Evidence map›Paper›PMID 35902851›Full record

ArticleBMC psychiatry2022

An online program with individualized vs automated support for significant others of depressed individuals - study protocol of a randomized controlled trial.

Elisabeth Schramm, Christoph Breuninger, Nadine Zehender, Ulrich Hegerl, Anne Elsner, Andy Maun, Marina Schmölz, Christiane Roick, Marlon Grodd, Erika Graf

Open access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMC psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 37% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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

10 authors at 4 institutions in 1 country.

Elisabeth SchrammDepartment of Psychiatry and Psychotherapy, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany. elisabeth.schramm@uniklinik-freiburg.de.ORCID 0000-0002-1418-9778
Christoph BreuningerDepartment of Psychiatry and Psychotherapy, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Nadine ZehenderDepartment of Psychiatry and Psychotherapy, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Ulrich HegerlDepartment of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt, Goethe University Frankfurt (Distinguished Professorship Funded By Dr. Senckenbergische Stiftung), Frankfurt am Main, Germany.
Anne ElsnerStiftung Deutsche Depressionshilfe, Leipzig, Germany.
Andy MaunInstitute of General Practice / Family Medicine, Faculty of Medicine, Medical Center-University of Freiburg, Freiburg, Germany.
Marina SchmölzInstitute of General Practice / Family Medicine, Faculty of Medicine, Medical Center-University of Freiburg, Freiburg, Germany.
Christiane RoickAOK-Bundesverband, Berlin, Germany.
Marlon GroddInstitute of Medical Biometry and Statistics, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Erika GrafInstitute of Medical Biometry and Statistics, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
University of Freiburg · DEBundesverband Glaukom-Selbsthilfe · DEGoethe University Frankfurt · DEStiftung Deutsche Depressionshilfe · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDue to budget restrictions in mental health care, non-professional caregivers are increasingly burdened with the emotional and practical care for their depressed relatives. However, informal family caregiving is mostly a stressful role with negative consequences on the physical and mental health of the caretakers to the extent that they have an elevated risk of experiencing psychiatric disorders themselves. While psychoeducation for relatives of depressed individuals showed positive results both in terms of the caretakers' strain and the depressive symptoms of the affected person, there are major barriers to participate in presence in those programs. Digital programs might be a viable alternative. We found no empirically evaluated digital program available for informal caregivers of depressed patients.

methodsAn online program for relatives of depressed individuals has been developed including four interactive modules on 1) psychoeducation, 2) how to strengthen the relationship with the depressed person, 3) how to deal with the depressive symptoms of the patient, and 4) find the right balance between caring for the depressed person and self-care. We investigate if this self-help program is more effective when used with individualized versus automated e-mail support, and if both supported conditions are more effective than treatment-as-usual (TAU in form of written information material) in terms of the risk of mental diseases in caregivers. The primary outcome is the reduction of the caregiver's nonspecific mental distress as measured by the change of the Kessler Psychological Distress Scale score from baseline to four weeks after randomization. Caregivers (n = 500:500:250) will be randomized to one of the three conditions. DISCUSSION: Psychological support for caregivers of individuals with mental disorders such as depression should be offered as part of integrated services. There is a huge potential to develop and implement interactive online approaches to support informal caregivers of patients with depression to function in their multiple roles and to help them to remain healthy.

trial registrationDRKS, DRKS00025241 . Registered 5 Mai 2021.

Indexed as

CaregiversPsychotic DisordersHumansMental HealthPsychosocial Support SystemsQuality of LifeRandomized Controlled Trials as TopicSelf CareCaregiverDepression treatmentMajor depressionOnline programRandomized controlled trialRelativesSelf-help

Identifiers

PMID35902851
PMCPMC9331487
OpenAlexW4288080829

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.