Evidence map›Paper›PMID 28277055›Full record

ArticleScandinavian journal of primary health care2017

Patients' experiences of a computerised self-help program for treating depression - a qualitative study of Internet mediated cognitive behavioural therapy in primary care.

Anna Holst, Shabnam Nejati, Cecilia Björkelund, Maria C M Eriksson, Dominique Hange, Marie Kivi, Carl Wikberg, Eva-Lisa Petersson

Abstract read
In one paragraph

Article in Scandinavian journal of primary health care, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 4 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

39 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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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

8 authors.

Anna Holsta Department of Primary Health Care/Public Health and Community Medicine , Institute of Medicine, Sahlgrenska Academy, University of Gothenburg , Gothenburg , Sweden.
Shabnam Nejatia Department of Primary Health Care/Public Health and Community Medicine , Institute of Medicine, Sahlgrenska Academy, University of Gothenburg , Gothenburg , Sweden.
Cecilia Björkelunda Department of Primary Health Care/Public Health and Community Medicine , Institute of Medicine, Sahlgrenska Academy, University of Gothenburg , Gothenburg , Sweden.
Maria C M Erikssona Department of Primary Health Care/Public Health and Community Medicine , Institute of Medicine, Sahlgrenska Academy, University of Gothenburg , Gothenburg , Sweden.
Dominique Hangea Department of Primary Health Care/Public Health and Community Medicine , Institute of Medicine, Sahlgrenska Academy, University of Gothenburg , Gothenburg , Sweden.
Marie Kivib Department of Psychology , University of Gothenburg , Gothenburg , Sweden.
Carl Wikberga Department of Primary Health Care/Public Health and Community Medicine , Institute of Medicine, Sahlgrenska Academy, University of Gothenburg , Gothenburg , Sweden.
Eva-Lisa Peterssona Department of Primary Health Care/Public Health and Community Medicine , Institute of Medicine, Sahlgrenska Academy, University of Gothenburg , Gothenburg , Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe objective of this study was to explore primary care patients' experiences of Internet mediated cognitive behavioural therapy (iCBT) depression treatment.

designQualitative study. Data were collected from focus group discussions and individual interviews.

settingPrimary care.

methodData were analysed by systematic text condensation by Malterud. SUBJECTS: Thirteen patients having received iCBT for depression within the PRIM-NET study.

main outcome measuresAnalysis presented different aspects of patients' experiences of iCBT.

resultsThe informants described a need for face-to-face meetings with a therapist. A therapist who performed check-ups and supported the iCBT process seemed important. iCBT implies that a responsibility for the treatment is taken by the patient, and some patients felt left alone, while others felt well and secure. This was a way to work in privacy and freedom with a smoothly working technology although there was a lack of confidence and a feeling of risk regarding iCBT.

conclusioniCBT is an attractive alternative to some patients with depression in primary care, but not to all. An individual treatment design seems to be preferred, and elements of iCBT could be included as a complement when treating depression in primary care. Such a procedure could relieve the overall treatment burden of depression. Key points Internet mediated cognitive behavioural therapy (iCBT) can be effective in treating depression in primary care, but patients' experiences of iCBT are rarely studied • Most patients express a need for human contact, real-time interaction, dialogue and guidance when treated for depression. • The patient's opportunity to influence the practical circumstances about iCBT is a success factor, though this freedom brings a large responsibility upon the receiver. • An individual treatment design seems to be crucial, and elements of iCBT could be included as a complement to face-to-face meetings.

Indexed as

AttitudeCognitive Behavioral TherapyInternetPrimary Health CareSelf CareAdultAgedComputersDelivery of Health CareDepressionDepressive DisorderFemaleHealth PersonnelHumansMaleMiddle AgedDepressionfocus groupsgeneral practiceiCBTInternet based treatmentprimary carequalitative researchSweden

Identifiers

PMID28277055
PMCPMC5361419

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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.