behavioral therapy treatment program for anxiety, depression, and disability among adults with epilepsy.

Milena Gandy, Eyal Karin, Vincent J Fogliati, Sarah McDonald, Nick Titov, Blake F Dear

Open access · bronzeAbstract read
PubMed Publisher
In one paragraph

Article in Epilepsia, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 9% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Pooled it
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  13. Psychological treatments for people with epilepsy.The Cochrane database of systematic reviews · 2020
    Review
  14. Article
  15. Internet-delivered psychological treatments: from innovation to implementation.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2019
    Article
  16. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Milena GandyDepartment of Psychology, eCentreClinic, Macquarie University, Sydney, New South Wales, Australia.
Eyal KarinDepartment of Psychology, eCentreClinic, Macquarie University, Sydney, New South Wales, Australia.
Vincent J FogliatiDepartment of Psychology, eCentreClinic, Macquarie University, Sydney, New South Wales, Australia.
Sarah McDonaldDepartment of Psychology, eCentreClinic, Macquarie University, Sydney, New South Wales, Australia.
Nick TitovDepartment of Psychology, eCentreClinic, Macquarie University, Sydney, New South Wales, Australia.
Blake F DearDepartment of Psychology, eCentreClinic, Macquarie University, Sydney, New South Wales, Australia.
Macquarie University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveAnxiety and depression are highly prevalent in people with epilepsy (PWE) and contribute to increased disability. Unfortunately, there are numerous barriers (e.g., cost, distance, and stigma) and service gaps (e.g., lack of services and trained clinicians) that prevent many PWE from accessing traditional face-to-face psychological services. The aim of the present study was to examine the feasibility of a new transdiagnostic Internet-delivered cognitive behavioral therapy (iCBT) program, the Chronic Conditions Course, to simultaneously treat symptoms of anxiety, depression, and disability.

methodsA single-group feasibility open trial was employed involving 27 adults with epilepsy. The program comprises five online lessons delivered over 8 weeks and is provided with weekly contact from a mental health professional via e-mail and telephone.

resultsHigh treatment completion rates and levels of satisfaction were reported. Evidence of significant improvements in our primary outcomes (within-group Cohen's d [d]; average [avg.] reductions) of anxiety (d ≥ 1.28; avg. reduction ≥ 54%), depression (d ≥ 1.24; avg. reduction ≥ 54%), epilepsy-specific depression (d ≥ 0.95; avg. reduction ≥ 35%), and disability (d ≥ 0.62; avg. reduction ≥ 33%) were observed at posttreatment, which were sustained at or further improved to 3-month follow-up. On our secondary outcomes there were significant improvements for life satisfaction (d ≥ 0.70; avg. improvement ≥ 26%) but not for perceived cognitive difficulties (d ≥ 0.48; avg. reduction ≥ 15%). Highlighting the potential of the approach, relatively little clinician time was required per participant (mean 80.62 min, standard deviation [SD] 54.78), and the trial involved a broad range of geographically dispersed patients. SIGNIFICANCE: The findings of the current study support the feasibility and potential of transdiagnostic Internet-delivered treatments for adults with epilepsy. Further large-scale controlled trials are warranted.

Indexed as

InternetAdultAgedAged, 80 and overAnxietyCognitive Behavioral TherapyDepressionEpilepsyFeasibility StudiesFemaleHumansMaleMiddle AgedPersons with DisabilitiesPsychiatric Status Rating ScalesTreatment OutcomeCognitive behavioral therapyMoodOnline

Identifiers

PMID27714788
OpenAlexW2528208604

What OpenQuestion holds

Textmetadata
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.