Evidence map›Paper›PMID 38570384›Full record

Trial reportAIDS and behavior2024

Dose‒Response Effects of Patient Engagement on Anxiety and Depression in a Cognitive-Behavioral Intervention: Secondary Analysis of a Pilot Randomized Controlled Trial and a Clinical Controlled Trial.

Zhongfang Yang, Shuyu Han, Lin Zhang, Meiyan Sun, Qianqian Hu, Yan Hu, Bei Wu

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in AIDS and behavior, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
5.1field-weighted citation impact, top 5% 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

4 citing papers in PubMed, 8 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

7 authors at 5 institutions in 2 countries.

Zhongfang Yang *School of Nursing, Fudan University, 305 Fenglin Road, Xuhui District, Shanghai, 200032, China.ORCID http://orcid.org/0009-0008-4285-2873
Shuyu Han *School of Nursing, Peking University, Beijing, China.
Lin ZhangShanghai Public Health Clinical Center, Shanghai, China.
Meiyan SunSchool of Nursing, Fudan University, 305 Fenglin Road, Xuhui District, Shanghai, 200032, China.
Qianqian HuSchool of Nursing, Anhui University of Chinese Medicine, Hefei, China.
Yan HuSchool of Nursing, Fudan University, 305 Fenglin Road, Xuhui District, Shanghai, 200032, China. huyan@fudan.edu.cn.
Bei WuNYU Rory Meyers College of Nursing, New York University, 433 First Avenue, 5Th Floor, New York, NY, 10010, USA. bei.wu@nyu.edu.
Fudan University · CNAnhui University of Traditional Chinese Medicine · CNNew York University · USPeking University · CNShanghai Public Health Clinical Center · CN

Funding

National Natural Science Foundation of China 72204006
6 · The paper itself

Abstract

Understanding the dose‒response relationship between patient engagement in cognitive behavioral therapy (CBT) and health outcomes is critical for developing and implementing effective CBT programs. In studies of CBT interventions, patient engagement is measured only at a single time point, and outcomes are typically assessed before and after the intervention. Examination of the dose‒response relationship between patient engagement in CBT and outcomes is limited. It is unclear whether a dose‒response relationship exists between patient engagement in on-site CBT intervention and anxiety and depression in people living with HIV (PLWH). If present, does this dose‒response relationship occur early or later in the intervention? This study aimed to address this gap by examining the dose‒response relationships between patient engagement and anxiety and depression in CBT interventions among PLWH. Utilizing data from a pilot randomized trial (10 participants) and a clinical controlled trial (70 participants), our secondary analysis spans baseline, 3-month, and 6-month assessments. Both trials implemented the nurse-led CBT intervention. Cluster analysis identified two groups based on on-site attendance and WeChat activity. Patients with good adherence (6-10 times) of on-site attendance exhibited significantly lower anxiety and depression scores at 3 months (β = 1.220, P = 0.047; β = 1.270, P = 0.019), with no significant differences observed at 6 months. WeChat activity did not significantly influence anxiety or depression scores. The findings highlight a significant short-term dose‒response relationship, endorsing nurse-led CBT interventions for mental health in PLWH. Organizational strategies should focus on incentivizing and facilitating patient engagement, particularly through enhancing WeChat features.

Indexed as

AnxietyCognitive Behavioral TherapyDepressionHIV InfectionsPatient ParticipationAdultFemaleHumansMaleMiddle AgedPilot ProjectsTreatment OutcomeAnxietyCognitive psychotherapyDepressionDose‒response curvePeople living with HIV

Identifiers

PMID38570384
OpenAlexW4393862118

What OpenQuestion holds

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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.