Evidence map›Paper›PMID 30185405›Full record

ArticleJournal of medical Internet research2018

Patient Experiences of Web-Based Cognitive Behavioral Therapy for Heart Failure and Depression: Qualitative Study.

Johan Lundgren, Peter Johansson, Tiny Jaarsma, Gerhard Andersson, Anita Kärner Köhler

Abstract read
In one paragraph

Article 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 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 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

14 citing papers in PubMed, 2 syntheses or guidelines 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

5 authors.

Johan LundgrenDivision of Nursing Science, Department of Social and Welfare Studies, Linköping University, Norrköping, Sweden.ORCID 0000-0003-3964-747X
Peter JohanssonDivision of Nursing Science, Department of Social and Welfare Studies, Linköping University, Norrköping, Sweden.ORCID 0000-0001-7431-2873
Tiny JaarsmaDivision of Nursing Science, Department of Social and Welfare Studies, Linköping University, Norrköping, Sweden.ORCID 0000-0002-4197-4026
Gerhard AnderssonDivision of Psychology, Department of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden.ORCID 0000-0003-4753-6745
Anita Kärner KöhlerDivision of Nursing Science, Department of Social and Welfare Studies, Linköping University, Norrköping, Sweden.ORCID 0000-0002-2646-8715

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWeb-based cognitive behavioral therapy (wCBT) has been proposed as a possible treatment for patients with heart failure and depressive symptoms. Depressive symptoms are common in patients with heart failure and such symptoms are known to significantly worsen their health. Although there are promising results on the effect of wCBT, there is a knowledge gap regarding how persons with chronic heart failure and depressive symptoms experience wCBT.

objectiveThe aim of this study was to explore and describe the experiences of participating and receiving health care through a wCBT intervention among persons with heart failure and depressive symptoms.

methodsIn this qualitative, inductive, exploratory, and descriptive study, participants with experiences of a wCBT program were interviewed. The participants were included through purposeful sampling among participants previously included in a quantitative study on wCBT. Overall, 13 participants consented to take part in this study and were interviewed via telephone using an interview guide. Verbatim transcripts from the interviews were qualitatively analyzed following the recommendations discussed by Patton in Qualitative Research & Evaluation Methods: Integrating Theory and Practice. After coding each interview, codes were formed into categories.

resultsOverall, six categories were identified during the analysis process. They were as follows: "Something other than usual health care," "Relevance and recognition," "Flexible, understandable, and safe," "Technical problems," "Improvements by real-time contact," and "Managing my life better." One central and common pattern in the findings was that participants experienced the wCBT program as something they did themselves and many participants described the program as a form of self-care.

conclusionsPersons with heart failure and depressive symptoms described wCBT as challenging. This was due to participants balancing the urge for real-time contact with perceived anonymity and not postponing the work with the program. wCBT appears to be a valuable tool for managing depressive symptoms.

Indexed as

Qualitative ResearchCognitive Behavioral TherapyDepressionFemaleHeart FailureHumansInternetMaleTelemedicinecognitive therapycontent analysisdepressionheart failureinternetpatient experiencetelehealth

Identifiers

PMID30185405
PMCPMC6231888

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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.