Evidence map›Paper›PMID 33246650›Full record

ArticleJournal of affective disorders2021

An Exploratory Brief Head-To-Head Non-Inferiority Comparison of an Internet-Based and a Telephone-Delivered CBT Intervention for Adults with Depression.

Jennifer Nicholas, Ashley A Knapp, Jessica L Vergara, Andrea K Graham, Elizabeth L Gray, Emily G Lattie, Mary J Kwasny, David C Mohr

Abstract read
In one paragraph

Article in Journal of affective disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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

  1. Pooled it
  2. Article
  3. Review
  4. Article
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.

Jennifer NicholasCenter for Behavioral Intervention Technologies, Department of Preventive Medicine, Northwestern University, Chicago Illinois, USA. Electronic address: jen.nicholas@unimelb.edu.au.
Ashley A KnappCenter for Behavioral Intervention Technologies, Department of Preventive Medicine, Northwestern University, Chicago Illinois, USA.
Jessica L VergaraCenter for Behavioral Intervention Technologies, Department of Preventive Medicine, Northwestern University, Chicago Illinois, USA.
Andrea K GrahamCenter for Behavioral Intervention Technologies, Department of Medical Social Sciences, Northwestern University, Chicago Illinois, USA.
Elizabeth L GrayBiostatistics Collaboration Center, Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago Illinois, USA.
Emily G LattieCenter for Behavioral Intervention Technologies, Department of Medical Social Sciences, Northwestern University, Chicago Illinois, USA.
Mary J KwasnyBiostatistics Collaboration Center, Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago Illinois, USA.
David C MohrCenter for Behavioral Intervention Technologies, Department of Preventive Medicine, Northwestern University, Chicago Illinois, USA.

Funding

Northwestern University Clinical and Translational Science Institute (NUCATS)UL1TR001422 · NCATS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI D'AQUILA, RICHARD · 2015 to 2023
$56.8M
Technology Enabled Services for Coordinated Care of Depression in Healthcare SettingsP50MH119029 · NIMH · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Jessica Lee Schleider · 2020 to 2026
$10.7M
Stepped Telemental Health Care Intervention for DepressionR01MH095753 · NIMH · NORTHWESTERN UNIVERSITY AT CHICAGO · PI MOHR, DAVID CURTIS · 2012 to 2016
$3.4M
Multidisciplinary Training Program in Digital Mental HealthT32MH115882 · NIMH · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Darren Gergle, DAVID CURTIS MOHR · 2018 to 2026
$2.4M
Testing Intervention Strategies for Addressing Obesity and Binge EatingK01DK116925 · NIDDK · NORTHWESTERN UNIVERSITY AT CHICAGO · PI GRAHAM, ANDREA KASS · 2018 to 2022
$799k
Expanding College Student Mental Health with Stress Management Mobile TechnologiesK08MH112878 · NIMH · NORTHWESTERN UNIVERSITY AT CHICAGO · PI LATTIE, EMILY GARDINER · 2017 to 2021
$746k
NCATS NIH HHS UL1 TR001422NIDDK NIH HHS K01 DK116925NIMH NIH HHS K08 MH112878NIMH NIH HHS P50 MH119029NIMH NIH HHS R01 MH095753NIMH NIH HHS T32 MH115882
6 · The paper itself

Abstract

backgroundTelephone-administered psychotherapy (tCBT) and internet-based treatments (iCBT) may overcome barriers to mental health treatment. TCBT has demonstrated efficacy similar to traditional psychotherapy, however, few studies have compared iCBT to efficacious interventions. This exploratory study examined the noninferiority of iCBT relative to tCBT. We also explored pretreatment moderators of outcome and assessed treatment dropout.

methodsAs a secondary exploratory analysis of a 304-participant randomized noninferiority trial, we compared iCBT, the first level of a stepped-care intervention, with tCBT on depression outcome after 5 weeks of treatment (prior to stepping). Multiple linear regression models were fit to examine moderators of 5-week depression. Differences in dropout were examined using Kaplan-Meier survival analysis.

resultsAfter 5 weeks of treatment, both interventions significantly reduced depression severity. The effect size difference between the two interventions was d=0.004 [90% CI=-0 LIMITATIONS: Given the stepped-care trial design, iCBT and tCBT could not be compared at the end of treatment or follow-up. Analyses were exploratory and should be interpreted with caution.

conclusionsA large sample, powered for noninferiority, found iCBT no less efficacious than tCBT at reducing depression symptoms after five weeks of treatment.

Indexed as

Cognitive Behavioral TherapyDepressionAdultHumansInternetPatient DropoutsTelephoneTreatment OutcomeDepressioneHealthiCBTnoninferioritytelehealth

Identifiers

PMID33246650
PMCPMC7856098

What OpenQuestion holds

Textmetadata
LicenceTDM
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.