ArticleEvidence-based mental health2017
A qualitative study of a blended therapy using problem solving therapy with a customised smartphone app in men who present to hospital with intentional self-harm.
Article in Evidence-based mental health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02718248 (Pilot Study of a Smart Phone Assisted Problem Solving Therapy for Men Who Have Presented With Intentional Self-harm to Emergency Departments), which is not on this map. Cited by 22 papers, 3 of them syntheses that pooled 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.
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.
Pilot Study of a Smart Phone Assisted Problem Solving Therapy for Men Who Have Presented With Intentional Self-harm to Emergency Departments
Who cites it
22 citing papers in PubMed, 3 syntheses or guidelines pooled it, 54 citations in OpenAlex.
- Needs for mobile and internet-based psychological intervention in patients with self-injury and suicide-related behaviors: a qualitative systematic review.BMC psychiatry · 2024Pooled it
- Psychosocial interventions for self-harm in adults.The Cochrane database of systematic reviews · 2021Pooled it
- User Engagement in Mental Health Apps: A Review of Measurement, Reporting, and Validity.Psychiatric services (Washington, D.C.) · 2019Pooled it
- Stress in teachers of children with neuro-developmental disorders: Effect of blended rational emotive behavioral therapy.Science progress · 2021Trial
- Application of a Sociotechnical Framework to Uncover Factors That Influence Effective User Engagement With Digital Mental Health Tools in Clinical Care Contexts: Scoping Review.Journal of medical Internet research · 2025Article
- Digital health monitoring for adults with treatment-resistant depression: Observational feasibility study protocol.PloS one · 2025Article
- Digital Interventions for Adolescents and Young Adults Experiencing Self-Injurious Thoughts and Behaviors.Current treatment options in psychiatry · 2024Article
- Information and communication technology-based interventions for suicide prevention implemented in clinical settings: a scoping review.BMC health services research · 2023Article
- Online cognitive-behavioral intervention for stress among English as a second language teachers: implications for school health policy.Frontiers in psychiatry · 2023Article
- Patient and therapist experiences of using a smartphone application monitoring anxiety symptoms.International journal of qualitative studies on health and well-being · 2022Article
- Article
- Digital Therapeutic Alliance With Fully Automated Mental Health Smartphone Apps: A Narrative Review.Frontiers in psychiatry · 2022Review
- A blended rational emotive occupational health coaching for job-stress among teachers of children with special education needs.Internet interventions · 2021Article
- Strategies for facilitating the delivery of cluster randomized trials in hospitals: A study informed by the CFIR-ERIC matching tool.Clinical trials (London, England) · 2021Article
- Information and Communication Technology Use in Suicide Prevention: Scoping Review.Journal of medical Internet research · 2021Article
- mHealth Interventions for Self-Harm: Scoping Review.Journal of medical Internet research · 2021Article
- Article
- The Therapeutic Alliance in Digital Mental Health Interventions for Serious Mental Illnesses: Narrative Review.JMIR mental health · 2020Review
- Effects, Adherence, and Therapists' Perceptions of Web- and Mobile-Supported Group Therapy for Depression: Mixed-Methods Study.Journal of medical Internet research · 2019Article
- Digital mental health apps and the therapeutic alliance: initial review.BJPsych open · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBlended therapy describes the use of computerised therapy combined with face-to-face therapy to extend the depth, range and nature of the face-to-face therapy. We wanted to develop a treatment manual for a randomised trial of blended therapy combining face-to-face problem solving and a smartphone app in men who present to hospital with self-harm.
objectiveTo develop a treatment manual and to describe the experience of receiving and delivering a blended therapy.
methodsAfter completion of the blended therapy, semistructured qualitative interviews were conducted with participants to describe their experience of the treatment. Two independent coders analysed the material using a thematic, grounded theory approach.
findingsSeven men were enrolled in the study, and six completed the qualitative interviews. The two main themes identified were of trust and connection. Participants attended 85% of their appointments.
conclusionsIn the treatment manual, we emphasised the themes of trust and connection by allowing time to discuss the app in the face-to-face to sessions, ensuring that therapists are familiar with the app and know how to respond to technical queries. Identification of trust and connection generates novel questions about the importance of the therapeutic alliance with technology rather than with people. CLINICAL IMPLICATIONS: Clinicians and app developers need to pay attention to the therapeutic relationship with technology as trust and good communication can be easily damaged, resulting in disengagement with the app. Blended therapy may result in increased adherence to face-to-face sessions. TRIAL REGISTRATION NUMBER: NCT02718248.
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What OpenQuestion holds
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.