Evidence map›Paper›PMID 32207689›Full record

Trial reportJournal of medical Internet research2020

The Association of Therapeutic Alliance With Long-Term Outcome in a Guided Internet Intervention for Depression: Secondary Analysis From a Randomized Control Trial.

Juan Martín Gómez Penedo, Anna Margarete Babl, Martin Grosse Holtforth, Fritz Hohagen, Tobias Krieger, Wolfgang Lutz, Björn Meyer, Steffen Moritz, Jan Philipp Klein, Thomas Berger

Open access · goldAbstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of medical Internet research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
3.3field-weighted citation impact, top 7% 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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 35 citations in OpenAlex.

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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

10 authors at 5 institutions in 3 countries.

Juan Martín Gómez PenedoDepartment of Clinical Psychology and Psychotherapy, University of Bern, Bern, Switzerland.ORCID 0000-0001-7304-407X
Anna Margarete BablDepartment of Clinical Psychology and Psychotherapy, University of Bern, Bern, Switzerland.ORCID 0000-0002-9187-1025
Martin Grosse HoltforthDepartment of Psychosomatic Medicine, Inselspital, University of Bern, Bern, Switzerland.ORCID 0000-0003-0674-8741
Fritz HohagenDepartment of Psychiatry and Psychotherapy, Lübeck University, Lübeck, Germany.ORCID 0000-0001-6770-7922
Tobias KriegerDepartment of Clinical Psychology and Psychotherapy, University of Bern, Bern, Switzerland.ORCID 0000-0001-5137-0755
Wolfgang LutzDepartment of Clinical Psychology and Psychotherapy, University of Trier, Trier, Germany.ORCID 0000-0002-5141-3847
Björn MeyerDepartment of Psychology, City, University of London, London, United Kingdom.ORCID 0000-0003-1100-0260
Steffen MoritzDepartment of Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0001-8601-0143
Jan Philipp KleinDepartment of Psychiatry and Psychotherapy, Lübeck University, Lübeck, Germany.ORCID 0000-0001-9882-2261
Thomas BergerDepartment of Clinical Psychology and Psychotherapy, University of Bern, Bern, Switzerland.ORCID 0000-0002-2432-7791
University of Bern · CHUniversity of Lübeck · DECity, University of London · GBUniversität Hamburg · DEUniversität Trier · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTherapeutic alliance has been well established as a robust predictor of face-to-face psychotherapy outcomes. Although initial evidence positioned alliance as a relevant predictor of internet intervention success, some conceptual and methodological concerns were raised regarding the methods and instruments used to measure the alliance in internet interventions and its association with outcomes.

objectiveThe aim of this study was to explore the alliance-outcome association in a guided internet intervention using a measure of alliance especially developed for and adapted to guided internet interventions, showing evidence of good psychometric properties.

methodsA sample of 223 adult participants with moderate depression received an internet intervention (ie, Deprexis) and email support. They completed the Working Alliance Inventory for Guided Internet Intervention (WAI-I) and a measure of treatment satisfaction at treatment termination and measures of depression severity and well-being at termination and 3- and 9-month follow-ups. For data analysis, we used two-level hierarchical linear modeling that included two subscales of the WAI-I (ie, tasks and goals agreement with the program and bond with the supporting therapist) as predictors of the estimated values of the outcome variables at the end of follow-up and their rate of change during the follow-up period. The same models were also used controlling for the effect of patient satisfaction with treatment.

resultsWe found significant effects of the tasks and goals subscale of the WAI-I on the estimated values of residual depressive symptoms (γ

conclusionsThe results of this study point out the importance of attuning internet interventions to patients' expectations and preferences in order to enhance their agreement with the tasks and goals of the treatment. Thus, the results support the notion that responsiveness to a patient's individual needs is crucial also in internet interventions. Nevertheless, these findings need to be replicated to establish if they can be generalized to different diagnostic groups, internet interventions, and supporting formats.

Indexed as

Therapeutic AllianceDepressionFemaleHumansInternet-Based InterventionMalePsychometricsTreatment Outcomealliancebondguidanceinternet interventionsonly interventionstasks and goalsWorking Alliance Inventory for Guided Internet Intervention

Identifiers

PMID32207689
PMCPMC7139432
OpenAlexW3000810609

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.