Evidence map›Paper›PMID 30135791›Full record

ArticleInternet interventions2016

Development and initial evaluation of blended cognitive behavioural treatment for major depression in routine specialized mental health care.

Lisa C Kooistra, Jeroen Ruwaard, Jenneke E Wiersma, Patricia van Oppen, Rosalie van der Vaart, Julia E W C van Gemert-Pijnen, Heleen Riper

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Internet interventions, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 3 pooled it
9.3field-weighted citation impact, top 2% 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

52 citing papers in PubMed, 3 syntheses or guidelines pooled it, 104 citations in OpenAlex.

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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

7 authors at 4 institutions in 2 countries.

Lisa C KooistraFaculty of Behavioural and Movement Sciences, Department of Clinical-, Neuro- and Developmental Psychology, VU University Amsterdam, Van der Boechorststraat 1, BT 1081 Amsterdam, The Netherlands.
Jeroen RuwaardFaculty of Behavioural and Movement Sciences, Department of Clinical-, Neuro- and Developmental Psychology, VU University Amsterdam, Van der Boechorststraat 1, BT 1081 Amsterdam, The Netherlands.
Jenneke E WiersmaEMGO Institute for Health Care and Research, VU University Medical Centre, Van der Boechorststraat 1, BT 1081 Amsterdam, The Netherlands.
Patricia van OppenEMGO Institute for Health Care and Research, VU University Medical Centre, Van der Boechorststraat 1, BT 1081 Amsterdam, The Netherlands.
Rosalie van der VaartHealth, Medical and Neuropsychology Unit, Leiden University, Wassenaarseweg 52, AK 2333, Leiden, The Netherlands.
Julia E W C van Gemert-PijnenDepartment of Psychology, Health & Technology, University of Twente, Drienerlolaan 5, NB 7522, Enschede, The Netherlands.
Heleen RiperFaculty of Behavioural and Movement Sciences, Department of Clinical-, Neuro- and Developmental Psychology, VU University Amsterdam, Van der Boechorststraat 1, BT 1081 Amsterdam, The Netherlands.
Amsterdam Public Health · NLLeiden University · NLUniversity of Southern Denmark · DKUniversity of Twente · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBlended care combines face-to-face treatment with web-based components in mental health care settings. Blended treatment could potentially improve active patient participation, by letting patients work though part of the protocol autonomously. Further, blended treatment might lower the costs of mental health care, by reducing treatment duration and/or therapist contact. However, knowledge on blended care for depression is still limited.

objectivesTo develop a blended cognitive behavioural treatment (bCBT) for depressed patients in an outpatient specialized mental health care centre and to conduct a preliminary evaluation of this bCBT protocol.

methodA bCBT protocol was developed, taking recommendations into account from depressed patients (n = 3) and therapists and experts in the field of e-health (n = 18). Next, an initial evaluation of integrated high-intensive bCBT was conducted with depressed patients (n = 9) in specialized mental health care. Patients' clinical profiles were established based on pre-treatment diagnostic information and patient self-reports on clinical measures. Patient treatment adherence rates were explored, together with patient ratings of credibility and expectancy (CEQ) before treatment, and system usability (SUS) and treatment satisfaction after treatment (CSQ-8). During and after treatment, the blended treatment protocol was evaluated in supervision sessions with the participating therapists (n = 7).

resultsSeven out of nine patients started bCBT, of whom five completed ≥ 90% of treatment. System usability was evaluated as being above average (range 63 to 85), and patients were mostly to very satisfied with bCBT (range 16 to 32). Patients reported improvements in depression, health-related quality of life and anxiety. We observed that therapists evaluated the highly structured blended treatment as a helpful tool in providing evidence-based treatment to this complex patient group. DISCUSSION: Although no conclusions can be drawn based on the current study, our observations suggest that a blended CBT approach might shorten treatment duration and has the potential to be a valuable treatment option for patients with severe depression in specialized mental health care settings. Further exploration of the effectiveness of our bCBT protocol by means of a randomized controlled trial is warranted.

Indexed as

Blended cognitive behavioural therapyDepressionFace-to-face treatmentOnline treatmentOutpatient specialized mental health careRoutine practise

Identifiers

PMID30135791
PMCPMC6096194
OpenAlexW2263415765

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.