Evidence map›Paper›PMID 32090733›Full record

SynthesisJournal of affective disorders2020

Are there interactional differences between telephone and face-to-face psychological therapy? A systematic review of comparative studies.

Annie Irvine, Paul Drew, Peter Bower, Helen Brooks, Judith Gellatly, Christopher J Armitage, Michael Barkham, Dean McMillan, Penny Bee

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of affective disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 69 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
69citing 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

69 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Nurse-delivered sleep restriction therapy in primary care for adults with insomnia disorder: a mixed-methods process evaluation.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024
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  18. Learn to Live Again: A Pilot Study to Support Women Experiencing Domestic Violence.International journal of environmental research and public health · 2025
    Article
  19. Uses of Virtual Care in Primary Care: Scoping Review.Journal of medical Internet research · 2025
    Article
  20. Article

9 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

9 authors.

Annie IrvineDepartment of Language and Linguistic Science, University of York, Heslington, York, UK. Electronic address: annie.irvine@york.ac.uk.
Paul DrewDepartment of Language and Linguistic Science, University of York, Heslington, York, UK.
Peter BowerNIHR School for Primary care Research, Centre for Primary Care and Health Services Research, Division of Population Health, Health Services Research and Primary Care, School of Health Sciences, Faculty of Biology, Medicine and health, University of Manchester, Manchester Academic Health Science Centre Manchester, UK.
Helen BrooksDepartment of Health Services Research, Institute of Population Health Sciences, University of Liverpool, UK.
Judith GellatlyDivision of Nursing, Midwifery & Social Work, School of Health Sciences, University of Manchester, UK.
Christopher J ArmitageManchester Centre for Health Psychology, Division of Psychology and Mental Health, Faculty of Biology, Medicine and Health, University of Manchester, UK; Manchester University NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, UK.
Michael BarkhamClinical Psychology Unit, Department of Psychology, University of Sheffield, UK.
Dean McMillanDepartment of Health Sciences, University of York, UK.
Penny BeeDivision of Nursing, Midwifery & Social Work, School of Health Sciences, University of Manchester, UK.

Funding

Department of Health RP-PG-1016-20010
6 · The paper itself

Abstract

backgroundDespite comparable clinical outcomes, therapists and patients express reservations about the delivery of psychological therapy by telephone. These concerns centre around the quality of the therapeutic relationship and the ability to exercise professional skill and judgement in the absence of visual cues. However, the empirical evidence base for such perceptions has not been clearly established.

methodsWe conducted a systematic review to establish what is known empirically about interactional differences between psychotherapeutic encounters conducted face-to-face vs. by telephone.

resultsThe review identified 15 studies that used situated, comparative approaches to exploring interactional aspects of telephone and face-to-face psychological therapy. These studies revealed evidence of little difference between modes in terms of therapeutic alliance, disclosure, empathy, attentiveness or participation. However, telephone therapy sessions were significantly shorter than those conducted face-to-face. LIMITATIONS: We identified only a small number of heterogeneous studies, many of which used non-randomised, opportunity samples and did not use validated measures to assess the constructs under investigation. Disparate therapeutic modalities were used across studies and samples included both clinically diagnosed and non-clinical populations.

conclusionsAvailable evidence suggests a lack of support for the viewpoint that the telephone has a detrimental effect on interactional aspects of psychological therapy. The challenge for clinical practice is to translate this evidence into a change in practitioner and patient attitudes and behaviours. In order to do so, it is important to understand and address the breadth of factors that underpin ongoing ambivalence towards the telephone mode, which pose a barrier to wider implementation.

Indexed as

EmpathyTelephoneExerciseHumansConversation analysisInteractionPsychological therapyTelehealthTelephone therapyTherapeutic alliance

Identifiers

PMID32090733
PMCPMC7049904

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.