Table 4.
Subgroup analysis of effect e-therapy versus controls on depression outcomes (posttreatment and follow-up).
| Time point and variable, Subgroup | k a | SMDb (Hedges g)c | 95% CI | I2 (%)d | P value (between subgroups)e | R2 (%)f | NNTg | ||
| Posttreatment | |||||||||
|
|
Control type | ||||||||
|
|
|
Wait list | 12 | 0.54h | 0.34 to 0.75 | 79h | .02 | 8.00 | 3.36 |
|
|
|
TAUi | 7 | 0.32h | 0.06 to 0.58 | 79h | —j | — | 5.58 |
|
|
|
Placebo | 7 | 0.20h | 0.06 to 0.34 | 2 | — | — | 8.89 |
|
|
E-therapy type | ||||||||
|
|
|
MoodGYM | 14 | 0.29h | 0.15 to 0.43 | 57h | .30 | 3.94 | 6.15 |
|
|
|
Beating the Blues | 5 | 0.55h | 0.00 to 1.10 | 89h | — | — | 3.30 |
|
|
|
Headspace | 3 | 0.36h | 0.22 to 0.49 | 0 | — | — | 4.97 |
|
|
|
Other | 4 | 0.50h | 0.32 to 0.68 | 2 | — | — | 3.61 |
|
|
Self-help typology | ||||||||
|
|
|
Self-administered | 8 | 0.30h | 0.15 to 0.45 | 65h | .08 | 5.87 | 5.95 |
|
|
|
Predominantly self-help | 14 | 0.39h | 0.16 to 0.62 | 76h | — | — | 4.60 |
|
|
|
Minimal contact | 3 | 0.53h | 0.39 to 0.67 | 0 | — | — | 3.42 |
|
|
|
Predominantly therapist delivered | 1k | 0.61 | — | — | — | — | 2.95 |
|
|
Setting | ||||||||
|
|
|
Clinical | 12 | 0.39h | 0.22 to 0.57 | 68h | .91 | 0.01 | 4.60 |
|
|
|
Community | 14 | 0.38h | 0.18 to 0.58 | 76h | — | — | 4.72 |
|
|
Focus problem | ||||||||
|
|
|
Depression | 12 | 0.39h | 0.13 to 0.64 | 84h | .74 | 0.79 | 4.60 |
|
|
|
Anxiety or stress | 3 | 0.38h | 0.25 to 0.52 | 0 | — | — | 4.72 |
|
|
|
Both | 7 | 0.47h | 0.29 to 0.65 | 0 | — | — | 3.84 |
|
|
Analysis method | ||||||||
|
|
|
ITTl | 9 | 0.39h | 0.24 to 0.54 | 76h | .50 | 0.49 | 4.60 |
|
|
|
Completers | 3 | 0.33h | 0.21 to 0.44 | 0 | — | — | 5.42 |
| Follow-up | |||||||||
|
|
Control type | ||||||||
|
|
|
Wait list | 4 | 0.29 | −0.15 to 0.73 | 71h | .75 | 1.19 | 6.15 |
|
|
|
TAU | 7 | 0.29h | 0.03 to 0.54 | 79h | — | — | 6.15 |
|
|
|
Placebo | 5 | 0.18h | 0.00 to 0.36 | 0 | — | — | 9.87 |
|
|
E-therapy type | ||||||||
|
|
|
MoodGYM | 9 | 0.21 | −0.01 to 0.43 | 73h | .79 | 0.96 | 8.47 |
|
|
|
Beating the Blues | 4 | 0.31 | −0.03 to 0.64 | 73h | — | — | 5.76 |
|
|
|
Other | 3 | 0.32h | 0.05 to 0.59 | 51 | — | — | 5.58 |
|
|
Self-help typology | ||||||||
|
|
|
Self-administered | 4 | 0.16 | −0.10 to 0.41 | 80h | .46 | 1.29 | 11.10 |
|
|
|
Predominantly self-help | 10 | 0.29h | 0.07 to 0.51 | 65h | — | — | 6.15 |
|
|
|
Minimal contact | 1k | 0.04 | — | — | — | — | 44.32 |
|
|
|
Predominantly therapist delivered | 1k | 0.56 | — | — | — | — | 3.25 |
|
|
Setting | ||||||||
|
|
|
Clinical | 10 | 0.33h | 0.09 to 0.57 | 77h | .13 | 4.68 | 5.42 |
|
|
|
Community | 6 | 0.14h | 0.07 to 0.21 | 0 | — | — | 12.68 |
|
|
Focus problem | ||||||||
|
|
|
Depression | 10 | 0.22 | −0.01 to 0.46 | 77h | .07 | 7.42 | 8.08 |
|
|
|
Anxiety or stress | 1k | 0.15 | — | — | — | — | 11.83 |
|
|
|
Both | 3 | 0.49h | 0.32 to 0.66 | 0 | — | — | 3.69 |
|
|
Analysis method | ||||||||
|
|
|
ITT | 3 | 0.27h | 0.09 to 0.45 | 71h | — | — | 6.60 |
|
|
|
Completers | 1k | 0.17 | — | — | — | — | 10.45 |
ak: number of comparisons.
bSMD: standardized mean difference.
cPositive effect size indicates in favor of e-therapy.
dSignificance of associated Q statistic.
eAlpha threshold Bonferroni adjusted to P<.01 for multiple testing.
fR2: percentage of variance explained by moderator.
gNNT: number needed to treat.
hSignificant at P<.05.
iTAU: treatment as usual.
jOne between-groups P value and R2 value are provided for each subgroup comparison, reported on the row of the first subgroup category.
kWhere there is only one comparison within a subgroup, 95% confidence intervals and I2 values are not reported.
lITT: intention to treat.