Evidence map›Paper›PMID 32706667›Full record

Trial reportJournal of medical Internet research2020

An Internet-Based Psychological Intervention With a Serious Game to Improve Vitality, Psychological and Physical Condition, and Immune Function in Healthy Male Adults: Randomized Controlled Trial.

Lemmy Schakel, Dieuwke S Veldhuijzen, Henriët van Middendorp, Corine Prins, Anne M H F Drittij, Frank Vrieling, Leo G Visser, Tom H M Ottenhoff, Simone A Joosten, Andrea W M Evers

Open 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. Cited by 7 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 5 pooled it
1.4field-weighted citation impact, top 18% 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

7 citing papers in PubMed, 5 syntheses or guidelines pooled it, 15 citations in OpenAlex.

  1. Pooled it
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  6. Article
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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 2 institutions in 1 country.

Lemmy Schakel *Health, Medical and Neuropsychology Unit, Institute of Psychology, Leiden University, Leiden, Netherlands.ORCID 0000-0001-6437-3525
Dieuwke S VeldhuijzenHealth, Medical and Neuropsychology Unit, Institute of Psychology, Leiden University, Leiden, Netherlands.ORCID 0000-0001-9046-1019
Henriët van MiddendorpHealth, Medical and Neuropsychology Unit, Institute of Psychology, Leiden University, Leiden, Netherlands.ORCID 0000-0003-4575-0895
Corine PrinsDepartment of Infectious Diseases, Leiden University Medical Centre, Leiden, Netherlands.ORCID 0000-0003-0441-6970
Anne M H F DrittijDepartment of Infectious Diseases, Leiden University Medical Centre, Leiden, Netherlands.ORCID 0000-0002-5604-7743
Frank VrielingDepartment of Infectious Diseases, Leiden University Medical Centre, Leiden, Netherlands.ORCID 0000-0002-8064-672X
Leo G VisserDepartment of Infectious Diseases, Leiden University Medical Centre, Leiden, Netherlands.ORCID 0000-0002-3600-9782
Tom H M OttenhoffDepartment of Infectious Diseases, Leiden University Medical Centre, Leiden, Netherlands.ORCID 0000-0003-3706-3403
Simone A JoostenDepartment of Infectious Diseases, Leiden University Medical Centre, Leiden, Netherlands.ORCID 0000-0002-9878-0863
Andrea W M EversHealth, Medical and Neuropsychology Unit, Institute of Psychology, Leiden University, Leiden, Netherlands.ORCID 0000-0002-0090-5091
Leiden University Medical Center · NLLeiden University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecently, internet-based cognitive behavioral therapy (ICBT) and serious gaming interventions have been suggested to enhance accessibility to interventions and engagement in psychological interventions that aim to promote health outcomes. Few studies, however, have investigated their effectiveness in the context of simulated real-life challenges.

objectiveWe aimed to examine the effectivity of a guided ICBT combined with a serious gaming intervention in improving self-reported psychophysiological and immunological health endpoints in response to psychophysiological and immune-related challenges.

methodsSixty-nine healthy men were randomly assigned to the intervention condition, receiving ICBT combined with serious gaming for 6 weeks, or the control condition, receiving no intervention. Self-reported vitality was the primary endpoint. Other self-reported psychophysiological and immunological endpoints were assessed following various challenges, including a bacillus Calmette-Guérin vaccination evoking pro-inflammatory responses, 1 and 4 weeks after the intervention period.

resultsAlthough the intervention did not affect vitality-associated parameters, self-reported sleep problems (P=.027) and bodily sensations (P=.042) were lower directly after the intervention compared with controls. Furthermore, wellbeing (P=.024) was higher in the intervention group after the psychophysiological challenges. Although no significant group differences were found for the psychophysiological and immunological endpoints, the data provided preliminary support for increased immunoglobulin antibody responses at the follow-up time points (P<.05). Differential chemokine endpoints between conditions were observed at the end of the test day.

conclusionsThe present study provides some support for improving health endpoints with an innovative ICBT intervention. Future research should replicate and further extend the present findings by consistently including challenges and a wide range of immune parameters into the study design.

trial registrationNederlands Trial Register NTR5610; https://www.trialregister.nl/trial/5466.

Indexed as

Games, ExperimentalHealth StatusAdolescentAdultCognitive Behavioral TherapyHumansInternetMalePsychosocial InterventionResearch DesignTreatment OutcomeYoung AdultBCG vaccinationcognitive behavioral therapyICBTimmune systemstress

Identifiers

PMID32706667
PMCPMC7414409
OpenAlexW3008464254

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.