Evidence map›Paper›PMID 34401379›Full record

ArticleInternet interventions2021

Predicting response to transdiagnostic iCBT for emotional disorders from patient and therapist involvement.

Alberto González-Robles, Carlos Suso-Ribera, Amanda Díaz-García, Azucena García-Palacios, Diana Castilla, Cristina Botella

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Internet interventions, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07345117 (From Research to Clinical Practice), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.6field-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.

NCT07345117 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

From Research to Clinical Practice: Implementation of an Internet-based Transdiagnostic Treatment Program for Emotional Disorders in Primary Care (TREAT-ED)

TypeinterventionalSponsorUniversitat Jaume IRan2026 to 2029Enrolled200ConditionsEmotional Disorders, Depression Anxiety Disorder, Depression Disorders, Anxiety DisordersArmsInternet-based psychological intervention, Treatment as usual (TAU)
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 15 citations in OpenAlex.

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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 at 4 institutions in 1 country.

Alberto González-RoblesDepartment of Psychology and Sociology, Universidad de Zaragoza (Campus de Teruel), Teruel, Spain.
Carlos Suso-RiberaDepartment of Basic and Clinical Psychology, and Psychobiology, Universitat Jaume I, Castellon, Spain.
Amanda Díaz-GarcíaDepartment of Psychology and Sociology, Universidad de Zaragoza (Campus de Teruel), Teruel, Spain.
Azucena García-PalaciosDepartment of Basic and Clinical Psychology, and Psychobiology, Universitat Jaume I, Castellon, Spain.
Diana CastillaCIBER Fisiopatología Obesidad y Nutrición (CIBERObn), Instituto Salud Carlos III, Madrid, Spain.
Cristina BotellaDepartment of Basic and Clinical Psychology, and Psychobiology, Universitat Jaume I, Castellon, Spain.
Universidad de Zaragoza · ESUniversitat Jaume I · ESInstituto de Salud Carlos III · ESSpanish Biomedical Research Centre in Physiopathology of Obesity and Nutrition · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTransdiagnostic iCBT has been shown to be effective for the treatment of emotional disorders. Less is known about the optimal level of therapist and patient involvement in these interventions. Specific characteristics of Internet-delivered interventions include treatment adherence (e.g., amount of review of the materials) and guidance (e.g., amount of therapist support). Exploring the importance of these elements in treatment outcome may help to maximize the efficiency of Internet-delivered psychological interventions.

aimIn this study, we aimed to analyze the relationship between patient and therapist involvement (i.e., platform usage and amount of therapist guidance) in a sample of patients with emotional disorders who received transdiagnostic iCBT in Spanish public specialized mental healthcare services.

methodThis is a secondary analysis of a randomized controlled trial. The sample included 63 patients who completed transdiagnostic iCBT for emotional disorders. Platform usage metrics included number of logins into the platform and number of times the participants reviewed the modules. Therapist guidance was measured as the number of support phone calls with a therapist and their total duration (minutes). Logistic regressions and ROC analyses were performed to explore the predictive value of platform usage and therapist guidance in symptom reduction. Clinical outcomes included depressive and anxiety symptoms assessed at baseline and post-intervention. The bivariate relationship between the platform usage and therapist guidance variables was also explored.

resultsOverall, platform usage and therapist guidance were not associated with symptom improvement. However, the patient and therapist involvement parameters were intercorrelated. Specifically, the number of calls and their duration were associated with a greater number of logins ( DISCUSSION: The results suggest that there is no reliable cut-off point for platform usage and therapist guidance in predicting optimal symptom reduction. However, significant associations were found between platform usage and guidance variables that warrant additional research. More research on this topic is necessary to further clarify the role of these and other platform usage and guidance variables in Internet-delivered iCBT outcomes.

Indexed as

Emotional disordersGuidanceiCBTTransdiagnosticUsage

Identifiers

PMID34401379
PMCPMC8350608
OpenAlexW3177355374

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.