Evidence map›Paper›PMID 34603972›Full record

ArticleInternet interventions2021

Effects of patient-driven iCBT for anxiety in routine primary care and the relation between increased experience of empowerment and outcome: A randomized controlled trial.

Linnea Nissling, Martin Kraepelien, Viktor Kaldo, Dominique Hange, Anna Larsson, Marie Persson, Sandra Weineland

Registry-linked trialOpen access · goldAbstract read
PubMed Full text at PMC Publisher
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 NCT04688567 (Patient-driven Internet Delivered Psychological Treatment in a Primary Care Context), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.3field-weighted citation impact, top 20% 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.

NCT04688567 nacompletednot on this map

Patient-driven Internet Delivered Psychological Treatment in a Primary Care Context: a Randomized Controlled Trial

TypeinterventionalSponsorVastra Gotaland RegionRan2019 to 2021Enrolled56ConditionsAnxiety Disorders and Symptoms, Internet-Based InterventionArmsPatient-driven iCBT, Standardized iCBT (TAU)
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 16 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
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 4 institutions in 1 country.

Linnea NisslingDepartment of Psychology, University of Gothenburg, Gothenburg, Sweden.
Martin KraepelienCentre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, & Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden.
Viktor KaldoCentre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, & Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden.
Dominique HangeResearch, Education, Development & Innovation, Primary Health Care, Region Västra Götaland, Sweden.
Anna LarssonDepartment of Psychology, University of Gothenburg, Gothenburg, Sweden.
Marie PerssonResearch, Education, Development & Innovation, Primary Health Care, Region Västra Götaland, Sweden.
Sandra WeinelandDepartment of Psychology, University of Gothenburg, Gothenburg, Sweden.
University of Gothenburg · SERegion Västra Götaland · SEKarolinska Institutet · SEStockholm Health Care Services · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe World Health Organization has declared that primary care should be organized to empower individuals, families, and communities to optimize health. Internet cognitive behavioral therapy (iCBT) tailored by psychologists' initial assessments to meet patients' specific needs have shown promising effects. However, few studies have evaluated patient involvement in decisions during iCBT.

aimThis study aimed to explore the effect of patient-driven iCBT compared to standard iCBT on perceived control over treatment, adherence, and level of anxiety symptoms. A secondary aim was to assess the relationship between changes in empowerment and changes in anxiety symptoms.

methodParticipants were patients recruited form primary care and assessed as meeting the criterion for an anxiety disorder. Participants were randomized to patient-driven iCBT (n = 27) or standard iCBT (n = 28). Patient-driven iCBT was adapted to participants' preferences regarding for example focus of treatment program and order of modules. Participants randomized to the control condition received the standard iCBT program for anxiety disorders at the participating unit. The outcome measures were patients' perceived control over treatment, adherence to treatment, symptoms of anxiety, depression and general disability as well as the experience of empowerment.

resultsParticipants in patient-driven iCBT had statistically higher perceived control over treatment (

conclusionResults indicate that iCBT that is patient-driven, may have a greater effect on anxiety, than standard iCBT. The effect on perceived control over treatment might also be larger in patient-driven treatments than in standard iCBT. Internet-based therapies inherently promote as active agents of their own care and might be well suited for promoting perceived control and empowerment. Findings need to be replicated given the small sample size and the explorative nature of the study. CLINICAL TRIALS REGISTRATION: NCT04688567.

Indexed as

Acceptance and commitment therapyAnxiety disordersCognitive behavioral therapyEmpowermentInternet-based interventionPatient involvementPerson-centered care

Identifiers

PMID34603972
PMCPMC8473544
OpenAlexW3199480857

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.