Evidence map›Paper›PMID 30798295›Full record

ArticleBMJ open2019

Dismantling, personalising and optimising internet cognitive-behavioural therapy for depression: a study protocol for individual participant data component network meta-analysis.

Toshi A Furukawa, Eirini Karyotaki, Aya Suganuma, Alessandro Pompoli, Edoardo G Ostinelli, Andrea Cipriani, Pim Cuijpers, Orestis Efthimiou

Abstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 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

20 citing papers in PubMed, 1 synthesis or guideline 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

8 authors.

Toshi A Furukawa *Departments of Health Promotion and Human Behavior, Kyoto University Graduate School of Medicine/ School of Public Health, Kyoto, Japan.ORCID 0000-0003-2159-3776
Eirini Karyotaki *Department of Clinical, Neuro-, and Developmental Psychology, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Aya SuganumaDepartments of Health Promotion and Human Behavior, Kyoto University Graduate School of Medicine/ School of Public Health, Kyoto, Japan.
Alessandro PompoliPsychiatric Rehabilitation Clinic Villa San Pietro, Trento, Italy.
Edoardo G OstinelliDepartment of Health Sciences, University of Milan, Milan, Italy.
Andrea CiprianiDepartment of Psychiatry, Warneford Hospital, University of Oxford, Oxford, UK.ORCID 0000-0001-5179-8321
Pim CuijpersDepartment of Clinical, Neuro-, and Developmental Psychology, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Orestis EfthimiouInstitute of Social and Preventive Medicine (ISPM), University of Bern, Bern, Switzerland.

Funding

Department of Health RP-2017-08-ST2-006Medical Research Council MC_PC_17215
6 · The paper itself

Abstract

introductionPsychotherapy is a complex intervention, consisting of various components and being implemented flexibly in consideration of individual patient's characteristics. It is then of utmost importance to know which of the various components or combinations thereof are more efficacious, what their specific effect sizes are and which types of patients may benefit more from different components or their combinations. METHODS AND ANALYSIS: Internet-delivered cognitive-behavioural therapy (iCBT) offers a unique opportunity to systematically review and quantitatively disentangle the efficacy of various components because, unlike face-to-face cognitive-behavioural therapy, it allows identification of constituent components that are actually delivered to patients. We will systematically identify all randomised controlled trials that compared any form of iCBT against another form or a control intervention in the acute phase treatment of adult depression. We will apply component network meta-analysis (cNMA) to dismantle efficacy of individual components. We will use individual participant data in the cNMA to identify participant-level prognostic factors and effect modifiers for different components. ETHICS AND DISSEMINATION: The investigators of the primary trials will have obtained ethical approval for the data used in the present study and for sharing the data, if this was necessary, according to local requirements and was not covered from the initial ethic assessment. Results from this study will be published in peer-reviewed journals and presented at relevant conferences. PROSPERO REGISTRATION NUMBER: CRD42018104683.

Indexed as

Cognitive Behavioral TherapyInternetDepressive DisorderHumansNetwork Meta-Analysis as TopicOutcome Assessment, Health CareRandomized Controlled Trials as TopicResearch DesignSystematic Reviews as TopicSystems Analysisdepressive disorderindividual participant data meta-analysisinternet-delivered cognitive-behavioral therapynetwork meta-analysis

Identifiers

PMID30798295
PMCPMC6278798

What OpenQuestion holds

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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.