Evidence map›Paper›PMID 39658784›Full record

Trial reportBMC geriatrics2024

Tailored internet-delivered cognitive behavior therapy for depression in older adults: a randomized controlled trial.

Lise Bergman Nordgren, Mikael Ludvigsson, Kristin Silfvernagel, Linnéa Törnhage, Lisa Sävås, Sophie Söderqvist, Sofia Dinnetz, Paulina Henrichsén, Johanna Larsson, Hanna Ström and 3 more

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC geriatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05269524 (TAILORED INTERNET-DELIVERED COGNTIVE BEHAVIOR THERAPY FOR DEPRESSED OLDER ADULTS), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

NCT05269524 nacompletednot on this map

Tailored internet-delivered cogntive behavior therapy for depressed older adults: a randomized trial

TypeinterventionalSponsorLinkoeping UniversityRan2016 to 2018Enrolled101ConditionsInternet Treatment, Active ControlArmsInternet-delivered tailored cognitive behavior therapy
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Review
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

13 authors.

Lise Bergman NordgrenRegion Örebro län and Department of medicine, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
Mikael LudvigssonDepartment of Psychiatry in Linköping, Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden. Mikael.Ludvigsson@Liu.se.
Kristin SilfvernagelDepartment of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden.
Linnéa TörnhageDepartment of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden.
Lisa SävåsDepartment of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden.
Sophie SöderqvistDepartment of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden.
Sofia DinnetzDepartment of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden.
Paulina HenrichsénDepartment of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden.
Johanna LarssonDepartment of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden.
Hanna StrömDepartment of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden.
Malin LindhDepartment of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden.
Thomas BergerDepartment of Clinical Psychology and Psychotherapy, University of Bern, Bern, Switzerland.
Gerhard AnderssonDepartment of Psychiatry in Linköping, Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDepression is a common and serious problem in older adults, but few have access to psychological treatments. Internet-delivered Cognitive Behavioral Therapy (ICBT) has the potential to improve access and has been found to be effective in adults with depression. The aim of this study was to examine the effects of tailored ICBT for depression in older adults aged 65 years or older. We also investigated if cognitive flexibility could predict outcome.

methodsFollowing online recruitment from the community, included participants were randomly allocated to either ten weeks of clinician guided ICBT (n = 50) or to an active control group in the form of non-directive support (n = 51). Primary depression outcome was the Geriatric Depression Scale (GDS-15). Several secondary outcomes were used, such as the Beck Depression Inventory (BDI-II) and the Patient Health Questionnaire (PHQ-9).

resultsBoth treatment and active control groups significantly reduced their levels of depression, and the treatment group showed significantly greater improvement on the GDS-15 and BDI-II, but not on the PHQ-9. Between-group effect sizes as Cohen's d were 0.78 (CI95% 0.36-1.20) on the GDS-15 and 0.53 (CI95% 0.11-0.94) on the BDI-II.

conclusionsTailored ICBT is superior to an active control for older adults with depression. Between-group effects were smaller than in previous RCTs, most likely because of the use of an active control condition. Cognitive flexibility did not predict outcome. We conclude that ICBT can be used for older adults with depression, and thus increase access to psychotherapy for this group.

trial registrationThis trial was retrospectively registered in clinicaltrials.gov (no. NCT05269524) the 8th of March 2022.

Indexed as

Cognitive Behavioral TherapyDepressionAgedAged, 80 and overFemaleHumansInternetInternet-Based InterventionMaleTreatment OutcomeAccessCognitive functioneHealthInternetMental health care

Identifiers

PMID39658784
PMCPMC11629493

What OpenQuestion holds

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Registered trials

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.