Evidence map›Paper›PMID 41199204›Full record

Trial reportBMC public health2025

Engaging underrepresented patient groups in specialised treatment - qualitative results from the PROVIDE-C randomised trial on integrated mental health video consultations for depression and anxiety.

Selina Müller, Alexa Ritter-von Kramer, Justus Tönnies, Alina Wildenauer, Michel Wensing, Hans Christoph Friederich, Markus W Haun

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04316572 (ImPROving Cross-sectoral Collaboration Between Primary and Psychosocial Care), which is not on this map. Not yet cited in PubMed.

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

NCT04316572 nacompletednot on this map

ImPROving Cross-sectoral Collaboration Between Primary and Psychosocial Care: A Randomised Controlled Superiority Trial to Compare the Effectiveness of a Mental Health Specialist VIDEo Consultations Model Versus Treatment as Usual in Patients With Depression or Anxiety Disorders in Primary Care

TypeinterventionalSponsorHeidelberg UniversityRan2020 to 2022Enrolled376ConditionsDepression, Anxiety DisorderArmsmental health specialist video consultation
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Selina MüllerDepartment of General Internal Medicine and Psychosomatics, Heidelberg University, Im Neuenheimer Feld 410, Heidelberg, D-69120, Germany.ORCID http://orcid.org/0000-0003-0886-3487
Alexa Ritter-von KramerDepartment of General Internal Medicine and Psychosomatics, Heidelberg University, Im Neuenheimer Feld 410, Heidelberg, D-69120, Germany.
Justus TönniesDepartment of General Internal Medicine and Psychosomatics, Heidelberg University, Im Neuenheimer Feld 410, Heidelberg, D-69120, Germany.
Alina WildenauerDepartment of General Internal Medicine and Psychosomatics, Heidelberg University, Im Neuenheimer Feld 410, Heidelberg, D-69120, Germany.
Michel WensingDepartment of General Practice and Health Services Research, Heidelberg University, Heidelberg, Germany.
Hans Christoph FriederichDepartment of General Internal Medicine and Psychosomatics, Heidelberg University, Im Neuenheimer Feld 410, Heidelberg, D-69120, Germany.
Markus W HaunDepartment of General Internal Medicine and Psychosomatics, Heidelberg University, Im Neuenheimer Feld 410, Heidelberg, D-69120, Germany. markus.haun@med.uni-heidelberg.de.ORCID http://orcid.org/0000-0003-1851-3747

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMental health specialist video consultations (MHSVC) offer a promising way to address the growing burden of depression and anxiety. However, their acceptance among groups with lower mental health care uptake and limited technology literacy remains underexamined.

objectiveThis study explores how underrepresented patients-elderly, rural, and male individuals with depression or anxiety-experience and accept MHSVC after participating in PROVIDE-C, a randomized trial evaluating a five-session MHSVC intervention in primary care.

methodsA qualitative interview study in rural Germany used inductive content analysis and the Technology Acceptance Model (TAM). TAM suggests that perceived usefulness and ease of use influence technology adoption.

resultsAmong 21 PROVIDE-C participants, attitudes toward MHSVC were largely positive. Patients found the intervention useful for therapeutic alliance, symptom relief, and treatment measures, with many preferring continued sessions. Prior mental health care experience and strong primary care relationships increased acceptance. Some patients, already familiar with videoconferencing due to COVID-19, adapted easily, while those with lower technology literacy relied on technical support in primary care to engage with MHSVC for the first time.

conclusionsEmbedding MHSVC in primary care enhances access for patients hesitant about mental health treatment or unfamiliar with digital tools. The PROVIDE model effectively reaches underserved populations, namely elderly, rural patients, improving access to specialized care and reducing depression and anxiety symptoms, as evidenced by its demonstrated effectiveness.

trial registrationClinicalTrials.gov, United States National Institutes of Health NCT04316572. Prospectively, registered on 20 March 2020.

Indexed as

AnxietyDepressionPatient Acceptance of Health CareVideoconferencingAdultAgedCOVID-19FemaleGermanyHumansInterviews as TopicMaleMental Health ServicesMiddle AgedPrimary Health CareQualitative ResearchImplementationIntegrated careMental healthPrimary careQualitative researchTelemedicine

Identifiers

PMID41199204
PMCPMC12590799

What Socratic holds

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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.