cover image: Therapist-guided remote versus in-person cognitive behavioural therapy: a systematic review and meta-analysis of randomized controlled trials

20.500.12592/0cfxvtj

Therapist-guided remote versus in-person cognitive behavioural therapy: a systematic review and meta-analysis of randomized controlled trials

1 Mar 2024

tion (GRADE) guidance to assess the cer tainty of evidence and used the Instru Interpretation: Moderate certainty evi Methods: We systematically searched ment to Assess the Credibility of Effect dence showed little to no difference in the MEDLINE, Embase, PsycINFO, CINAHL, Modification Analyses (ICEMAN) to rate effectiveness of in person and therapist and the Cochrane Central Register of the. [...] †Although the I2 value showed moderate heterogeneity, we did not rate down the certainty of evidence because the magnitude and direction of effects were largely consistent across trials, and a substantial proportion of between study variability was contributed by 1 trial56 that contributed less than 2% of the weight to our pooled estimate. [...] ducted a comprehensive search for eligible RCTs in any lan Several options for providing remote psychotherapy are avail guage and engaged clinical experts, blinded to treatment able and use of this delivery method for CBT is likely to evolve results, to assess the descriptions of all interventions to confirm rapidl y. [...] Further, although RCTs eligible guided remote CBT, the comparative effectiveness of different for our review provided the same intervention administered in types of remote CBT (e.g., high or low involvement of therapist person or remotely, we rated down our certainty of evidence for delivering CBT remotely v. [...] Subgroup analysis of trials Is rarely easy (SATIRE): baseline heterogeneity of participants.111 However, we did pool a study protocol for a systematic review to characterize the analysis, reporting, effects on RCTs of depression to demonstrate results in natural and claim of subgroup effects in randomized trials.
Pages
14
Published in
Canada