Evidence map›Paper›PMID 28585868›Full record

Trial reportScandinavian journal of primary health care2017

Long-term effects of Internet-delivered cognitive behavioral therapy for depression in primary care - the PRIM-NET controlled trial.

Maria C M Eriksson, Marie Kivi, Dominique Hange, Eva-Lisa Petersson, Nashmil Ariai, Per Häggblad, Hans Ågren, Fredrik Spak, Ulf Lindblad, Boo Johansson and 1 more

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report 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 23 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 6 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

23 citing papers in PubMed, 6 syntheses or guidelines pooled it.

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  5. Interventions to improve return to work in depressed people.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

11 authors.

Maria C M Erikssona 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.
Dominique Hangea 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.
Nashmil Ariaia Department of Primary Health Care/Public Health and Community Medicine , Institute of Medicine, Sahlgrenska Academy, University of Gothenburg , Gothenburg , Sweden.
Per Häggbladc Region Västra Götaland , Gothenburg , Sweden.
Hans Ågrend Institute of Neuroscience and Physiology , University of Gothenburg , Gothenburg , Sweden.
Fredrik Spake Department of Epidemiology and Social Medicine, Institute of Medicine , University of Gothenburg , Gothenburg , Sweden.
Ulf Lindblada Department of Primary Health Care/Public Health and Community Medicine , Institute of Medicine, Sahlgrenska Academy, University of Gothenburg , Gothenburg , Sweden.
Boo Johanssonb Department of Psychology , 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.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveInternet-delivered cognitive behavioral therapy (ICBT) is recommended as an efficient treatment alternative for depression in primary care. However, only few previous studies have been conducted at primary care centers (PCCs). We evaluated long-term effects of ICBT treatment for depression compared to treatment as usual (TAU) in primary care settings.

designRandomized controlled trial.

settingPatients were enrolled at16 PCCs in south-west Sweden.

participantsPatients attending PCCs and diagnosed with depression (n = 90).

interventionsPatients were assessed by a primary care psychologist/psychotherapist and randomized to ICBT or TAU. The ICBT included an ICBT program consisting of seven modules and weekly therapist e-mail or telephone support during the 3-month treatment period.

main outcome measuresQuestionnaires on depressive symptoms (BDI-II), quality of life (EQ-5D) and psychological distress (GHQ-12) were administered at baseline, with follow-ups at 3, 6 and 12 months. Antidepressants and sedatives use, sick leave and PCC contacts were registered.

resultsIntra-individual change in depressive symptoms did not differ between the ICBT group and the TAU group during the treatment period or across the follow-up periods. At 3-month follow-up, significantly fewer patients in ICBT were on antidepressants. However, the difference leveled out at later follow-ups. There were no differences between the groups concerning psychological distress, sick leave or quality of life, except for a larger improvement in quality of life in the TAU group during the 0- to 6-month period.

conclusionsICBT with weekly minimal therapist support in primary care can be equally effective as TAU among depressed patients also over a 12-month period. CLINICAL

trial registrationThe trial was registered in the Swedish Registry, researchweb.org, ID number 30511.

Indexed as

InternetPrimary Health CareAdultAgedCognitive Behavioral TherapyDepressive DisorderFemaleFollow-Up StudiesHumansMaleMiddle AgedQuality of LifeSwedencognitive behavioral therapydepressive disorderfollow-up studiesInternet-based treatmentPrimary health carerandomized controlled trial

Identifiers

PMID28585868
PMCPMC5499312

What OpenQuestion holds

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LicenceCC BY-NC
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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.