Evidence map›Paper›PMID 40086806›Full record

Trial reportBMJ mental health2025

Effectiveness of Self-Help Plus in its digital version in reducing anxiety and post-traumatic symptomatology among nursing home workers during the COVID-19 pandemic: secondary analysis of randomised controlled trial data.

Marianna Purgato, Federico Tedeschi, Marianna Riello, Debora Zaccoletti, Roberto Mediavilla, Jose Luis Ayuso-Mateos, David MacTaggart, Corrado Barbui, Elena Rusconi

Abstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in BMJ mental health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Trial
  2. Article
  3. 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.

Marianna PurgatoWHO Collaborating Centre for Research and Training in Mental Health and Service Evaluation, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy marianna.purgato@univr.it elena.rusconi@unitn.it.ORCID 0000-0002-3783-8195
Federico TedeschiWHO Collaborating Centre for Research and Training in Mental Health and Service Evaluation, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy.
Marianna RielloDepartment of Psychology and Cognitive Science, University of Trento, Trento, Italy.
Debora ZaccolettiWHO Collaborating Centre for Research and Training in Mental Health and Service Evaluation, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy.
Roberto MediavillaUniversidad Autónoma de Madrid, Madrid, Spain.ORCID 0000-0001-6411-9439
Jose Luis Ayuso-MateosUniversidad Autónoma de Madrid, Madrid, Spain.ORCID 0000-0002-7544-826X
David MacTaggartUniversity of Glasgow, Glasgow, UK.
Corrado BarbuiWHO Collaborating Centre for Research and Training in Mental Health and Service Evaluation, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy.
Elena RusconiDepartment of Psychology and Cognitive Science, University of Trento, Trento, Italy marianna.purgato@univr.it elena.rusconi@unitn.it.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHealthcare workers (HCWs) face substantial daily work-related pressures, leading to frequent reports of depression, anxiety and post-traumatic stress disorder (PTSD) symptoms.

objectiveTo compare the effects of Self-Help Plus in its digital version Doing What Matters in Times of Stress (DWM) to an equally structured activity in reducing anxiety and/or PTSD symptoms among HCWs.

methodsWe compared the proportion of participants with moderate-to-severe anxiety (General Anxiety Disorder Scale; GAD-7 ≥10) and/or PTSD symptoms (Impact of Event Scale-Revised (IES-R)) ≥26) between DWM and the alternative activity. We used an intention to treat analysis and performed χ

findingsAt 14 weeks, 14.5% of DWM and 27.6% of control participants showed at least moderate anxiety and/or PTSD symptoms (χ

conclusionsDWM is a promising strategy to reduce moderate-to-severe PTSD and/or anxiety symptoms in HCWs. Compliance is crucial to ensure efficacy. CLINICAL IMPLICATIONS: DWM is a scalable digital tool that could be considered as an intermediate or complementary intervention for distressed HCWs.

Indexed as

AnxietyCOVID-19Health PersonnelNursing HomesStress Disorders, Post-TraumaticAdultFemaleHumansMaleMiddle AgedAnxiety disordersCOVID-19Depression & mood disorders

Identifiers

PMID40086806
PMCPMC11906995

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.