Evidence map›Paper›PMID 30229343›Full record

SynthesisClinical child and family psychology review2019

Technology Delivered Interventions for Depression and Anxiety in Children and Adolescents: A Systematic Review and Meta-analysis.

Rebecca Grist, Abigail Croker, Megan Denne, Paul Stallard

Registry-linked trialOpen access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Clinical child and family psychology review, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07374653 (Online Cognitive Behavioural Therapy for Adolescents With Depression - A Randomized Controlled Trial), which is not on this map. Cited by 149 papers, 25 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
149citing papers in PubMed, 25 pooled it
16.4field-weighted citation impact, top 1% 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.

NCT07374653 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Online Cognitive Behavioural Therapy for Adolescents With Depression - A Randomized Controlled Trial

TypeinterventionalSponsorCity University of Hong KongRan2026 to 2027Enrolled200ConditionsMild to Moderate Depressive SymptomsArmsOnline Cognitive Behaviural Therapy, Online Relaxation
3 · Its place in the literature

Who cites it

149 citing papers in PubMed, 25 syntheses or guidelines pooled it, 308 citations in OpenAlex.

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89 more citing papers are in PubMed but not listed here.

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

4 authors at 2 institutions in 1 country.

Rebecca GristDepartment for Health, University of Bath, 6.19 Wessex House, Bath, BA2 7AY, UK. r.grist@brighton.ac.uk.ORCID 0000-0002-4285-5272
Abigail CrokerOxford Health NHS Foundation Trust, Child, and Adolescent Mental Health Service, Temple House, Keynsham, UK.
Megan DenneOxford Health NHS Foundation Trust, Child, and Adolescent Mental Health Service, Temple House, Keynsham, UK.
Paul StallardDepartment for Health, University of Bath, 6.19 Wessex House, Bath, BA2 7AY, UK.
Oxford Health NHS Foundation Trust · GBUniversity of Bath · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Depression and anxiety are common during adolescence. Whilst effective interventions are available treatment services are limited resulting in many adolescents being unable to access effective help. Delivering mental health interventions via technology, such as computers or the internet, offers one potential way to increase access to psychological treatment. The aim of this systematic review and meta-analysis was to update previous work and investigate the current evidence for the effect of technology delivered interventions for children and adolescents (aged up to 18 years) with depression and anxiety. A systematic search of eight electronic databases identified 34 randomized controlled trials involving 3113 children and young people aged 6-18. The trials evaluated computerized and internet cognitive behavior therapy programs (CBT: n = 17), computer-delivered attention bias modification programs (ABM: n = 8) cognitive bias modification programs (CBM: n = 3) and other interventions (n = 6). Our results demonstrated a small effect in favor of technology delivered interventions compared to a waiting list control group: g = 0.45 [95% CI 0.29, 0.60] p < 0.001. CBT interventions yielded a medium effect size (n = 17, g = 0.66 [95% CI 0.42-0.90] p < 0.001). ABM interventions yielded a small effect size (n = 8, g = 0.41 [95%CI 0.08-0.73] p < 0.01). CBM and 'other' interventions failed to demonstrate a significant benefit over control groups. Type of control condition, problem severity, therapeutic support, parental support, and continuation of other ongoing treatment significantly influenced effect sizes. Our findings suggest there is a benefit in using CBT based technology delivered interventions where access to traditional psychotherapies is limited or delayed.

Indexed as

AdolescentAnxiety DisordersChildCognitive Behavioral TherapyDepressive DisorderHumansInterrupted Time Series AnalysisTelemedicineTherapy, Computer-AssistedAdolescentAnxietyChildDepressionReviewTechnology

Identifiers

PMID30229343
PMCPMC6479049
OpenAlexW2892325292

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.