Evidence map›Paper›PMID 41264908›Full record

Trial reportHepatology communications2025

Group-based telehealth stress management-lifestyle interventions are feasible for patients with chronic liver disease.

Donna M Evon, Chuning Liu, Cathryn Rollason, Suzanne C Lechner, Ashley R Brown, Dawn S Harrison, Paul Stewart, Donald E Bailey, Leslie A Morland, A Sidney Barritt

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Hepatology communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

10 authors.

Donna M EvonDivision of Gastroenterology and Hepatology, Department of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.ORCID 0000-0002-1414-1846
Chuning LiuDepartment of Biostatistics, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.ORCID 0000-0001-5437-1868
Cathryn RollasonCenter for Gastrointestinal Biology and Disease (CGIBD), Division of Gastroenterology and Hepatology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA (during study).ORCID 0000-0002-1759-2124
Suzanne C LechnerDepartment of Psychology, University of Miami, Coral Gables, Florida, USA.
Ashley R BrownNorth Carolina Translational and Clinical Sciences (NC TRaCS) Institute, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.ORCID 0009-0008-6277-2432
Dawn S HarrisonDivision of Gastroenterology and Hepatology, Department of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Paul StewartDepartment of Biostatistics, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.ORCID 0000-0003-2238-6031
Donald E BaileyDuke University School of Nursing, Durham, North Carolina, USA.ORCID 0000-0002-5678-8533
Leslie A MorlandDepartment of Veterans Affairs National Center for PTSD, Women's Health Sciences Division, Boston, Massachusetts, USA.ORCID 0000-0003-2032-6553
A Sidney BarrittDivision of Gastroenterology and Hepatology, Department of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.ORCID 0000-0002-4200-3256

Funding

The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
North Carolina Translational and Clinical Sciences Institute (NC TraCS)UM1TR004406 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI NICHOLAS J SHAHEEN · 2023 to 2026
$37.5M
PILOT AND FEASIBILITY STUDIESP30DK034987 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ROBERT S. SANDLER · 1985 to 2026
$30.5M
Pilot feasibility testing of a small randomized controlled trial to evaluate a telemedicine stress management and lifestyle group intervention for patients with symptomatic chronic hepatitis CR21NR017908 · NINR · UNIV OF NORTH CAROLINA CHAPEL HILL · PI EVON, DONNA MARIE · 2019 to 2020
$435k
NCATS NIH HHS UL1 TR000445NCATS NIH HHS UM1 TR004406NIDDK NIH HHS P30 DK034987NINR NIH HHS R21 NR017908
6 · The paper itself

Abstract

backgroundGroup-based, telehealth behavioral interventions may be efficient, effective, and acceptable treatment modalities for patients with chronic liver diseases; however, pilot feasibility and patient satisfaction data are needed to justify efficacy trials. Given the poor quality of life, symptoms, and health risk factors, patients with chronic hepatitis C-associated liver disease (HCV-LD) may benefit from psychosocial interventions. A pilot feasibility study of a videoconferencing-delivered cognitive behavioral coping skills intervention ("VC-CBCS") was conducted to evaluate multiple indicators of feasibility, levels of patient satisfaction, and changes in patient-reported outcomes (PROs).

methodsWe pilot tested a 14-week, 90-minute VC-CBCS intervention by conducting a small randomized controlled trial. Thirty-two adults with HCV-LD and high stress/symptom levels were randomized to the protocolized VC-CBCS intervention (n=24) or standard of care (n=8), in 4 waves of 7-9 participants in 2020-2021.

resultsBased upon rates of approach to enrollment (60%), retention (84%), PRO data collection (99.4%), and session attendance (91%), a future efficacy trial appears highly feasible. Levels of participant satisfaction were encouraging for VC delivery, intervention content and structure, and group processes. Technological and behavioral issues were minor. Collection of in-home saliva testing was not feasible. Moderate to large pre-post-intervention effect sizes were observed for some mediators (perceived stress, coping, relaxation, self-efficacy, sleep hygiene), with some of these changes correlating with small to moderate improvements in mental health and symptoms (eg, depression, fatigue; effect size range: 0.23-0.47). No consistent patterns were evident between changes in eating and exercise behaviors and PROs.

conclusionsA group-based VC-CBCS intervention appears feasible and may address unmet psychosocial needs in patients living with chronic liver disease.

Indexed as

Cognitive Behavioral TherapyHepatitis C, ChronicStress, PsychologicalAdaptation, PsychologicalAdultAgedFeasibility StudiesFemaleHumansLife StyleMaleMiddle AgedPatient Reported Outcome MeasuresPatient SatisfactionPilot ProjectsQuality of Lifebehavioralcirrhosispsychologicalpsychotherapytelemedicinevirtual

Identifiers

PMID41264908
PMCPMC12637357

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.