Evidence map›Paper›PMID 38503870›Full record

Trial reportScientific reports2024

Efficacy of an Internet-based self-help intervention with human guidance or automated messages to alleviate loneliness: a three-armed randomized controlled trial.

Noëmi Seewer, Andrej Skoko, Anton Käll, Gerhard Andersson, Maike Luhmann, Thomas Berger, Tobias Krieger

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04655196 (A Randomized Controlled Trial to Evaluate the Efficacy of Two Internet-based Self-help Interventions for Loneliness.), which is not on this map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
7.0field-weighted citation impact, top 3% of its field
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.

NCT04655196 nacompletednot on this map

A Randomized Controlled Trial to Evaluate the Efficacy of Two Internet-based Self-help Interventions for Loneliness.

TypeinterventionalSponsorUniversity of BernRan2021 to 2023Enrolled243ConditionsLonelinessArmsSOLUS-D + weekly feedback by a coach, SOLUS-D + weekly automated messages
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. [Internet-based self-help for loneliness-a systematic review].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2024
    Pooled it
  2. Loneliness is correlated with cancer mortality in US counties: an ecological analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. 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

7 authors at 3 institutions in 3 countries.

Noëmi SeewerDepartment of Clinical Psychology and Psychotherapy, University of Bern, 3012, Bern, Switzerland. noemi.seewer@unibe.ch.
Andrej SkokoDepartment of Clinical Psychology and Psychotherapy, University of Bern, 3012, Bern, Switzerland.
Anton KällDepartment of Behavioral Sciences and Learning, and Biomedical and Clinical Sciences, Linköping University, 58183, Linköping, Sweden.
Gerhard AnderssonDepartment of Behavioral Sciences and Learning, and Biomedical and Clinical Sciences, Linköping University, 58183, Linköping, Sweden.
Maike LuhmannFaculty of Psychology, Ruhr University Bochum, 44801, Bochum, Germany.
Thomas BergerDepartment of Clinical Psychology and Psychotherapy, University of Bern, 3012, Bern, Switzerland.
Tobias KriegerDepartment of Clinical Psychology and Psychotherapy, University of Bern, 3012, Bern, Switzerland.
University of Bern · CHLinköping University · SEGerman Center for Lung Research · DE

Funding

Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung 100019_192416
6 · The paper itself

Abstract

Loneliness is a prevalent and stigmatized phenomenon associated with adverse (mental) health outcomes. However, evidence-based interventions to alleviate loneliness are scarce. This randomized controlled trial (ClinicalTrials.gov-ID: NCT04655196) evaluated the efficacy of an internet-based cognitive behavioral self-help intervention (ICBT) to reduce loneliness by comparing two intervention groups with guidance or automated messages against a waitlist control group. Adults (N = 243) suffering from loneliness were recruited from the general public and then randomly assigned (2:2:1) to a 10-week ICBT with human guidance (GU) or automated messages (AM) or to a waitlist control group (WL). Loneliness, assessed with the UCLA-9, was the primary outcome. Outcomes were assessed at baseline and 10 weeks (post) and analyzed using mixed-effects models. The pooled intervention conditions resulted in lower loneliness scores at post-assessment than the WL (Cohen's d = 0.57, 95% CI [0.25; 0.89]) and reduced depressive symptoms, social anxiety, social avoidance behavior, and rejection sensitivity (d = 0.32-0.52). The GU group had lower loneliness scores at post-assessment than the AM group (d = 0.42, 95% CI [0.13; 0.70]). ICBT effectively alleviated loneliness, and guidance increased the reduction in loneliness compared to automated messages. Alleviating loneliness with ICBT further seems to reduce the overall burden of psychopathological symptoms.

Indexed as

Cognitive Behavioral TherapyLonelinessAdultHealth BehaviorHumansInternetTreatment Outcome

Identifiers

PMID38503870
PMCPMC10951227
OpenAlexW4392955463

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

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 Socratic graph.