Evidence map›Paper›PMID 39169642›Full record

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

Patients' and Therapists' Views of Integrated Online CBT for Depression.

Fiona Fox, Nicola Wiles, David Kessler, Debbie Tallon, Laura Thomas, Christopher Williams, Roz Shafran, Paul Lanham, Katrina Turner

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In one paragraph

Article 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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  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

9 authors.

Fiona FoxNIHR ARC West, Bristol, UK.
Nicola WilesCentre for Academic Mental Health, Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
David KesslerCentre for Academic Mental Health, Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Debbie TallonPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Laura ThomasPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Christopher WilliamsInstitute of Health and Wellbeing, University of Glasgow, Glasgow, UK.
Roz ShafranGreat Ormond Street Institute of Child Health, University College London, London, UK.
Paul LanhamPublic and Patient Involvement Representative, London, UK.
Katrina TurnerPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.

Funding

This study is funded by the National Institute for Health Research (Programme Grants for Applied Research, Integrated therapist and online CBT for depression in primary care, RP-PG-0514-20012). Supplementary funding was provided by the NIHR School for Primary Care Research (SPCR - 2014-10043 Award: L).
6 · The paper itself

Abstract

backgroundCBT is an effective treatment for depression, but access varies across the United Kingdom. Online CBT increases access. The INTERACT platform was designed to support patient engagement in CBT, enabling therapists to deliver high-intensity CBT via typed instant messaging and allowing patients and therapists access to an integrated online library of resources during and between sessions.

methodsThe INTERACT trial aimed to evaluate this integrated approach to delivering CBT for primary care patients with depression. A nested qualitative study was conducted within the trial. Interviews were conducted with 20 patients who received the intervention, 9 therapists who delivered it and 3 therapist supervisors. Data were analysed using thematic analysis.

resultsThe combination of receiving support from a therapist and having access to integrated online CBT resources enabled patients to better manage their depression. Platform benefits included the opportunity to review transcripts to clarify how to complete homework tasks and track progress in managing their depression. The typing process allowed reflection and a focused discussion. However, less could be covered than during an in-person session, which reduced therapists' expectations around goal setting. Patients who did not complete therapy struggled with the typing and found the CBT approach too demanding.

conclusionFindings highlight the importance of establishing patient and therapist goals and expectations about what can be achieved in CBT mediated by typing. Some patients are comfortable communicating via typing and are motivated to utilise online resources in between sessions. Exploring the benefits and challenges of typed CBT with patients will enable them to make an informed choice about referral for this novel approach to therapy. PATIENT OR PUBLIC CONTRIBUTION: Patients, service users and members of the public were involved in the study design and management. Substantial pilot work gathered stakeholder feedback and informed the design of the intervention, before undertaking the RCT. Coauthor P.L. is a service user representative co-applicant and member of the management group responsible for developing the intervention and the trial. Two PPI members sit on the Independent Steering Committee. PPI members provided valuable feedback on the study resources and documents.

Indexed as

Cognitive Behavioral TherapyDepressionAdultAgedAttitude of Health PersonnelFemaleHumansInternetInterviews as TopicMaleMiddle AgedPrimary Health CareQualitative ResearchUnited KingdomCBTcognitive behavioural therapydepressiononline therapyqualitativetyped therapy

Identifiers

PMID39169642
PMCPMC11339129

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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.