Evidence map›Paper›PMID 31890638›Full record

ArticleInternet interventions2019

A secondary analysis of the role of geography in engagement and outcomes in a clinical trial of an efficacious Internet intervention for insomnia.

Philip I Chow, Brian D Gonzalez, Karen S Ingersoll, Frances P Thorndike, Kelly M Shaffer, Fabian Camacho, Michael L Perlis, Lee M Ritterband

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Internet interventions, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 38% 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.

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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Trial
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 at 4 institutions in 1 country.

Philip I ChowDepartment of Psychiatry and Neurobehavioral Sciences, University of Virginia School of Medicine, USA.
Brian D GonzalezMoffitt Cancer Center, Tampa, FL, USA.
Karen S IngersollDepartment of Psychiatry and Neurobehavioral Sciences, University of Virginia School of Medicine, USA.
Frances P ThorndikePear Therapeutics, Boston, MA, USA.
Kelly M ShafferDepartment of Psychiatry and Neurobehavioral Sciences, University of Virginia School of Medicine, USA.
Fabian CamachoDepartment of Psychiatry and Neurobehavioral Sciences, University of Virginia School of Medicine, USA.
Michael L PerlisDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania, PA, USA.
Lee M RitterbandDepartment of Psychiatry and Neurobehavioral Sciences, University of Virginia School of Medicine, USA.
University of Virginia · USMoffitt Cancer Center · USPear Therapeutics (United States) · USUniversity of Pennsylvania · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Psychosocial Palliative & Community Research in CancerT32CA009461 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI JENNIFER L HAY, Jamie S. Ostroff · 1985 to 2026
$10.1M
An Internet Intervention for Insomnia: Efficacy and DisseminationR01MH086758 · NIMH · UNIVERSITY OF VIRGINIA · PI RITTERBAND, LEE M · 2010 to 2014
$2.3M
Developing a Culturally Targeted mHealth Intervention for Cancer-Related Sleep Disturbance in African American Breast Cancer SurvivorsK01CA211789 · NCI · RBHS -CANCER INSTITUTE OF NEW JERSEY · PI GONZALEZ, BRIAN D · 2016 to 2019
$585k
NCI NIH HHS K01 CA211789NCI NIH HHS P30 CA008748NCI NIH HHS T32 CA009461NIMH NIH HHS R01 MH086758
6 · The paper itself

Abstract

backgroundOnline interventions for insomnia can increase access to treatments for those with limited access to services. What remains unknown is whether individuals from more isolated (vs. more densely populated) regions engage with, and benefit as much from, an online intervention. This secondary analysis examined the relationship of geographical indices with engagement and outcomes of an efficacious, fully automated online cognitive behavioral therapy for insomnia (CBT-I) program (Sleep Healthy Using the Internet-SHUTi).

method303 participants (

resultsIndividuals were from a range of geographic locations. Most lived in fairly densely populated areas; however, there was a large variation in distance to the nearest sleep medicine provider. Findings indicate that the efficacy, adherence, and engagement with SHUTi were not impacted by where people lived. Controlling for age and gender did not impact any of the relationships among geography variables (i.e., distance, ruralness) and adherence or sleep related outcomes.

conclusionsInternet interventions must demonstrate that they can overcome obstacles posed by geography. This is the first study to examine the geographic location of participants and its association with engagement with, and outcomes of, online CBT-I.

Indexed as

Cognitive behavioral therapyeHealthGeographyInsomnia

Identifiers

PMID31890638
PMCPMC6926280
OpenAlexW2983530251

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.