Evidence map›Paper›PMID 33287554›Full record

ArticleThe Australian and New Zealand journal of psychiatry2021

Computerized cognitive behavioural therapy for gender minority adolescents: Analysis of the real-world implementation of SPARX in New Zealand.

Mathijs Fg Lucassen, Karolina Stasiak, Theresa Fleming, Christopher Frampton, Yael Perry, Matthew Shepherd, Sally N Merry

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The Australian and New Zealand journal of psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 4 pooled it
6.9field-weighted citation impact, top 3% 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

19 citing papers in PubMed, 4 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Review
  6. Article
  7. Observational
  8. Review
  9. Article
  10. Article
  11. Article
  12. Mental Health of Transgender and Gender Diverse Youth.Annual review of clinical psychology · 2023
    Review
  13. Review
  14. Review
  15. Coping Strategies to Enhance the Mental Wellbeing of Sexual and Gender Minority Youths: A Scoping Review.International journal of environmental research and public health · 2022
    Article
  16. Review
  17. Article
  18. Intersex adolescents seeking help for their depression: the case study of SPARX in New Zealand.Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists · 2021
    Article
  19. 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

7 authors at 3 institutions in 3 countries.

Mathijs Fg LucassenDepartment of Health and Social Care, Faculty of Wellbeing, Education, and Language Studies, The Open University, Milton Keynes, UK.ORCID 0000-0001-6958-3468
Karolina StasiakDepartment of Psychological Medicine, The University of Auckland, Auckland, New Zealand.
Theresa FlemingDepartment of Psychological Medicine, The University of Auckland, Auckland, New Zealand.
Christopher FramptonDepartment of Psychological Medicine, University of Otago, Christchurch, New Zealand.
Yael PerryTelethon Kids Institute, University of Western Australia, Perth, Australia.
Matthew ShepherdSchool of Psychology, Albany Campus, Auckland, New Zealand.
Sally N MerryDepartment of Psychological Medicine, The University of Auckland, Auckland, New Zealand.
University of Auckland · NZThe Kids Research Institute Australia · AUUniversity of Otago · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveSPARX is a form of computerized cognitive behavioural therapy in serious game format funded via the Ministry of Health to be freely available in New Zealand. At registration users identify themselves as male, female, transgender or intersex. We aimed to establish whether adolescent transgender users of SPARX, compared to adolescent male and female users, were more likely to have high mental health needs at baseline and were more likely to complete SPARX. We also sought to determine changes in transgender adolescents' depressive symptoms after using SPARX.

methodsQuantitative analysis of 5 years of usage data from the nation-wide delivery of SPARX in New Zealand.

resultsThere were 9079 adolescents who completed the registration process and used SPARX, 2.3% (

conclusionThis is the first study describing the impact of an e-therapy on transgender young people. The analysis of data from this free self-help intervention suggests that transgender adolescents seeking treatment for depression have particularly high mental health needs, and an existing well tested tool may be less effective for them than it is for others. Taken together the results appear to suggest targeted efforts may be required for transgender adolescents.

Indexed as

Cognitive Behavioral TherapySexual and Gender MinoritiesTransgender PersonsAdolescentFemaleHumansMaleMental HealthNew Zealandadolescentcognitive behavioural therapydepressionLGBTTransgender

Identifiers

PMID33287554
PMCPMC8404718
OpenAlexW3113357404

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.