Evidence map›Paper›PMID 32706713›Full record

SynthesisJournal of medical Internet research2020

Implementing Web-Based Therapy in Routine Mental Health Care: Systematic Review of Health Professionals' Perspectives.

Fiona Davies, Heather L Shepherd, Lisa Beatty, Brodie Clark, Phyllis Butow, Joanne Shaw

Registry-linked trialAbstract readSystematic Review
In one paragraph

Synthesis 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 NCT05351645 (Digital Narrative Bibliotherapy as a Scalable Intervention for Suicidal Thoughts), which is not on this map. Cited by 56 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 3 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.

NCT05351645 nacompletednot on this map

Digital Narrative Bibliotherapy as a Scalable Intervention for Suicidal Thoughts: A Randomized Controlled Trial (Testing Whether Selected Blog Posts Can Improve Well-being)

TypeinterventionalSponsorHarvard UniversityRan2020 to 2021Enrolled864ConditionsSuicidal IdeationArmsTreatment
3 · Its place in the literature

Who cites it

56 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Pooled it
  4. Trial
  5. Feasibility, acceptability, and preliminary efficacy of a self-directed online psychosocial intervention for women with metastatic breast cancer: Finding My Way-Advanced.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
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  14. Review
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  17. Innovations to improve outcomes and uptake of psychotherapies for mental disorders: a state-of-the-art review.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2026
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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

6 authors.

Fiona DaviesPsycho-Oncology Co-operative Research Group, School of Psychology, The University of Sydney, Sydney, Australia.ORCID 0000-0002-5247-9231
Heather L ShepherdPsycho-Oncology Co-operative Research Group, School of Psychology, The University of Sydney, Sydney, Australia.ORCID 0000-0002-3350-1325
Lisa BeattyFlinders Centre for Innovation in Cancer, College of Medicine & Public Health, Flinders University South Australia, Adelaide, Australia.ORCID 0000-0001-8847-8452
Brodie ClarkPsycho-Oncology Co-operative Research Group, School of Psychology, The University of Sydney, Sydney, Australia.ORCID 0000-0003-2929-712X
Phyllis ButowPsycho-Oncology Co-operative Research Group, School of Psychology, The University of Sydney, Sydney, Australia.ORCID 0000-0003-3562-6954
Joanne ShawPsycho-Oncology Co-operative Research Group, School of Psychology, The University of Sydney, Sydney, Australia.ORCID 0000-0002-9543-7066

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWeb-based therapies hold great promise to increase accessibility and reduce costs of delivering mental health care; however, uptake in routine settings has been low.

objectiveOur objective in this review was to summarize what is known about health care professionals' perceptions of the barriers to and facilitators of the implementation of web-based psychological treatments in routine care of adults in health care settings.

methodsWe searched 5 major databases (MEDLINE, EMBASE, PsycINFO, CINAHL, and the Cochrane Library) for qualitative, quantitative, or mixed-methods studies exploring health professionals' views on computer- or internet-based psychological treatment programs. We coded included articles for risk of bias and extracted data using a prepiloted extraction sheet.

resultsWe identified 29 eligible articles: 14 qualitative, 11 quantitative, and 4 mixed methods. We identified the following themes: patient factors, health professional factors, the therapeutic relationship, therapy factors, organizational and system factors, and models of care. Health professionals supported web-based therapies only for patients with relatively straightforward, low-risk diagnoses, strong motivation and engagement, high computer literacy and access, and low need for tailored content. They perceived flexibility with timing and location as advantages of web-based therapy, but preferred blended therapy to facilitate rapport and allow active monitoring and follow-up of patients. They emphasized the need for targeted training and organizational support to manage changed workflows. Health professionals were concerned about the confidentiality and security of client data for web-based programs, suggesting that clear and transparent protocols need to be in place to reassure health professionals before they will be willing to refer.

conclusionsWithout health professionals' support, many people will not access web-based therapies. To increase uptake, it is important to ensure that health professionals receive education, familiarization, and training to support them in incorporating web-based therapies into their practice, and to design systems that support health professionals in this new way of working with patients and addressing their concerns.

trial registrationPROSPERO CRD42018100869; https://tinyurl.com/y5vaoqsk.

Indexed as

AdultHealth PersonnelHumansInternetMental HealthTelemedicinebarrierscognitive behavioral therapyfacilitatorshealth professional viewsimplementationinternet-based interventionmodels of careonline CBTonline psychological therapy

Identifiers

PMID32706713
PMCPMC7413287

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.