Evidence map›Paper›PMID 29358445›Full record

ArticleBMJ open2018

Online versus paper-based screening for depression and anxiety in adults with cystic fibrosis in Ireland: a cross-sectional exploratory study.

Jennifer Cronly, Alistair J Duff, Kristin A Riekert, Ivan J Perry, Anthony P Fitzgerald, Aine Horgan, Elaine Lehane, Barbara Howe, Muireann Ni Chroinin, Eileen Savage

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In one paragraph

Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 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

13 citing papers in PubMed, 1 synthesis or guideline 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

10 authors.

Jennifer CronlySchool of Nursing and Midwifery, Brookfield Health Sciences Complex, University College Cork, Cork, Ireland.
Alistair J DuffDepartment of Clinical Psychology, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
Kristin A RiekertSchool of Medicine, John Hopkins University, Baltimore, Maryland, USA.
Ivan J PerrySchool of Epidemiology and Public Health, Western Gateway Building, University College Cork, Cork, Ireland.
Anthony P FitzgeraldSchool of Epidemiology and Public Health, Western Gateway Building, University College Cork, Cork, Ireland.
Aine HorganSchool of Nursing and Midwifery, Brookfield Health Sciences Complex, University College Cork, Cork, Ireland.
Elaine LehaneSchool of Nursing and Midwifery, Brookfield Health Sciences Complex, University College Cork, Cork, Ireland.
Barbara HoweSchool of Nursing and Midwifery, Brookfield Health Sciences Complex, University College Cork, Cork, Ireland.
Muireann Ni ChroininDepartment of Paediatrics, Cork University Hospital, Cork, Ireland.
Eileen SavageSchool of Nursing and Midwifery, Brookfield Health Sciences Complex, University College Cork, Cork, Ireland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare online and paper-based screening for depression and anxiety in adults with cystic fibrosis (CF). DESIGN AND

settingCross-sectional study in CF clinics in Ireland and through the Cystic Fibrosis Ireland online community.

participants160 adult patients aged 18 or above were recruited. Of these, 147 were included in the analysis; 83 online and 64 paper-based. The remaining 13 were excluded because of incomplete data. MEASURES: Depression and anxiety were measured using the Hospital Anxiety and Depression Scale (HADS). Data on pulmonary function (forced expiratory volume in 1 s %) and body mass index were self-reported based on clinical assessments. Sociodemographic data were collected.

resultsCompared with the paper-based participants, the online participants were more likely to be female (61.7% vs 48.4%), older (mean 32.2 vs 28.2 years) and were more likely to be married (32.5% vs 15.6%), living with their spouse or partner (42.5% vs 22.6%) and working either full time (33.7% vs 15.9%) or part time (30.1%vs 17.5%). The prevalence rates of elevated anxiety and depression were not significantly different (P=0.71 and P=0.56). HADS anxiety and depression scores were not statistically different between online (P=0.83) and paper-based (P=0.92) participants based on Mann-Whitney U test. A significant negative correlation was found between depression and pulmonary function (r=-0.39, P=0.01) and anxiety and pulmonary function (r=-0.36, P=0.02). Based on Cronbach's alpha, there were no statistically significant differences between the online and paper-based participants on the internal consistency of the HADS anxiety (P=0.073) and depression (P=0.378) scales.

conclusionsOur findings suggest that online and paper-based screening for depression and anxiety in adult patients with CF yield comparable findings on prevalence rates and scores, associations with health and internal consistency of subscales. This study highlights that online screening offers an alternative method to paper-based screening. Further research with a larger sample and assessment of measurement equivalence between online and paper based screening is needed to confirm our results.

Indexed as

InternetAdolescentAdultAnxiety DisordersCross-Sectional StudiesCystic FibrosisDepressive DisorderFemaleHumansIrelandMaleMass ScreeningMental HealthPsychiatric Status Rating ScalesYoung Adultanxietycystic fibrosisdepressiononline versus paper based screeningprevalencepulmonary function

Identifiers

PMID29358445
PMCPMC5781152

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.