Raine Osborne, Chris Janson, Lisa Black, Gail M Jensen
Motivations to Pursue Physical Therapy Residency Training: A Q-Methodology Study of Stakeholder Perspectives
Physical therapy
internet cognitive behavioural therapy icbt viable delivery format cbt depression however icbt programmes include training wide array cognitive behavioural skills via different delivery methods remains unclear components efficacious systematic review individual participant data component network metaanalysis cnma icbt trials depression searched pubmed psycinfo embase cochrane library randomised controlled trials rcts published database inception jan 1 2019 compared form icbt another control condition acute treatment adults aged 18 years depression studies inpatients patients bipolar depression excluded sought individual participant data original authors data unavailable used aggregate data two independent researchers identified included components primary outcome depression severity expressed incremental mean difference imd patient health questionnaire9 phq9 scores component added treatment developed web app estimates relative efficacies two combinations components given baseline patient characteristics study registered prospero crd42018104683 identified 76 rcts including 48 trials contributing individual participant data 11 704 participants 28 trials aggregate data 6474 participants participants weighted mean age 420 years 12 406 71 17 521 reported women suggestive evidence behavioural activation might beneficial imd 183 95 credible interval cri 290 080 relaxation might harmful 120 95 cri 017 227 baseline severity emerged strongest prognostic factor endpoint depression combining human automated encouragement reduced dropouts treatment incremental odds ratio 032 95 cri 013 093 risk bias low randomisation process missing outcome data selection reported results included studies uncertain deviation intended interventions high measurement outcomes moderate high heterogeneity among studies components individual patient data cnma revealed potentially helpful less helpful harmful components delivery formats icbt packages icbt packages aiming effective efficient might choose include beneficial components exclude ones potentially detrimental web app facilitate shared decision making therapist patient choosing preferred icbt package japan society promotion science