Evidence map›Paper›PMID 32515740›Full record

Trial reportJournal of medical Internet research2020

Coach-Facilitated Web-Based Therapy Compared With Information About Web-Based Resources in Patients Referred to Secondary Mental Health Care for Depression: Randomized Controlled Trial.

Sarah MacLean, Daniel J Corsi, Sadie Litchfield, Julia Kucharski, Kira Genise, Zeynep Selaman, Valerie Testa, Simon Hatcher

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
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. It is linked to trial NCT02423733 (Can E-therapies Reduce Waiting Lists in Secondary Mental Health Care? A Randomized Controlled Trial), which is not on this map. Cited by 11 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 4 pooled it
1.1field-weighted citation impact, top 20% 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.

NCT02423733 naunknown statusnot on this map

Can E-therapies Reduce Waiting Lists in Secondary Mental Health Care? A Randomized Controlled Trial

TypeinterventionalSponsorUniversity of OttawaRan2015 to 2019Enrolled110ConditionsDepressionArmsThe Journal
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 4 syntheses or guidelines pooled it, 19 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

8 authors at 3 institutions in 1 country.

Sarah MacLeanSchool of Journalism and Communication, Carleton University, Ottawa, ON, Canada.ORCID 0000-0001-6286-0127
Daniel J CorsiClinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada.ORCID 0000-0001-7063-3354
Sadie LitchfieldPrevention and Rehabilitation, University of Ottawa Heart Institute, Ottawa, ON, Canada.ORCID 0000-0001-7144-6462
Julia KucharskiDepartment of Psychiatry, The Ottawa Hospital, Ottawa, ON, Canada.ORCID 0000-0003-3030-2942
Kira GeniseFaculty of Medicine, University of Ottawa, Ottawa, ON, Canada.ORCID 0000-0002-1739-3889
Zeynep SelamanDepartment of Psychiatry, University of Ottawa, Ottawa, ON, Canada.ORCID 0000-0002-1980-7539
Valerie TestaClinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada.ORCID 0000-0003-0772-8515
Simon Hatcher *Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada.ORCID 0000-0003-3117-2350
University of Ottawa · CACarleton University · CAOttawa Hospital · CA

Funding

CIHR 134160
6 · The paper itself

Abstract

backgroundDepression is a common mental disorder with a high social burden and significant impact on suicidality and quality of life. Treatment is often limited to drug therapies because of long waiting times to see psychological therapists face to face, despite several guidelines recommending that psychological treatments should be first-line interventions for mild to moderate depression.

objectiveWe aimed to evaluate, among patients on a waitlist to receive secondary mental health care services for depression, how effective coach-guided web-based therapy (The Journal) is, compared with an information-only waitlist control group, in reducing depression symptoms after 12 weeks.

methodsWe conducted a randomized controlled trial with 2 parallel arms and a process evaluation, which included interviews with study participants. Participants assigned to the intervention group received 12 weeks of web-based therapy guided by a coach who had a background in social work. Patients in the control group receive a leaflet of mental health resources they could access. The primary outcome measure was a change in depression scores, as measured by the Patient-Health Questionnaire (PHQ-9).

resultsA total of 95 participants were enrolled (intervention, n=47; control, n=48). The mean change in PHQ-9 scores from baseline to week 12 was -3.6 (SD 6.6) in the intervention group and -3.1 (SD 6.2) in the control group, which was not a statistically significant difference with a two-sided alpha of .05 (t

conclusionsThe results demonstrate that the use of guided web-based therapy for the treatment of depression is not more effective than information-only waitlist control. However, it showed that the coach has the potential to increase adherence and engagement with web-based depression treatment protocols. Further research is needed on what makes the coach effective.

trial registrationClinicalTrials.gov: NCT02423733; https://clinicaltrials.gov/ct2/show/NCT02423733.

Indexed as

AdolescentAdultDepressionFemaleHealth ResourcesHumansInternetMaleMental HealthQuality of LifeTelemedicineTreatment OutcomeYoung AdultCanadadigital health technologiesmajor depressive disorderrandomized controlled trialsecondary caretelemedicine

Identifiers

PMID32515740
PMCPMC7312263
OpenAlexW2995333625

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.