Evidence map›Paper›PMID 37496446›Full record

Trial reportEuropean psychiatry : the journal of the Association of European Psychiatrists2023

Functional improvement by behavioural activation for depressed older adults.

Noortje P Janssen, Richard C Oude Voshaar, Sanne Wassink-Vossen, Gert-Jan Hendriks

Abstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in European psychiatry : the journal of the Association of European Psychiatrists, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. 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

4 authors.

Noortje P JanssenBehavioural Science Institute, Radboud University, Nijmegen, The Netherlands.ORCID 0000-0003-0405-9985
Richard C Oude VoshaarDepartment of Psychiatry, University of Groningen, University Medical Centre Groningen, Groningen, The Netherlands.ORCID 0000-0003-1501-4774
Sanne Wassink-VossenDepartment of Old Age Psychiatry, GGNet Mental Health, Warnsveld, The Netherlands.ORCID 0000-0002-5388-0860
Gert-Jan HendriksBehavioural Science Institute, Radboud University, Nijmegen, The Netherlands.ORCID 0000-0001-5529-3275

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecovery in mental health care comprises more than symptomatic improvement, but preliminary evidence suggests that only collaborative care may improve functioning of depressed older adults. This study therefore evaluates the effectiveness of behavioural activation (BA) on functional limitations in depressed older adults in primary care.

methodsThis study uses data from a multicentre cluster randomised controlled trial in which 59 primary care centres (PCCs) were randomised to BA and treatment as usual (TAU), and 161 consenting older (≥65 years) adults with clinically relevant symptoms of depression participated. Interventions were an eight-week individual BA programme by a mental health nurse (MHN) and unrestricted TAU. The outcome was self-reported functional limitations (WHODAS 2.0) at post-treatment (9 weeks) and at 12-month follow-up.

resultsAt the end of treatment, the BA participants reported significantly fewer functional limitations than TAU participants (WHODAS 2.0 difference -3.62,

conclusionsCompared to TAU, BA leads to a faster improvement of functional limitations in depressed older adults with no signs of cognitive decline. Replication of these findings in confirmatory research is needed.

Indexed as

Behavior TherapyCognitive Behavioral TherapyAgedHumansbehavioural activationfunctional impairmentolder adultsprimary health care

Identifiers

PMID37496446
PMCPMC10594265

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.