Evidence map›Paper›PMID 33661121›Full record

Trial reportJournal of medical Internet research2021

Evaluating a Hybrid Web-Based Training Program for Panic Disorder and Agoraphobia: Randomized Controlled Trial.

Lara Ebenfeld, Dirk Lehr, David Daniel Ebert, Stefan Kleine Stegemann, Heleen Riper, Burkhardt Funk, Matthias Berking

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of medical Internet research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
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  5. Review
  6. Article
  7. Digital Health Applications in the Area of Mental Health.Deutsches Arzteblatt international · 2023
    Review
  8. Article
  9. Article
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  11. Article
  12. 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.

Lara EbenfeldLeuphana University, Lüneburg, Germany.ORCID 0000-0002-0508-179X
Dirk LehrLeuphana University, Lüneburg, Germany.ORCID 0000-0002-5560-3605
David Daniel EbertLeuphana University, Lüneburg, Germany.ORCID 0000-0001-6820-0146
Stefan Kleine StegemannLeuphana University, Lüneburg, Germany.ORCID 0000-0002-8957-8110
Heleen RiperGGZ ingeest Amsterdam, Amsterdam, Netherlands.ORCID 0000-0002-8144-8901
Burkhardt FunkLeuphana University, Lüneburg, Germany.ORCID 0000-0001-5855-2666
Matthias BerkingFriedrich-Alexander-University Nuremberg-Erlangen, Nuremberg-Erlangen, Germany.ORCID 0000-0001-5903-4748

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrevious studies provide evidence for the effectiveness of web-based interventions for panic disorder with and without agoraphobia. Smartphone-based technologies hold significant potential for further enhancing the accessibility and efficacy of such interventions.

objectiveThis randomized controlled trial aims to evaluate the efficacy of a guided, hybrid web-based training program based on cognitive behavioral therapy for adults with symptoms of panic disorder.

methodsParticipants (N=92) with total scores in the Panic and Agoraphobia Scale ranging from 9 to 28 were recruited from the general population and allocated either to a hybrid intervention (GET.ON Panic) or to a wait-list control group. The primary outcome was the reduction in panic symptoms, as self-assessed using a web-based version of the Panic and Agoraphobia Scale.

resultsAnalysis of covariance-based intention-to-treat analyses revealed a significantly stronger decrease in panic symptoms posttreatment (F=9.77; P=.002; Cohen d=0.66; 95% CI 0.24-1.08) in the intervention group than in the wait-list control group. Comparisons between groups of the follow-up measures at 3 and 6 months yielded even stronger effects (3-month follow-up: F=17.40, P<.001, Cohen d=0.89, 95% CI 0.46-1.31; 6-month follow-up: F=14.63, P<.001, Cohen d=0.81, 95% CI 0.38-1.24).

conclusionsHybrid web-based training programs may help reduce the symptoms of panic disorder and hence play an important role in improving health care for patients with this debilitating disorder.

trial registrationGerman Clinical Trial Register DRKS00005223; https://tinyurl.com/f4zt5ran. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR2-10.1186/1745-6215-15-427.

Indexed as

Cognitive Behavioral TherapyInternet-Based InterventionPanic DisorderAdultAgoraphobiaHumansInternetTreatment OutcomeWaiting Listsagoraphobiainternetmobile phonepanic disorderrandomized controlled trialtreatment

Identifiers

PMID33661121
PMCPMC7974752

What OpenQuestion holds

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Registered trials

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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.