Evidence map›Paper›PMID 30135755›Full record

ArticleInternet interventions2018

My care manager, my computer therapy and me: The relationship triangle in computerized cognitive behavioural therapy.

Kate Cavanagh, Bea Herbeck Belnap, Scott D Rothenberger, Kaleab Z Abebe, Bruce L Rollman

Registry-linked trialAbstract read
In one paragraph

Article in Internet interventions, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01482806 (Online Treatments for Mood and Anxiety Disorders in Primary Care), which is not on this map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–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.

NCT01482806 phase2 / phase3completednot on this map

Online Treatments for Mood and Anxiety Disorders in Primary Care

TypeinterventionalSponsorUniversity of PittsburghRan2012 to 2017Enrolled700ConditionsDepression, Generalized Anxiety Disorder, Panic DisorderArmsCCBT+ISG/Collaborative Care, CCBT/Collaborative Care
3 · Its place in the literature

Who cites it

18 citing papers in PubMed.

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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

5 authors.

Kate CavanaghUniversity of Sussex, School of Psychology, East Sussex, United Kingdom.
Bea Herbeck BelnapDivision of General Internal Medicine, Center for Behavioral Health and Smart Technology, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States.
Scott D RothenbergerCenter for Research on Health Care Data Center, University of Pittsburgh, Pittsburgh, PA, United States.
Kaleab Z AbebeDivision of General Internal Medicine, Center for Clinical Trials & Data Coordination, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States.
Bruce L RollmanDivision of General Internal Medicine, Center for Behavioral Health and Smart Technology, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States.

Funding

Online Treatments for Mood and Anxiety Disorders in Primary CareR01MH093501 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI ROLLMAN, BRUCE LAWRENCE · 2012 to 2015
$2.5M
NIMH NIH HHS R01 MH093501
6 · The paper itself

Abstract

Previous research has reported mixed findings regarding the relationship between therapeutic alliance, engagement and outcomes in e-mental health. This study aims to overcome some of the methodological limitations of previous research and extend our understanding of alliance-outcome relationships in e-mental health by exploring the nature of the relationship triangle between the patient, their care manager and their computerized cognitive behavioural therapy (CCBT) program, accessed with or without an Internet Support Group (ISG). Positive patient-rated alliance with both their care manager and the CCBT program itself was found and these were significantly associated with measures of engagement and clinical outcome. The magnitude of this association was moderate, and within the range of that reported for traditional face-to-face psychotherapies in recent meta-analyses. Limitations of the study, including the reliance on completer data and a cross-sectional design, and directions for future research are presented. Our findings suggest that both the training and supervision of support staff and the optimization of CCBT interventions themselves to enhance alliance and experience may lead to improved engagement and outcomes.

trial registrationClinicaltrials.gov Identifier: NCT01482806https://www.clinicaltrials.gov/ct2/show/NCT01482806?term=rollman&rank=4.

Indexed as

AnxietyComputerized CBTDepressionTherapeutic relationshipWorking alliance, clinical outcomes

Identifiers

PMID30135755
PMCPMC6084903

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.