Evidence map›Paper›PMID 30223873›Full record

ArticleTrials2018

An Internet-based Acceptance and Commitment Therapy intervention for older adults with anxiety complaints: study protocol for a cluster randomized controlled trial.

Maartje Witlox, Vivivan Kraaij, Nadia Garnefski, Margot W M de Waal, Filip Smit, Erik Hoencamp, Jacobijn Gussekloo, Ernst T Bohlmeijer, Philip Spinhoven

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in Trials, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04978610 (Virtual Acceptance Commitment Therapy), which is not on this map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 13% 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.

NCT04978610 naterminatednot on this mapstarted 2021, after this paper: background citation

Virtual Acceptance Commitment Therapy (ACT): A Randomized Controlled Trial to Evaluate a Web-Based Intervention for Stress in Adolescents With Chronic Conditions

TypeinterventionalSponsorChildren's Hospital Los AngelesRan2021 to 2026Enrolled14ConditionsChronic IllnessArmsVirtual Acceptance Commitment Therapy
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Article
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

9 authors at 5 institutions in 1 country.

Maartje WitloxInstitute of Psychology, Leiden University, Leiden, The Netherlands. M.witlox@fsw.leidenuniv.nl.ORCID http://orcid.org/0000-0002-9580-556X
Vivivan KraaijInstitute of Psychology, Leiden University, Leiden, The Netherlands.
Nadia GarnefskiInstitute of Psychology, Leiden University, Leiden, The Netherlands.
Margot W M de WaalDepartment of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands.
Filip SmitNetherlands Institute of Mental Health and Addiction, Trimbos, Utrecht, The Netherlands.
Erik HoencampParnassia Psychiatric Institute, The Hague, The Netherlands.
Jacobijn GusseklooDepartment of Public Health and Primary Care and Department of Gerontology and Geriatrics, Leiden University Medical Center, Leiden, The Netherlands.
Ernst T BohlmeijerDepartment of Psychology Health and Technology, University of Twente, Twente, The Netherlands.
Philip SpinhovenInstitute of Psychology, Leiden University, Leiden, The Netherlands.
Leiden University · NLLeiden University Medical Center · NLParnassia Groep · NLTrimbos Institute · NLUniversity of Twente · NL

Funding

ZonMw 531001205
6 · The paper itself

Abstract

backgroundAnxiety is among the most prevalent and disabling mental health problems in older adults. Few older adults with mild to moderately severe anxiety symptoms receive adequate interventions, putting them at risk for developing anxiety disorders, depression, and various somatic problems. Effective, low-threshold interventions should be developed. Blended care, in which a web-based intervention is combined with a limited amount of face-to-face contacts with a mental healthcare counselor at the general practice, is a promising option. The online self-help intervention "Living to the Full"-an Acceptance and Commitment Therapy (ACT) intervention-has been proven to reduce depression and anxiety in several patient groups, but has not yet been investigated in older adults. The aim of this study is to evaluate the (cost-)effectiveness of a blended form of "Living to the Full" in reducing anxiety symptoms in adults aged 55 to 75 years. Furthermore, moderators and mediators of the treatment effect are investigated. METHODS/

designThe (cost-)effectiveness of the ACT intervention will be investigated in a cluster single-blind randomized controlled trial (RCT). The blended intervention will be compared to treatment-as-usual. Thirty-six mental health counselors working at general practices in the Netherlands will be randomized to deliver blended care or treatment as usual. A total of 240 participants (aged 55-75 years) with mild to moderately severe anxiety complaints (defined as a total score of 5-15 on the GAD-7) will be recruited. There are four measurements consisting of online questionnaires (primary outcome: GAD-7) and a telephone interview: before the start of the intervention; directly following the intervention (14 weeks after baseline); and six and twelve months after baseline. Possible mediator variables will be assessed multiple times basis during the intervention. DISCUSSION: This RCT will evaluate the effectiveness of a blended ACT intervention for older adults with anxiety symptoms. If the intervention is shown to be effective, it will be implemented, thereby improving the accessibility and quality of preventive interventions for older adults with anxiety problems.

trial registrationNetherlands Trial Register, NTR6270 . Registered on 21 March 2017.

Indexed as

Acceptance and Commitment TherapyInternetAgedAge FactorsAgingAnxietyCost-Benefit AnalysisFemaleHealth Care CostsHumansMaleMiddle AgedMulticenter Studies as TopicNetherlandsPragmatic Clinical Trials as TopicRandomized Controlled Trials as TopicAcceptance and commitment therapyAnxietyAnxiety complaintsBlended careInternetOlder adultsRandomized controlled trialSubclinical anxiety

Identifiers

PMID30223873
PMCPMC6142346
OpenAlexW2890519997

What OpenQuestion holds

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LicenceCC BY
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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.