Evidence map›Paper›PMID 29386173›Full record

Trial reportJournal of medical Internet research2018

Web-Delivered Cognitive Behavioral Therapy for Distressed Cancer Patients: Randomized Controlled Trial.

Suzanne K Chambers, Lee M Ritterband, Frances Thorndike, Lisa Nielsen, Joanne F Aitken, Samantha Clutton, Paul A Scuffham, Philippa Youl, Bronwyn Morris, Peter D Baade and 1 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of medical Internet research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 4 pooled it
3.2field-weighted citation impact, top 6% 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

33 citing papers in PubMed, 4 syntheses or guidelines pooled it, 81 citations in OpenAlex.

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  4. The efficacy of web or mobile-based interventions to alleviate emotional symptoms in people with advanced cancer: a systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
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  9. Finding My Way: results of a multicentre RCT evaluating a web-based self-guided psychosocial intervention for newly diagnosed cancer survivors.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2019
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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 at 5 institutions in 2 countries.

Suzanne K ChambersMenzies Health Institute Queensland, Griffith University, Gold Coast, Australia.ORCID 0000-0003-2369-6111
Lee M RitterbandUniversity of Virginia, Charlottesville, VA, United States.ORCID 0000-0001-7624-5213
Frances ThorndikeBeHealth Solutions, Charlottesville, VA, United States.ORCID 0000-0002-5976-3016
Lisa NielsenCancer Council Queensland, Brisbane, Australia.ORCID 0000-0002-0752-6115
Joanne F AitkenMenzies Health Institute Queensland, Griffith University, Gold Coast, Australia.ORCID 0000-0001-6859-2186
Samantha CluttonCancer Council Queensland, Brisbane, Australia.ORCID 0000-0002-2803-6756
Paul A ScuffhamMenzies Health Institute Queensland, Griffith University, Gold Coast, Australia.ORCID 0000-0001-5931-642X
Philippa YoulUniversity of Sunshine Coast, Sippy Downs, Australia.ORCID 0000-0001-6318-5741
Bronwyn MorrisMenzies School of Health Research, Darwin, Australia.ORCID 0000-0002-2237-6987
Peter D BaadeMenzies Health Institute Queensland, Griffith University, Gold Coast, Australia.ORCID 0000-0001-8576-8868
Jeff DunnMenzies Health Institute Queensland, Griffith University, Gold Coast, Australia.ORCID 0000-0002-1180-3381
Griffith University · AUCancer Council Queensland · AUMenzies School of Health Research · AUQueensland University of Technology · AUUniversity of Virginia · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWeb-based interventions present a potentially cost-effective approach to supporting self-management for cancer patients; however, further evidence for acceptability and effectiveness is needed.

objectiveThe goal of our research was to assess the effectiveness of an individualized Web-based cognitive behavioral therapy (CBT) intervention on improving psychological and quality of life outcomes in cancer patients with elevated psychological distress.

methodsA total of 163 distressed cancer patients (111 female, 68.1%) were recruited through the Queensland Cancer Registry and the Cancer Council Queensland Cancer Helpline and randomly assigned to either a Web-based tailored CBT intervention (CancerCope) (79/163) or a static patient education website (84/163). At baseline and 8-week follow-up we assessed primary outcomes of psychological and cancer-specific distress and unmet psychological supportive care needs and secondary outcomes of positive adjustment and quality of life.

resultsIntention-to-treat analyses showed no evidence of a statistically significant intervention effect on primary or secondary outcomes. However, per-protocol analyses found a greater decrease for the CancerCope group in psychological distress (P=.04), cancer-specific distress (P=.02), and unmet psychological care needs (P=.03) from baseline to 8 weeks compared with the patient education group. Younger patients were more likely to complete the CancerCope intervention.

conclusionsThis online CBT intervention was associated with greater decreases in distress for those patients who more closely adhered to the program. Given the low costs and high accessibility of this intervention approach, even if only effective for subgroups of patients, the potential impact may be substantial.

trial registrationAustralian New Zealand Clinical Trials Registry ACTRN12613001026718; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=364768&isReview=true (Archived by WebCite at http://www.webcitation.org/6uPvpcovl).

Indexed as

Cognitive Behavioral TherapyFemaleHumansInternetMaleNeoplasmsQuality of LifeSurveys and Questionnairescancerhealth services deliverymental healthpsychological distressrandomized controlled trial (RCT)

Identifiers

PMID29386173
PMCPMC5812983
OpenAlexW2787147185

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.