Evidence map›Paper›PMID 31771641›Full record

ArticleAddiction science & clinical practice2019

Sort of a nice distance: a qualitative study of the experiences of therapists working with internet-based treatment of problematic substance use.

Veronica Ekström, Magnus Johansson

Abstract read
In one paragraph

Article in Addiction science & clinical practice, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

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

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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

2 authors.

Veronica EkströmThe Department of Social Sciences, Ersta Sköndal Bräcke University College, Stockholm, Sweden.
Magnus JohanssonDepartment of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden. magnus.johansson.1@ki.se.ORCID 0000-0001-8583-2620

Funding

Folkhälsomyndigheten 05664-2014
6 · The paper itself

Abstract

backgroundInternet interventions have been developed and tested for several psychiatric and somatic conditions. Few people with substance use disorders receive treatment and many drug users say that they would prefer getting help from online tools. Internet interventions are effective for reducing alcohol and cannabis use. The aim of the current study is to understand differences between internet-based and face-to-face treatment of problematic substance use. The concept of alliance will be used as a theoretical frame for understanding differences between internet-based treatment and face-to-face treatment, as perceived by therapists.

methodThe study has a qualitative design and is based on 3 focus group interviews with 12 therapists working with internet-based treatment for alcohol or cannabis use problems within five different programs.

resultsThe analysis revealed five themes in the differences between internet-based and face-to-face treatment: communication, anonymity, time, presence and focus. Treatment online in written and asynchronous form creates something qualitatively different from regular face-to-face meetings between patients and therapists. The written form changes the concept of time in treatment, that is, how time can be used and how it affects the therapist's presence. The asynchronous (i.e. time delayed) form of communication and the lack of facial expressions and body language require special skills.

conclusionsThere are important differences between internet-based treatment and face-to-face treatment. Different aspects of the alliance seem to be important in internet-based treatment compared to face-to-face.

Indexed as

Attitude of Health PersonnelAlcoholismCognitive Behavioral TherapyCommunicationFemaleFocus GroupsHumansInternetMaleMarijuana AbuseQualitative ResearchSubstance-Related DisordersTelemedicineTime FactorsAlcohol use disordereHealthFocus groupsQualitative researchSubstance use disorderTherapeutic allianceWeb-based intervention

Identifiers

PMID31771641
PMCPMC6880358

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.