Evidence map›Paper›PMID 39228033›Full record

Trial reportThe British journal of clinical psychology2025

The influence of therapy quality on outcomes from behavioural activation and guided self-help treatments for depression in adults with intellectual disabilities.

Dave Dagnan, Paul Thompson, Richard P Hastings, Chris Hatton, Chris Melville, Sally-Ann Cooper, Nicola McMeekin, Lauren Fulton, Rob S P Jones, Alex McConnachie and 1 more

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in The British journal of clinical psychology, 2025. 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. Trial
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

11 authors.

Dave DagnanCommunity Learning Disability Services, Cumbria, Northumberland, Tyne & Wear NHS Foundation Trust, Workington, UK.ORCID https://orcid.org/0000-0002-5709-1586
Paul ThompsonCentre for Research in Intellectual and Developmental Disabilities, University of Warwick, Coventry, UK.
Richard P HastingsCentre for Research in Intellectual and Developmental Disabilities, University of Warwick, Coventry, UK.
Chris HattonManchester Metropolitan University, Manchester, UK.
Chris MelvilleSchool of Mental Health and Wellbeing, University of Glasgow, Glasgow, UK.
Sally-Ann CooperSchool of Mental Health and Wellbeing, University of Glasgow, Glasgow, UK.
Nicola McMeekinSchool of Mental Health and Wellbeing, University of Glasgow, Glasgow, UK.
Lauren FultonSchool of Mental Health and Wellbeing, University of Glasgow, Glasgow, UK.
Rob S P JonesSchool of Psychology, Bangor University, Bangor, Gwynedd, UK.
Alex McConnachieSchool of Mental Health and Wellbeing, University of Glasgow, Glasgow, UK.
Andrew JahodaSchool of Mental Health and Wellbeing, University of Glasgow, Glasgow, UK.

Funding

National Institute for Health Research 10/104/34
6 · The paper itself

Abstract

objectivesWe report the effect of quality of therapy delivery on outcomes in a randomized, controlled trial of behavioural activation (BA) and guided self-help (GSH) for depression in adults with intellectual disabilities.

methodsA study specific measure of quality was used in a linear mixed effect model to determine the effects therapy and therapy quality on therapy outcome.

resultsThere was a significant interaction between quality and treatment type, with lower quality therapy associated with better outcome for GSH but poorer outcome for BA, with little difference in outcomes at higher levels of therapy quality.

conclusionsFactors suggesting high quality in individualized BA may indicate problematic engagement for GSH. More research into processes in therapy for people with intellectual disabilities is required.

Indexed as

Behavior TherapyDepressive DisorderIntellectual DisabilitySelf CareAdultFemaleHumansMaleMiddle AgedTreatment OutcomeYoung Adultbehavioural activationdepressionguided self‐helpintellectual disabilitytherapist adherencetherapist competencetherapy quality

Identifiers

PMID39228033
PMCPMC12057302

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.