Evidence map›Paper›PMID 39102655›Full record

Trial reportHealth expectations : an international journal of public participation in health care and health policy2024

Does outcome expectancy predict outcomes in online depression prevention? Secondary analysis of randomised-controlled trials.

Janika Thielecke, Paula Kuper, David Ebert, Pim Cuijpers, Filip Smit, Heleen Riper, Dirk Lehr, Claudia Buntrock

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Health expectations : an international journal of public participation in health care and health policy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

  1. Trial
  2. Does outcome expectancy predict outcomes in online depression prevention? Secondary analysis of randomised-controlled trials.Health expectations : an international journal of public participation in health care and health policy · 2024
    Trial
  3. Article
  4. Article
  5. 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

8 authors.

Janika ThieleckeProfessorship of Psychology and Digital Mental Health Care, Department of Sports and Health Sciences, Technical University of Munich, Munich, Germany.ORCID 0000-0002-1310-3485
Paula KuperProfessorship of Psychology and Digital Mental Health Care, Department of Sports and Health Sciences, Technical University of Munich, Munich, Germany.ORCID 0000-0002-7481-976X
David EbertDepartment of Clinical Psychology and Psychotherapy, Institute of Psychology, Friedrich-Alexander -University Erlangen-Nürnberg, Erlangen, Germany.ORCID 0000-0001-6820-0146
Pim CuijpersDepartment of Clinical, Neuro and Developmental Psychology, VU University, Amsterdam, The Netherlands.ORCID 0000-0001-5497-2743
Filip SmitDepartment of Clinical, Neuro and Developmental Psychology, VU University, Amsterdam, The Netherlands.ORCID 0000-0001-9479-3600
Heleen RiperDepartment of Clinical, Neuro and Developmental Psychology, VU University, Amsterdam, The Netherlands.ORCID 0000-0002-8144-8901
Dirk LehrDepartment of Health Psychology and Applied Biological Psychology, Leuphana University Luneburg, Lüneburg, Germany.ORCID 0000-0002-5560-3605
Claudia BuntrockInstitute of Social Medicine and Health Systems Research, Faculty of Medicine, Otto-von-Guericke University Magdeburg, Magdeburg, Germany.ORCID 0000-0002-4974-5455

Funding

BARMER GEK (German statutory health insurance company)European Union EFRE: CCI 2007DE161PR001
6 · The paper itself

Abstract

backgroundEvidence shows that online interventions could prevent depression. However, to improve the effectiveness of preventive online interventions in individuals with subthreshold depression, it is worthwhile to study factors influencing intervention outcomes. Outcome expectancy has been shown to predict treatment outcomes in psychotherapy for depression. However, little is known about whether this also applies to depression prevention. The aim of this study was to investigate the role of participants' outcome expectancy in an online depression prevention intervention.

methodsA secondary data analysis was conducted using data from two randomised-controlled trials (N = 304). Multilevel modelling was used to explore the effect of outcome expectancy on depressive symptoms and close-to-symptom-free status postintervention (6-7 weeks) and at follow-up (3-6 months). In a subsample (n = 102), Cox regression was applied to assess the effect on depression onset within 12 months. Explorative analyses included baseline characteristics as possible moderators. Outcome expectancy did not predict posttreatment outcomes or the onset of depression.

resultsSmall effects were observed at follow-up for depressive symptoms (β = -.39, 95% confidence interval [CI]: [-0.75, -0.03], p = .032, p

conclusionMore thoroughly designed, predictive studies targeting outcome expectancy are necessary to assess the full impact of the construct for effective depression prevention. PATIENT OR PUBLIC CONTRIBUTION: This secondary analysis did not involve patients, service users, care-givers, people with lived experience or members of the public. However, the findings incorporate the expectations of participants using the preventive online intervention, and these exploratory findings may inform the future involvement of participants in the design of indicated depression prevention interventions for adults. CLINICAL

trial registrationOriginal studies: DRKS00004709, DRKS00005973; secondary analysis: osf.io/9xj6a.

Indexed as

DepressionAdultFemaleHumansInternetInternet-Based InterventionMaleMiddle AgedTreatment OutcomeCBTdepressionexpectancyonline interventionpredictionpreventionsecondary analyses

Identifiers

PMID39102655
PMCPMC10753640

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.