#WeCATS - Thursday 8th September 2016 8pm (GMT Standard Time) WeCATS - Behavioural Activation v CBT For Depression

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Hosted by WeNurses using #WeCATS

This chat is guest hosted by @Mental_Elf @CASPUK @CochraneUK

#WeCATS discussions are "Critical Appraisal Twitter Sessions" & are a @CochraneUK @Mental_Elf @CASPUK & @WeNurses collaboration. 

  

Hello and welcome to our September #WeCATS topic.

Are you confident about confidence intervals? At a loss with 'loss to follow up’? Confused about being critical? Or reticent about research? If you would like to get better at reading research papers, or learn a little more about the paper being discussed then join in and follow the WeCATS discussion. Everyone is welcome, whether you are a seasoned researcher or a nervous novice. (To find our more about the thinking behind #WeCATS please see our blog "Critical Appraisal CATS ??") 

    

In this Critical Appraisal Twitter Session we will be looking at a Randomised Controlled Trial below is an infographic for #WeCATS RCT 

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The RCT we will be exploring is around Cost and Outcome of Behavioural Activation versus Cognitive Behavioural Therapy for Depression - the paper is linked below:


Cost and Outcome of Behavioural Activation versus Cognitive Behavioural Therapy for Depression (COBRA): a randomised, controlled, non-inferiority trial (Richards, Ekers,McMillan, Taylor, Byford, Warren, Barrett, Fårrand, Gilbody, Kuyken, O’Mahen,Watkins. Wright, Hollon, Reed, Rhodes, Fletcher & Finning 2016)






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For a full critical appraisal of this paper please see the Mental Elf's Blog Post HERE 



Question and answer summary 

































































Please remember that #WeCATS is a speedy critical appraisal - Here is a link toCASP's Checklists that will help and guide you.  

Please feel free to add your own Critical Appraisals or reflections on the discussion below via the comments box. 





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 #WeCATS transcript

 
@WeNurses
08 September 2016 20:00
Hello Critical Appraisal Cats #WeCATS https://t.co/jny0mIdwtX
@Mental_Elf
08 September 2016 20:00
Evening all, it’s André here. I’ll be leading the chat tonight with my fellow elf @DBadenoch #wecats
@HealthUKTD
08 September 2016 20:00
RT @WeNurses: Before #WeCATS tonights heres a quick reminder of Twitter Chat netiquette > https://t.co/l85BB02Zx9
@CochraneUK
08 September 2016 20:00
Hi I'm Sarah & I’ve got the #JargonBin! I’ll try to help with any words/phrases you don't understand. #WeCATS https://t.co/zoAtLDISDq
@Mental_Elf
08 September 2016 20:00
RT @CochraneUK: Hi I'm Sarah & I’ve got the #JargonBin! I’ll try to help with any words/phrases you don't understand. #WeCATS https://t.co/…
@AgencyNurse
08 September 2016 20:00
Hello - Teresa here - ready to get all critical #WeCATS
@Mental_Elf
08 September 2016 20:01
Say hello, give us a wave, don’t be shy! :-) #wecats
@livinginhope
08 September 2016 20:01
RT @AgencyNurse: Hello - Teresa here - ready to get all critical #WeCATS
@AgencyNurse
08 September 2016 20:01
Was reading through the paper earlier and I may be in need of you !! #WeCATS https://t.co/yPrgI8KplH
@AutisticMumTo3
08 September 2016 20:01
RT @CochraneUK: Hi I'm Sarah & I’ve got the #JargonBin! I’ll try to help with any words/phrases you don't understand. #WeCATS https://t.co/…
@DBadenoch
08 September 2016 20:01
Hi everyone. Looking forward to a non-inferior chat. #wecats
@CochraneUK
08 September 2016 20:02
Don't be shy about calling for the #jargonbin! Others will benefit too! #WeCATS https://t.co/Dwzn57j4vs
@Mental_Elf
08 September 2016 20:02
@AgencyNurse Yeah, there are some tricky words/phrases in this study, but hopefully all will become clear by 9pm! #wecats
@WeNurses
08 September 2016 20:02
If you are confused about any Jargon tonight then just chuck it in the #JargonBin #WeCATS https://t.co/nEYTPFSGrk
@livinginhope
08 September 2016 20:02
RT @Mental_Elf: Evening all, it’s André here. I’ll be leading the chat tonight with my fellow elf @DBadenoch #wecats
@BrownNhsdeb
08 September 2016 20:02
RT @Mental_Elf: Join us tonight at 8pm for #WeCATS shenanigans #CriticalAppraisal #Depression #Psychotherapy https://t.co/bA8gtCr5Fu https:…
@CochraneUK
08 September 2016 20:02
@DBadenoch Your chats are never inferior Douglas ;) Good to have you with us #WeCATS
@AgencyNurse
08 September 2016 20:02
Jolly good :D (will ask as we go along) #WeCATS https://t.co/j0rgLZgD6E
@Mental_Elf
08 September 2016 20:02
We’re hoping that @BarbaraMBarrett @DavidEkers will be joining us this evening from the COBRA trial team #wecats
@WeNurses
08 September 2016 20:03
RT @Mental_Elf: We’re hoping that @BarbaraMBarrett @DavidEkers will be joining us this evening from the COBRA trial team #wecats
@Bartontd
08 September 2016 20:03
RT @Mental_Elf: Evening all, it’s André here. I’ll be leading the chat tonight with my fellow elf @DBadenoch #wecats
@CochraneUK
08 September 2016 20:03
RT @WeNurses: If you are confused about any Jargon tonight then just chuck it in the #JargonBin #WeCATS https://t.co/nEYTPFSGrk
@Bartontd
08 September 2016 20:03
RT @CochraneUK: Hi I'm Sarah & I’ve got the #JargonBin! I’ll try to help with any words/phrases you don't understand. #WeCATS https://t.co/…
@Mental_Elf
08 September 2016 20:03
Our lovely colleague and fellow elf blogger @Zia_Julia is also here (I hope) all the way from Cluj-Napoka in Romania! #wecats
@jobrownNTU
08 September 2016 20:03
RT @WeNurses: Hello Critical Appraisal Cats #WeCATS https://t.co/jny0mIdwtX
@WeNurses
08 September 2016 20:03
Lets get started 1st QUESTION #WeCATS https://t.co/QhEQFU1c3i
@DamianFog
08 September 2016 20:03
RT @WeNurses: If you are confused about any Jargon tonight then just chuck it in the #JargonBin #WeCATS https://t.co/nEYTPFSGrk
@CamilleCronin
08 September 2016 20:03
@CochraneUK @WeNurses #WeCATS got it now ta
@CochraneUK
08 September 2016 20:03
RT @WeNurses: Lets get started 1st QUESTION #WeCATS https://t.co/QhEQFU1c3i
@WeNurses
08 September 2016 20:04
@CamilleCronin @CochraneUK yay :D #WeCATS
@cathynoble0602
08 September 2016 20:04
RT @WeNurses: Hello Critical Appraisal Cats #WeCATS https://t.co/jny0mIdwtX
@CamilleCronin
08 September 2016 20:04
@WeNurses #WeCATS like the cat
@CochraneUK
08 September 2016 20:05
@CamilleCronin @WeNurses we often have real ones with us for these chats too - blame any typos on them! #wecats
@AgencyNurse
08 September 2016 20:05
I think so "to establish whether behavioural activation is an effective alternative to CBT" #WeCATS https://t.co/5JZWHWZIqq
@Bartontd
08 September 2016 20:05
Evening All - Dave in a dark wet #swansea #wecats IF YOU CANT UNDERSTAND IT YOU CANT DISSEMINATE IT - Make Research Findings Transparent
@CochraneUK
08 September 2016 20:05
@Bartontd good to have you with us Dave! #wecats
@Mental_Elf
08 September 2016 20:05
Yes “We aimed to establish the clinical efficacy and cost-effectiveness of BA compared with CBT for adults with depression” p1 para1 #wecats
@CochraneUK
08 September 2016 20:05
RT @AgencyNurse: I think so "to establish whether behavioural activation is an effective alternative to CBT" #WeCATS https://t.co/5JZWHWZ…
@AgencyNurse
08 September 2016 20:05
Though concerned as not technically a question ? #WeCATS https://t.co/MZQh3zEa9w
@WeNurses
08 September 2016 20:06
RT @Bartontd: Evening All - Dave in a dark wet #swansea #wecats IF YOU CANT UNDERSTAND IT YOU CANT DISSEMINATE IT - Make Research Findings…
@BrownNhsdeb
08 September 2016 20:06
RT @AgencyNurse: Sitting down with highlighter and pen and reading the RCT for tonight's #WeCATS https://t.co/Y8nhL074n3
@DBadenoch
08 September 2016 20:07
"In adults with depression, is BA at least as good as CBT at improving PHQ-9 scores?" #wecats
@WeNurses
08 September 2016 20:07
RT @WeNurses: Lets get started 1st QUESTION #WeCATS https://t.co/QhEQFU1c3i
@Mental_Elf
08 September 2016 20:07
Intervention: BA There’s a good overview of #BehaviouralActivation here: https://t.co/PdESUvzcws for those new to psychotherapies #wecats
@WeNurses
08 September 2016 20:07
RT @DBadenoch: "In adults with depression, is BA at least as good as CBT at improving PHQ-9 scores?" #wecats
@WeNurses
08 September 2016 20:07
Thank you #WeCATS https://t.co/GdkNc1dUrG
@Bartontd
08 September 2016 20:07
Yes it does - a well constructed paper - but I suspect incomprehensible to the novice researcher #wecats https://t.co/JlQQzk0H3L
@DavidEkers
08 September 2016 20:07
I am here I think #WeCATS
@WeNurses
08 September 2016 20:07
RT @Bartontd: Yes it does - a well constructed paper - but I suspect incomprehensible to the novice researcher #wecats https://t.co/JlQQzk0…
@Mental_Elf
08 September 2016 20:07
In a nutshell BA “focuses on activity scheduling to encourage patients to approach activities that they are avoiding” #wecats
@WeNurses
08 September 2016 20:08
Hello - yes we can see you :D #WeCATS https://t.co/RkLneadmnK
@Mental_Elf
08 September 2016 20:08
@DavidEkers Welcome! :-) #wecats
@Kean1S
08 September 2016 20:08
RT @WeNurses: Lets get started 1st QUESTION #WeCATS https://t.co/QhEQFU1c3i
@IoanaA_Cristea
08 September 2016 20:09
@DBadenoch Yes. More like "not worse" though. At least as good would be more equivalence #WeCATS
@AgencyNurse
08 September 2016 20:09
@Bartontd *raises hand* novice here - got lost in parts but surprised myself in other parts #WeCATS
@WeNurses
08 September 2016 20:09
RT @Zia_Julia: @DBadenoch Yes. More like "not worse" though. At least as good would be more equivalence #WeCATS
@DBadenoch
08 September 2016 20:09
(Apols for psycho-noob question:) How much do you need to improve on this scale in order to be considered “better”? #wecats
@WeNurses
08 September 2016 20:09
RT @DBadenoch: (Apols for psycho-noob question:) How much do you need to improve on this scale in order to be considered “better”? #wecats
@Kean1S
08 September 2016 20:09
RT @CochraneUK: Don't be shy about calling for the #jargonbin! Others will benefit too! #WeCATS https://t.co/Dwzn57j4vs
@Mental_Elf
08 September 2016 20:09
@AgencyNurse @Bartontd Which parts did you find most difficult? #wecats
@WeNurses
08 September 2016 20:09
QUESTION 2 #WeCATS https://t.co/zYQIua2e1V
@CochraneUK
08 September 2016 20:10
RT @WeNurses: QUESTION 2 #WeCATS https://t.co/zYQIua2e1V
@CamilleCronin
08 September 2016 20:10
And is it enough just to take that aim mentioned in the abstract? #WeCATS https://twitter.com/bartontd/status/773961020872200192
@DBadenoch
08 September 2016 20:10
@Zia_Julia Welcome to "Fun with double negatives?" ;-) #wecats
@CochraneUK
08 September 2016 20:10
RT @AgencyNurse: @Bartontd *raises hand* novice here - got lost in parts but surprised myself in other parts #WeCATS
@Mental_Elf
08 September 2016 20:10
@CamilleCronin Yes, you're just looking for the top level question, which you can normally get from the abstract #wecats
@Bartontd
08 September 2016 20:10
The potential impact of this RCT is considerable #wecats - it is worth another journal in LAY LANGUAGE if it is to have policy impact
@Mental_Elf
08 September 2016 20:10
So this is a randomised, controlled, non-inferiority trial. Does anyone want to have a stab at explaining what that is? :-) #wecats
@DavidEkers
08 September 2016 20:11
The PHQ9 has a cut of value of 10 and above, a minimal clinically important difference is usually thought of as a 5 point drop #WeCATS
@WeNurses
08 September 2016 20:11
RT @Bartontd: The potential impact of this RCT is considerable #wecats - it is worth another journal in LAY LANGUAGE if it is to have polic…
@Bartontd
08 September 2016 20:11
RT @WeNurses: QUESTION 2 #WeCATS https://t.co/zYQIua2e1V
@CochraneUK
08 September 2016 20:11
@AgencyNurse @Bartontd hopefully it gets a bit easier each time (though some papers help us through them less than others!) #WeCATS
@CochraneUK
08 September 2016 20:11
RT @Bartontd: The potential impact of this RCT is considerable #wecats - it is worth another journal in LAY LANGUAGE if it is to have polic…
@DBadenoch
08 September 2016 20:12
@Mental_Elf @CamilleCronin I find that usually have to go into the methods to see who exactly they recruited and how. #wecats
@CochraneUK
08 September 2016 20:12
@Bartontd agree that all research needs sharing in different formats & lay language if it's to be useful! #wecats
@AgencyNurse
08 September 2016 20:12
OK so heres where I have a #JargonBin Question "Open- Label" ? #WeCATS @CochraneUK https://t.co/46wXYUHI8d
@CochraneUK
08 September 2016 20:12
RT @Mental_Elf: @CamilleCronin Yes, you're just looking for the top level question, which you can normally get from the abstract #wecats
@Mental_Elf
08 September 2016 20:12
@DavidEkers Here's the PHQ-9 instrument in case you want further detail: http://www.cqaimh.org/pdf/tool_phq9.pdf #wecats
@livinginhope
08 September 2016 20:12
Welcome to the COBRA trial team #WeCATS @BarbaraMBarrett @DavidEkers looking forward to your contribution https://twitter.com/mental_elf/status/773959821368360960
@josephcmanning
08 September 2016 20:12
RT @WeNurses: Before #WeCATS tonights heres a quick reminder of Twitter Chat netiquette > https://t.co/l85BB02Zx9
@Bartontd
08 September 2016 20:12
@WeNurses RCTs are Gold Standard - but I would like to have seen a mixed method that included Qualitative Patient Perspective #wecats
@Bartontd
08 September 2016 20:13
RT @CochraneUK: @Bartontd agree that all research needs sharing in different formats & lay language if it's to be useful! #wecats
@CochraneUK
08 September 2016 20:13
@DBadenoch I'd call for #jargonbin for 'psycho-noob' but then I'd have to find the answer...! #wecats
@AgencyNurse
08 September 2016 20:13
#WeCATS @CochraneUK also "non-inferioirity trial" #eek #WeCATS #JargonBin #scaredface !!
@Mental_Elf
08 September 2016 20:13
@Bartontd @WeNurses Interesting, what sorts of Qs would the qualitative investigation helped answer? #wecats
@WeNurses
08 September 2016 20:13
RT @CamilleCronin: And is it enough just to take that aim mentioned in the abstract? #WeCATS https://twitter.com/bartontd/status/773961020872200192
@myCCNMResearch
08 September 2016 20:14
Great learning tool! Thanks! #criticalappraisal #knowledgecycle #WeCATS https://twitter.com/CochraneUK/status/773036767561875456
@CamilleCronin
08 September 2016 20:14
Yes I would be going further in to it like bottom of p872 near methods #WeNurses #wecats https://twitter.com/dbadenoch/status/773962108400611328
@AgencyNurse
08 September 2016 20:14
Nope - this was my #jargonBin question !! #WeCATS https://twitter.com/Mental_Elf/status/773961842133565440
@CochraneUK
08 September 2016 20:14
@AgencyNurse @CochraneUK This is good on non-inferiority trials from @CONSORTing http://www.consort-statement.org/checklists/view/650-non-inferiority-and-equivalence-trials/784-title #wecats
@AgencyNurse
08 September 2016 20:15
Thank you #WeCATS https://twitter.com/CochraneUK/status/773962804030087168
@Foreman1David
08 September 2016 20:15
RT @CochraneUK: Hi I'm Sarah & I’ve got the #JargonBin! I’ll try to help with any words/phrases you don't understand. #WeCATS https://t.co/…
@WeNurses
08 September 2016 20:15
A good link #WeCATS https://twitter.com/CochraneUK/status/773962804030087168
@Mental_Elf
08 September 2016 20:15
This is good: “Superiority, non-inferiority, equivalence studies: what’s the difference?” by @ggartleh http://www.slideshare.net/simonledinek/non-inferiority #wecats
@Bartontd
08 September 2016 20:15
@Mental_Elf Random allocation of recruited to the 2 therapies, with strict rules, to compare effectiveness of the 2 therapies #wecats
@WeNurses
08 September 2016 20:15
RT @CamilleCronin: Yes I would be going further in to it like bottom of p872 near methods #WeNurses #wecats https://twitter.com/dbadenoch/status/773962108400611328
@CochraneUK
08 September 2016 20:15
@AgencyNurse I found some explanation from @CONSORTing but no very snappy definition - we need it in the GET-IT Glossary @DBadenoch #wecats
@WeNurses
08 September 2016 20:16
Another good link #WeCATS https://twitter.com/Mental_Elf/status/773963040295444480
@DBadenoch
08 September 2016 20:16
Re: #jargonbin non-inferiority, I found this useful: http://www.rds-sc.nihr.ac.uk/planning-a-study/study-design/quantitative-studies/clinical-trials/non-inferiority-trials/ #wecats
@CochraneUK
08 September 2016 20:17
RT @myCCNMResearch: Great learning tool! Thanks! #criticalappraisal #knowledgecycle #WeCATS https://twitter.com/CochraneUK/status/773036767561875456
@AgencyNurse
08 September 2016 20:17
This is good - I just went "aha!" when reading it :D #Thanks #WeCATS https://twitter.com/DBadenoch/status/773963311813632005
@CochraneUK
08 September 2016 20:17
RT @DBadenoch: Re: #jargonbin non-inferiority, I found this useful: http://www.rds-sc.nihr.ac.uk/planning-a-study/study-design/quantitative-studies/clinical-trials/non-inferiority-trials/ #wecats
@DBadenoch
08 September 2016 20:17
@DavidEkers Many thanks! #wecats
@CamilleCronin
08 September 2016 20:18
@Mental_Elf #wecats not sure about a detailed explanation but RCTs have a place ....can't see the consortium guidelines
@CochraneUK
08 September 2016 20:18
@DBadenoch oh yes that's good and clear. #jargonbin #wecats
@Bartontd
08 September 2016 20:18
@Mental_Elf @WeNurses Hearing the patient voice - what did the patients ACTUALLY say - not just a statistical analysis #wecats
@Mental_Elf
08 September 2016 20:18
RT @Bartontd: @Mental_Elf @WeNurses Hearing the patient voice - what did the patients ACTUALLY say - not just a statistical analysis #wecats
@AgencyNurse
08 September 2016 20:18
This seems like a really good point to me #WeCATS https://twitter.com/Bartontd/status/773963657130733568
@CochraneUK
08 September 2016 20:18
@Bartontd @Mental_Elf @WeNurses I like that! Important to hear the patients behind the stats #wecats
@HealthUKTD
08 September 2016 20:18
RT @WeNurses: QUESTION 2 #WeCATS https://t.co/zYQIua2e1V
@HealthUKTD
08 September 2016 20:18
RT @Bartontd: The potential impact of this RCT is considerable #wecats - it is worth another journal in LAY LANGUAGE if it is to have polic…
@drabbiejordan
08 September 2016 20:19
RT @Bartontd: @Mental_Elf @WeNurses Hearing the patient voice - what did the patients ACTUALLY say - not just a statistical analysis #wecats
@WeNurses
08 September 2016 20:19
RT @CochraneUK: @Bartontd @Mental_Elf @WeNurses I like that! Important to hear the patients behind the stats #wecats
@WeNurses
08 September 2016 20:20
Are we ready for Question 3 ? Here it is > #WeCATS https://t.co/f4KhUVEjHx
@DBadenoch
08 September 2016 20:20
Yes, particularly since averages of scores can sometimes be misleading #wecats
@CochraneUK
08 September 2016 20:20
@AgencyNurse Open-label = when both researcher & participant know which treatment they're getting #WeCATS
@AgencyNurse
08 September 2016 20:20
@livinginhope thanks you - that helps lots #WeCATS
@kmmurray97
08 September 2016 20:21
RT @CochraneUK: @AgencyNurse @CochraneUK This is good on non-inferiority trials from @CONSORTing https://t.co/yOWcqsrYaq #wecats
@AgencyNurse
08 September 2016 20:21
Now i would never have guessed that !!! #WeCATS https://t.co/CKHAsTc9Pk
@WeNurses
08 September 2016 20:21
Thank you @CochraneUK #WeCATS https://t.co/LF2yY0B5yY
@WeNurses
08 September 2016 20:21
RT @DBadenoch: Yes, particularly since averages of scores can sometimes be misleading #wecats
@Bartontd
08 September 2016 20:22
The ethical Consideration was a little vague - approval was gained but what was the impact if BA had been found to be limited #wecats
@wlasinclair
08 September 2016 20:22
RT @CochraneUK: @AgencyNurse Open-label = when both researcher & participant know which treatment they're getting #WeCATS
@CochraneUK
08 September 2016 20:22
@AgencyNurse opposite of open-label is 'double-blind' where neither researcher or participant knows which treatment they're getting #WeCATS
@CamilleCronin
08 September 2016 20:22
RT @WeNurses: Are we ready for Question 3 ? Here it is > #WeCATS https://t.co/f4KhUVEjHx
@AgencyNurse
08 September 2016 20:22
I dont have a picture but there is a fab diagram on page 874 #WeCATS https://twitter.com/WeNurses/status/773964219578449925
@Mental_Elf
08 September 2016 20:22
8 therapy sessions completed: - 67% BA group - 72% CBT group A 6-months B 12-months C 18-months #WeCATS https://t.co/7jBzdUyrKQ
@AgencyNurse
08 September 2016 20:23
The penny is dropping #ThankYou #WeCATS https://twitter.com/CochraneUK/status/773964722723061761
@LVereenooghe
08 September 2016 20:23
@Bartontd @Mental_Elf @WeNurses yes, qualitative input regarding acceptability and user-experience #WeCATS
@wlasinclair
08 September 2016 20:23
Really good discussion for @nursingSUni students right now on critical analysis #WeCATS
@CochraneUK
08 September 2016 20:23
@AgencyNurse These flow charts can be really helpful - especially for those of us who are visually-inclined! #wecats
@CochraneUK
08 September 2016 20:23
RT @wlasinclair: Really good discussion for @nursingSUni students right now on critical analysis #WeCATS
@AgencyNurse
08 September 2016 20:23
yes this flow diagram >>> love the visual, very clear #WeCATS https://twitter.com/Mental_Elf/status/773964832135585792
@CamilleCronin
08 September 2016 20:23
#WeCATS #wenurses https://twitter.com/camillecronin/status/773964928327815168
@CochraneUK
08 September 2016 20:24
@wlasinclair @nursingSUni Come & join us - it's a friendly place to learn critical appraisal skills. #WeCATS
@Bartontd
08 September 2016 20:24
@WeNurses Technically Yes - but you have to read this very carefully & its wrapped up in some convoluted jargon #wecats
@DavidEkers
08 September 2016 20:24
@Bartontd @Mental_Elf @WeNurses #WeCATS on the voice question, not sure if my note that the qual paper just submitted
@AgencyNurse
08 September 2016 20:24
@CochraneUK yes indeed #WeCATS
@DBadenoch
08 September 2016 20:24
@CochraneUK @AgencyNurse It's worth noting that outcomes assessors didn't know which group participants were in. #wecats
@wlasinclair
08 September 2016 20:24
@CochraneUK @nursingSUni just lurking tonight, dipping in and out #multitasking :-) #wecats
@Bartontd
08 September 2016 20:24
RT @AgencyNurse: The penny is dropping #ThankYou #WeCATS https://twitter.com/CochraneUK/status/773964722723061761
@Mental_Elf
08 September 2016 20:24
RT @DavidEkers: @Bartontd @Mental_Elf @WeNurses #WeCATS on the voice question, not sure if my note that the qual paper just submitted
@CochraneUK
08 September 2016 20:25
Any words or phrases that you don’t understand, call for the #jargonbin & I’ll try to help. #WeCATS https://t.co/92gyGPNj7k
@Bartontd
08 September 2016 20:25
RT @CochraneUK: @wlasinclair @nursingSUni Come & join us - it's a friendly place to learn critical appraisal skills. #WeCATS
@Mental_Elf
08 September 2016 20:25
Lots of people dropped out, but about average for a psychotherapy trial #wecats
@wlasinclair
08 September 2016 20:26
RT @CochraneUK: @wlasinclair @nursingSUni Come & join us - it's a friendly place to learn critical appraisal skills. #WeCATS
@Bartontd
08 September 2016 20:26
RT @DavidEkers: @Bartontd @Mental_Elf @WeNurses #WeCATS on the voice question, not sure if my note that the qual paper just submitted
@AgencyNurse
08 September 2016 20:26
Yes was confused by "per-protocol population" & "modified intention to treat population" #WeCATS #JargonBin https://twitter.com/Bartontd/status/773965155197673472
@Mental_Elf
08 September 2016 20:26
Ideally, what level of drop-out should we be looking for in an RCT? #wecats
@CochraneUK
08 September 2016 20:26
@CamilleCronin knowing what treatment they are getting can be unavoidable but it is a potential source of bias #WeCATS
@WeNurses
08 September 2016 20:26
Thank you #WeCATS https://twitter.com/DBadenoch/status/773965264232865793
@WeNurses
08 September 2016 20:27
RT @CochraneUK: Any words or phrases that you don’t understand, call for the #jargonbin & I’ll try to help. #WeCATS https://t.co/92gyGPNj7k
@WeNurses
08 September 2016 20:27
RT @Mental_Elf: Lots of people dropped out, but about average for a psychotherapy trial #wecats
@Mental_Elf
08 September 2016 20:27
@AgencyNurse I wonder if @Zia_Julia could jump in and help explain this..? [pretty please] #wecats
@JoanneYounge
08 September 2016 20:27
RT @Mental_Elf: 8 therapy sessions completed: - 67% BA group - 72% CBT group A 6-months B 12-months C 18-months #WeCATS https://t.co/7jBzdU…
@DBadenoch
08 September 2016 20:27
@MentalElf. Ideally none. I was be very concerned about the drop-out rate in this trial. #wecats
@CochraneUK
08 September 2016 20:27
@wlasinclair @nursingSUni welcome Wendy, dip away! #WeCATS
@Bartontd
08 September 2016 20:27
@DavidEkers @AgencyNurse @Mental_Elf @WeNurses Good the hear #wecats :o)
@CochraneUK
08 September 2016 20:27
RT @DBadenoch: @CochraneUK @AgencyNurse It's worth noting that outcomes assessors didn't know which group participants were in. #wecats
@WeNurses
08 September 2016 20:27
Anyone like to answer ? #WeCATS https://twitter.com/Mental_Elf/status/773965803968458752
@WeNurses
08 September 2016 20:27
RT @DBadenoch: @MentalElf. Ideally none. I was be very concerned about the drop-out rate in this trial. #wecats
@CochraneUK
08 September 2016 20:28
@AgencyNurse Hooray! #WeCATS
@SAPHNAsharonOBE
08 September 2016 20:28
RT @CochraneUK: Any words or phrases that you don’t understand, call for the #jargonbin & I’ll try to help. #WeCATS https://t.co/92gyGPNj7k
@Bartontd
08 September 2016 20:28
RT @Mental_Elf: Lots of people dropped out, but about average for a psychotherapy trial #wecats
@Mental_Elf
08 September 2016 20:28
Lots of people typically drop out of talking therapy depression trials. It's a widespread problem with the field #wecats
@AgencyNurse
08 September 2016 20:28
@CochraneUK it's starting to be a bit like Twitter osmosis .. its filtering through :D #WeCATS
@AgencyNurse
08 September 2016 20:29
Interesting - anyone know why ? #WeCATS https://twitter.com/Mental_Elf/status/773966322531086337
@JoanneYounge
08 September 2016 20:29
RT @WeNurses: In 1 HOUR We are getting all Critical with a RCT on depression > http://buff.ly/2c24N46 #WeCATS https://t.co/Mrf4KtPH9t
@CochraneUK
08 September 2016 20:29
@AgencyNurse No - not exactly obvious! #jargonbin #WeCATS
@CamilleCronin
08 September 2016 20:30
#wecats mmm 20% https://twitter.com/wenurses/status/773966020344033280
@DBadenoch
08 September 2016 20:30
Dave Sackett used to say < 80% follow-up rate was minimum for reliable evidence. Had a look and found this http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.660.2158&rep=rep1&type=pdf #wecats
@CochraneUK
08 September 2016 20:30
RT @DBadenoch: @MentalElf. Ideally none. I was be very concerned about the drop-out rate in this trial. #wecats
@IoanaA_Cristea
08 September 2016 20:30
@Mental_Elf @AgencyNurse Modified intention to treat= all randomized participants w/ complete data #wecats
@HealthUKTD
08 September 2016 20:30
RT @Mental_Elf: Lots of people dropped out, but about average for a psychotherapy trial #wecats
@andygubbins
08 September 2016 20:31
RT @Mental_Elf: Ideally, what level of drop-out should we be looking for in an RCT? #wecats
@WeNurses
08 September 2016 20:31
Heres Question 4 (we hope all you lurkers are following!) #WeCATS https://t.co/z1Ho1hPgSh
@CamilleCronin
08 September 2016 20:31
But people will drop out its human nature #wecats #wenurses https://twitter.com/dbadenoch/status/773965945111011332
@DavidEkers
08 September 2016 20:31
Drop out in this study was pretty good really, certainly in the region of what is seen in clinical,practice, bit better in fact #WeCATS
@Mental_Elf
08 September 2016 20:31
@Zia_Julia @Mental_Elf @AgencyNurse So all participants are included in final analysis even if they didn't complete treatment #wecats
@wlasinclair
08 September 2016 20:32
RT @Zia_Julia: @Mental_Elf @AgencyNurse Modified intention to treat= all randomized participants w/ complete data #wecats
@DBadenoch
08 September 2016 20:32
Altman: "assessing whether a trial was a good one should take account of circumstances, including what is achievable." #wecats
@wlasinclair
08 September 2016 20:32
RT @AgencyNurse: Interesting - anyone know why ? #WeCATS https://twitter.com/Mental_Elf/status/773966322531086337
@JoanneYounge
08 September 2016 20:32
RT @CochraneUK: Any words or phrases that you don’t understand, call for the #jargonbin & I’ll try to help. #WeCATS https://t.co/92gyGPNj7k
@AgencyNurse
08 September 2016 20:32
I found the discussion section really useful in understanding this #WeCATS https://t.co/JRW8D64lpJ
@CochraneUK
08 September 2016 20:32
RT @WeNurses: Heres Question 4 (we hope all you lurkers are following!) #WeCATS https://t.co/z1Ho1hPgSh
@AgencyNurse
08 September 2016 20:32
@Mental_Elf @Zia_Julia Thanks Guys that helps .. is this usual ? #WeCATS
@IoanaA_Cristea
08 September 2016 20:33
@Mental_Elf @AgencyNurse Per protocol= subgroup of modified ITT who did at least 8 sessions of tx, prev definied as min suff dose #wecats
@AgencyNurse
08 September 2016 20:33
RT @Zia_Julia: @Mental_Elf @AgencyNurse Modified intention to treat= all randomized participants w/ complete data #wecats
@DBadenoch
08 September 2016 20:33
Whether or not we think this is a good drop-out, we need to bear in mind that reality may be somewhat different from these results. #wecats
@CochraneUK
08 September 2016 20:33
@AgencyNurse but taking a bit more effort I think! #WeCATS
@WeNurses
08 September 2016 20:33
RT @CamilleCronin: But people will drop out its human nature #wecats #wenurses https://twitter.com/dbadenoch/status/773965945111011332
@PaulaHopes1
08 September 2016 20:33
RT @AgencyNurse: I found the discussion section really useful in understanding this #WeCATS https://twitter.com/WeNurses/status/773966915207323648
@SP_Duckworth
08 September 2016 20:33
@AgencyNurse Generally allows one exposure to intervention. Rigid ITT just on the allocated group regardless. @Bartontd @WeNurses #wecats
@AgencyNurse
08 September 2016 20:33
@CochraneUK lol yes maybe "active transport" better analogy! #WeCATS
@eczemasupport
08 September 2016 20:33
RT @CamilleCronin: But people will drop out its human nature #wecats #wenurses https://twitter.com/dbadenoch/status/773965945111011332
@eczemasupport
08 September 2016 20:34
RT @Bartontd: The potential impact of this RCT is considerable #wecats - it is worth another journal in LAY LANGUAGE if it is to have polic…
@Mental_Elf
08 September 2016 20:35
Let’s start by looking at the clinical effectiveness of BA compared to CBT - what were the results? #wecats
@DavidEkers
08 September 2016 20:35
We followed up 80% on primary outcome measure, which is pretty good at 1 year, managed t 18 months too #WeCATS
@CamilleCronin
08 September 2016 20:35
Yep still here ??#WeCATS #wenurses https://twitter.com/wenurses/status/773966915207323648
@Mental_Elf
08 September 2016 20:36
BA was non-inferior to CBT p1 abstract #WeCATS https://t.co/RhpAgJSa9R
@WeNurses
08 September 2016 20:36
Great question - what do people think? #WeCATS https://twitter.com/Mental_Elf/status/773967897223892992
@WeNurses
08 September 2016 20:36
RT @Mental_Elf: BA was non-inferior to CBT p1 abstract #WeCATS https://t.co/RhpAgJSa9R
@IoanaA_Cristea
08 September 2016 20:36
@AgencyNurse @Mental_Elf Yes & no. Th is a non-inferiority trial so PP analyses are more stringent than ITT. #wecats
@AgencyNurse
08 September 2016 20:37
I liked that - I thought that 18 months was quite a period of time (in my novice opinion) #WeCATS https://twitter.com/DavidEkers/status/773968073200132096
@IoanaA_Cristea
08 September 2016 20:37
@AgencyNurse @Mental_Elf But modified ITT in general is not exactly ITT wh states all randomized participants should be included. #wecats
@AgencyNurse
08 September 2016 20:37
@Zia_Julia @Mental_Elf lol ok ! #WeCATS
@Mental_Elf
08 September 2016 20:37
Table 2 on p7 summarises the results at 12 months #WeCATS https://t.co/4n2yA8Dvn4
@CochraneUK
08 September 2016 20:38
@FoxHedgehog @AgencyNurse @Bartontd @WeNurses ITT = intention-to-treat see definition here http://bit.ly/2cocxeZ #WeCATS
@DBadenoch
08 September 2016 20:38
@Zia_Julia @AgencyNurse @Mental_Elf Can you explain why PP is more stringent for non-inferiority studies? I don't get it :-( #wecats
@livinginhope
08 September 2016 20:38
RT @DavidEkers: We followed up 80% on primary outcome measure, which is pretty good at 1 year, managed t 18 months too #WeCATS
@CochraneUK
08 September 2016 20:38
RT @Mental_Elf: Table 2 on p7 summarises the results at 12 months #WeCATS https://t.co/4n2yA8Dvn4
@IoanaA_Cristea
08 September 2016 20:39
@Mental_Elf @AgencyNurse Not all, those w/ complete data. But again PP analyses more stringent in these kinds of trials. #wecats
@AgencyNurse
08 September 2016 20:39
@Mental_Elf they found that BA is not inferior to CBT in reduction of depression symptoms ... *crosses fingers is right ? #WeCATS
@Mental_Elf
08 September 2016 20:39
@AgencyNurse @Mental_Elf YES! #wecats
@AgencyNurse
08 September 2016 20:39
Thanks #WeCATS >> https://twitter.com/CochraneUK/status/773968699313229824
@Mental_Elf
08 September 2016 20:39
Were people impressed by the results? #wecats
@WeNurses
08 September 2016 20:39
#WeCATS https://twitter.com/CamilleCronin/status/773969079409532928
@DavidEkers
08 September 2016 20:40
@Zia_Julia @AgencyNurse @Mental_Elf #WeCATS In a non inferiority trial a per protocol analysis favours the null hypothesis
@CochraneUK
08 September 2016 20:40
@Mental_Elf @AgencyNurse give yourself a #WeCATS pat on the back! :)
@CamilleCronin
08 September 2016 20:40
#WeCATS #wenurse https://twitter.com/camillecronin/status/773969079409532928
@AgencyNurse
08 September 2016 20:40
hehehe *does a little dance* #WeCATS https://twitter.com/Mental_Elf/status/773969049613176832
@CamilleCronin
08 September 2016 20:41
#WeCATS #wenurse that table is terrible for the novices ???? https://twitter.com/mental_elf/status/773968639208939520
@Bartontd
08 September 2016 20:41
RT @WeNurses: Great question - what do people think? #WeCATS https://twitter.com/Mental_Elf/status/773967897223892992
@AgencyNurse
08 September 2016 20:41
Found these numbers tricky .. but caught up with the discussion section #WeCATS https://twitter.com/Mental_Elf/status/773968639208939520
@IoanaA_Cristea
08 September 2016 20:41
@DBadenoch @AgencyNurse @Mental_Elf Can try. Will be long. 4 NI trials the null hypothesis (the one u need to disprove) is different #wecats
@Mental_Elf
08 September 2016 20:41
@DavidEkers @Zia_Julia @AgencyNurse @Mental_Elf This is HARD to explain on Twitter eh!? #wecats
@WeNurses
08 September 2016 20:41
Were you impressed with the results ? #WeCATS https://twitter.com/Mental_Elf/status/773969137861263362
@Anniecoops
08 September 2016 20:42
@Bartontd well said #wecats
@Mental_Elf
08 September 2016 20:42
Of course, adverse events also very important These are listed on p8 para2 #WeCATS https://t.co/seR9MEPqZx
@Anniecoops
08 September 2016 20:42
RT @Mental_Elf: Fans of #WeCATS Check out this great free tool for Understanding Health Research #BullshitDetector http://ow.ly/aDm03032ZsN
@CochraneUK
08 September 2016 20:42
RT @Mental_Elf: Of course, adverse events also very important These are listed on p8 para2 #WeCATS https://t.co/seR9MEPqZx
@Bartontd
08 September 2016 20:42
@WeNurses Agreed - lets present important findings in a way that the average person can understand #wecats - impact on on service delivery
@IoanaA_Cristea
08 September 2016 20:42
@DBadenoch @AgencyNurse @Mental_Elf Null hypothesis in NI trials states there will be differences between "new" tx and reference tx #wecats
@Dr_PaulWatson
08 September 2016 20:43
@AgencyNurse @Mental_Elf if there was the mixed methods approach, they could ask why people dropped out maybe?? #WeCATS
@DBadenoch
08 September 2016 20:43
These seem like quite dramatic results (reduction in 9 points on the PHQ-9 in both groups) #wecats
@AgencyNurse
08 September 2016 20:43
It seemed significant to me - the discussion stated that the results "challenged the dominance of CBT" #WeCATS https://twitter.com/Mental_Elf/status/773969137861263362
@Mental_Elf
08 September 2016 20:43
Hiya @Anniecoops Nice that you popped in :-) @Bartontd #wecats
@Bartontd
08 September 2016 20:43
RT @WeNurses: Were you impressed with the results ? #WeCATS https://twitter.com/Mental_Elf/status/773969137861263362
@CochraneUK
08 September 2016 20:43
@Mental_Elf @Anniecoops @Bartontd yes good to see you Anne! #WeCATS
@DBadenoch
08 September 2016 20:43
@Mr_PaulWatson @AgencyNurse @Mental_Elf Yes! #wecats
@CamilleCronin
08 September 2016 20:43
#WeCATS #wenurse it's a very large trial and over a good timeframe it has a lot to offer https://twitter.com/wenurses/status/773969648438173696
@IoanaA_Cristea
08 September 2016 20:43
@DBadenoch @AgencyNurse @Mental_Elf ITT analysis assimilate drop-outs as non-responders or impute based on baseline values #WeCATS
@CochraneUK
08 September 2016 20:43
RT @CamilleCronin: #WeCATS #wenurse it's a very large trial and over a good timeframe it has a lot to offer https://twitter.com/wenurses/status/773969648438173696
@AgencyNurse
08 September 2016 20:44
That would seem sensible to me #WeCATS https://twitter.com/Mr_PaulWatson/status/773969926298210305
@Anniecoops
08 September 2016 20:44
@Mental_Elf @Bartontd I'm lurking. Time poor at moment so not done homework but you doing fab job #WeCATS X
@WeNurses
08 September 2016 20:44
RT @CamilleCronin: #WeCATS #wenurse it's a very large trial and over a good timeframe it has a lot to offer https://twitter.com/wenurses/status/773969648438173696
@eczemasupport
08 September 2016 20:44
RT @Mental_Elf: Fans of #WeCATS Check out this great free tool for Understanding Health Research #BullshitDetector http://ow.ly/aDm03032ZsN
@SP_Duckworth
08 September 2016 20:44
@CochraneUK Thanks. Modified slightly less rigid in terms of allocation/follow up. @AgencyNurse @Bartontd @WeNurses #WeCATS
@spencer_sian
08 September 2016 20:44
RT @WeNurses: If you are confused about any Jargon tonight then just chuck it in the #JargonBin #WeCATS https://twitter.com/CochraneUK/status/773959271465844736
@Mental_Elf
08 September 2016 20:44
@AgencyNurse This is the first trial to do that at this scale. Certainly important, but needs replicating #wecats
@IoanaA_Cristea
08 September 2016 20:44
@DBadenoch @AgencyNurse @Mental_Elf Which in fact makes it less likely to find differences between treatments #wecats
@CochraneUK
08 September 2016 20:44
RT @Mental_Elf: @AgencyNurse This is the first trial to do that at this scale. Certainly important, but needs replicating #wecats
@DavidEkers
08 September 2016 20:44
The perprotocol thing, basically in non inferiority you favour finding a difference, which pp does, i f you can't hey presto#WeCATS
@Dr_PaulWatson
08 September 2016 20:44
@AgencyNurse @Mental_Elf it could then inform the future construction of RCTs! #WeCATS
@Mental_Elf
08 September 2016 20:44
@Anniecoops @Mental_Elf @Bartontd What! You've not read the paper. How DARE you!! ;-) #wecats
@Bartontd
08 September 2016 20:45
@WeNurses Yes - CBT is expensive & difficult to access - if BA is more readily available then this is a plus to patient experience. #wecats
@IoanaA_Cristea
08 September 2016 20:45
@DBadenoch @AgencyNurse @Mental_Elf ITT stringent 4 superiority trials, but in NI it actually makes it easier to disconfirm null hyp #wecats
@AgencyNurse
08 September 2016 20:45
@Mental_Elf this is where my inexperience shows - as only really taking the authors word for it re significance #WeCATS
@AgencyNurse
08 September 2016 20:45
and other RCTs of this nature #WeCATS https://twitter.com/Mr_PaulWatson/status/773970391190634496
@WeNurses
08 September 2016 20:46
RT @Mental_Elf: @AgencyNurse This is the first trial to do that at this scale. Certainly important, but needs replicating #wecats
@DBadenoch
08 September 2016 20:46
@Zia_Julia @DBadenoch @AgencyNurse @Mental_Elf Great, many thanks! #wecats
@Mental_Elf
08 September 2016 20:46
Now what about the cost effectiveness? How did the two treatments measure up in that regard? #wecats
@IoanaA_Cristea
08 September 2016 20:46
@DBadenoch @AgencyNurse @Mental_Elf This is why @cochranecollab recommends reporting both ITT & PP in NI trials #wecats
@CochraneUK
08 September 2016 20:46
RT @Zia_Julia: @DBadenoch @AgencyNurse @Mental_Elf This is why @cochranecollab recommends reporting both ITT & PP in NI trials #wecats
@WeNurses
08 September 2016 20:46
Can anyone answer this? #WeCATS https://twitter.com/Mental_Elf/status/773970717843058688
@Mental_Elf
08 September 2016 20:46
RT @Zia_Julia: @DBadenoch @AgencyNurse @Mental_Elf This is why @cochranecollab recommends reporting both ITT & PP in NI trials #wecats
@CamilleCronin
08 September 2016 20:47
There is a lot jargon in this paper could be made more simple for everyday practice #WeCATS #wenurses https://twitter.com/cochraneuk/status/773965474702979092
@AgencyNurse
08 September 2016 20:47
The BA was much more cost effective than CBT #WeCATS (big win!) https://twitter.com/Mental_Elf/status/773970717843058688
@WeNurses
08 September 2016 20:47
RT @CamilleCronin: There is a lot jargon in this paper could be made more simple for everyday practice #WeCATS #wenurses https://t.co/4Alx…
@DavidEkers
08 September 2016 20:48
@AgencyNurse @Mental_Elf #WeCATS and Lancer reviewers of course!
@IoanaA_Cristea
08 September 2016 20:48
@DBadenoch @AgencyNurse @Mental_Elf Authors do that in a figure in the suppl mat. U can see ITT line slightly further from NI margin #wecats
@Dr_PaulWatson
08 September 2016 20:48
@AgencyNurse @Mental_Elf important to capture the experience as well as the data-allowing a rounded piece of research. #WeCATS
@CochraneUK
08 September 2016 20:48
RT @CamilleCronin: There is a lot jargon in this paper could be made more simple for everyday practice #WeCATS #wenurses https://t.co/4Alx…
@Mental_Elf
08 September 2016 20:48
Yes, BA was cheaper than CBT A potential cost saving of 20% See table 4 on p8 #WeCATS https://t.co/xiK6LCaETm
@AgencyNurse
08 September 2016 20:48
@CamilleCronin i'm glad you said that - i thought it was just me! #WeCATS
@HealthUKTD
08 September 2016 20:48
RT @Mental_Elf: Were people impressed by the results? #wecats
@HealthUKTD
08 September 2016 20:48
RT @Mental_Elf: Table 2 on p7 summarises the results at 12 months #WeCATS https://t.co/4n2yA8Dvn4
@CochraneUK
08 September 2016 20:48
@CamilleCronin Generally true of research papers, which is why I'm so keen to share research in other forms like blogs. #WeCATS
@Mental_Elf
08 September 2016 20:49
@AgencyNurse @CamilleCronin No, this is unusually technical for a mental health study (said by someone who reads 5 a day) #wecats
@WeNurses
08 September 2016 20:49
Woweee #WeCATS https://twitter.com/Mental_Elf/status/773971211504193536
@CamilleCronin
08 September 2016 20:49
A lot of people struggle with this sort of paper I'd say a small minority truly understand it #WeCATS #wenurses https://twitter.com/agencynurse/status/773971256026726401
@AgencyNurse
08 September 2016 20:49
Breathes in relief #WeCATS https://twitter.com/Mental_Elf/status/773971438961356800
@AgencyNurse
08 September 2016 20:50
@Mental_Elf @CamilleCronin having said that - i really did enjoy the discussion at the end #WeCATS
@Mental_Elf
08 September 2016 20:50
@AgencyNurse @CamilleCronin It's tricky to be lay friendly AND meet the journal publishing criteria #NotEnoughSpace #wecats
@CamilleCronin
08 September 2016 20:50
#WeCATS #wenurses my passion is making research accessible https://twitter.com/cochraneuk/status/773971412637847552
@CochraneUK
08 September 2016 20:50
@CamilleCronin we have much in common then :) #WeCATS
@WeNurses
08 September 2016 20:50
Last question #WeCATS https://t.co/QAZXnSzY1x
@chloebairdx
08 September 2016 20:50
#WeCATS much focus on the cost of BA vs CBT, keen throughout to see patient perspective of MH outcomes. Would also keep readers engaged?
@CochraneUK
08 September 2016 20:51
RT @WeNurses: Last question #WeCATS https://t.co/QAZXnSzY1x
@Mental_Elf
08 September 2016 20:51
@CamilleCronin We need to get you blogging for the https://t.co/kcNJ7N1aSP then! :-) #wecats
@DBadenoch
08 September 2016 20:51
I thought it was tricky to figure out. Where does the “between group difference” of 0.1 (-1.3 to 1.5) come from? (Table 2) #wecats
@DavidEkers
08 September 2016 20:51
For those of you interested in the qual outcomes, it is coming, keep an eye out #WeCATS
@AgencyNurse
08 September 2016 20:51
I always struggle with this question - it's like the missing object from the tray game #WeCATS https://twitter.com/WeNurses/status/773971851898937344
@CochraneUK
08 September 2016 20:51
@Mental_Elf @CamilleCronin or even http://evidentlycochrane.org ;) #WeCATS
@Mental_Elf
08 September 2016 20:52
Thanks @DavidEkers Who led on that part of the study? #wecats
@CochraneUK
08 September 2016 20:52
@AgencyNurse I like that analogy! #wecats
@Mental_Elf
08 September 2016 20:52
@CochraneUK @Mental_Elf @CamilleCronin FIGHT! #wecats
@AgencyNurse
08 September 2016 20:52
wow yes indeed - and hats off to those who wrote it & did the research ! #WeCATS https://twitter.com/Mental_Elf/status/773971700564328450
@AgencyNurse
08 September 2016 20:52
@CochraneUK lol #thanks #WeCats
@CochraneUK
08 September 2016 20:52
@Mental_Elf @CamilleCronin heheh the fur's flying now! #WeCATS
@CochraneUK
08 September 2016 20:53
RT @AgencyNurse: wow yes indeed - and hats off to those who wrote it & did the research ! #WeCATS https://twitter.com/Mental_Elf/status/773971700564328450
@WeNurses
08 September 2016 20:53
RT @CamilleCronin: #WeCATS #wenurses my passion is making research accessible https://twitter.com/cochraneuk/status/773971412637847552
@aijeria
08 September 2016 20:53
RT @Mental_Elf: Yes, BA was cheaper than CBT A potential cost saving of 20% See table 4 on p8 #WeCATS https://t.co/xiK6LCaETm
@CochraneUK
08 September 2016 20:53
@DavidEkers that's great to know - qualitative outcomes so important #wecats
@CochraneUK
08 September 2016 20:53
RT @DavidEkers: For those of you interested in the qual outcomes, it is coming, keep an eye out #WeCATS
@WeNurses
08 September 2016 20:53
This is a really good point #WeCATS https://twitter.com/cjkennedy2101/status/773971861717786624
@Mental_Elf
08 September 2016 20:54
So @Zia_Julia blogged about this RCT for us http://bit.ly/2bF9Zd8 And there's a podcast interview with the lead researcher too #wecats
@WeNurses
08 September 2016 20:54
This is really handy #WeCATS https://twitter.com/Mental_Elf/status/773972792664592385
@WeNurses
08 September 2016 20:55
Please remember that #WeCATS is just a speedy taste of critical appraisal #WeCATS
@AlresfordBear
08 September 2016 20:55
@AgencyNurse @CochraneUK Not when it is requested within the opening context of the submission before the main article. #WeCATS
@Mental_Elf
08 September 2016 20:55
5 mins to go. Did anyone have any other questions or comments about this trial? #wecats
@CochraneUK
08 September 2016 20:56
RT @Mental_Elf: 5 mins to go. Did anyone have any other questions or comments about this trial? #wecats
@DavidEkers
08 September 2016 20:56
It is fair to say the Lancet does has a view on the way you present those data in your papers, #WeCATS
@WeNurses
08 September 2016 20:56
Theres lots of links to further thinking on our Pinterest Page > https://uk.pinterest.com/wenurses/wecats/ #WeCATS https://twitter.com/WeNurses/status/773973032163545088
@Mental_Elf
08 September 2016 20:56
RT @WeNurses: Theres lots of links to further thinking on our Pinterest Page > https://uk.pinterest.com/wenurses/wecats/ #WeCATS https://twitter.com/WeNurses/status/773973032163545088
@CochraneUK
08 September 2016 20:56
RT @WeNurses: Theres lots of links to further thinking on our Pinterest Page > https://uk.pinterest.com/wenurses/wecats/ #WeCATS https://twitter.com/WeNurses/status/773973032163545088
@Intl_Nurses
08 September 2016 20:56
RT @WeNurses: Last question #WeCATS https://t.co/QAZXnSzY1x
@iahcp
08 September 2016 20:56
RT @WeNurses: Last question #WeCATS https://t.co/QAZXnSzY1x
@WeNurses
08 September 2016 20:57
Speak now or forever hold your Critical Apraisally peace :D #WeCATS https://twitter.com/Mental_Elf/status/773973169602437123
@Mental_Elf
08 September 2016 20:57
So NICE are updating their depression guidance. Do you think they should be including behavioural activation for depression? #wecats
@WeNurses
08 September 2016 20:57
RT @WeNurses: Theres lots of links to further thinking on our Pinterest Page > https://uk.pinterest.com/wenurses/wecats/ #WeCATS https://twitter.com/WeNurses/status/773973032163545088
@CochraneUK
08 September 2016 20:57
If you want to do some jargon-busting when you;re reading papers, the GET-IT glossary is often helpful https://t.co/7601O5snXB #wecats
@CamilleCronin
08 September 2016 20:58
I guess how do we know we are using the right critical appraisal tool? #wecats https://t.co/4f8ChbwRP4
@Bartontd
08 September 2016 20:58
RT @WeNurses: Theres lots of links to further thinking on our Pinterest Page > https://t.co/KzqIvECefX #WeCATS https://t.co/3cr7ihWhGg
@CochraneUK
08 September 2016 20:58
There's lots of helpful stuff for critical thinking at http://www.testingtreatments.org too #wecats
@Mental_Elf
08 September 2016 20:58
@CamilleCronin You need to know what type of study it is, then go here http://www.casp-uk.net/casp-tools-checklists #wecats
@DBadenoch
08 September 2016 20:58
@Mental_Elf Nope. On the basis of attrition bias. I would want to see these results replicated, and the qualitative perspective. #wecats
@CamilleCronin
08 September 2016 20:59
Will there be more??#wecats #wenurses https://twitter.com/wenurses/status/773973473832136704
@CochraneUK
08 September 2016 20:59
Not forgetting our #WeCATS partner @CASPUK - look for their critical appraisal tools http://www.casp-uk.net/#!casp-tools-checklists/c18f8
@WeNurses
08 September 2016 20:59
Please do check out @Mental_Elf's blog on this study > http://www.nationalelfservice.net/treatment/cbt/behavioural-activation-not-inferior-to-cbt-for-depression-the-cobra-rct/ #WeCATS https://t.co/MAhi7nJsB2
@DavidEkers
08 September 2016 20:59
@Mental_Elf #WeCATS NICE asked for more high quality uk evidence on BA hopefully this study provided that
@Mental_Elf
08 September 2016 20:59
@DBadenoch @Mental_Elf So, for you, too many people dropped out of this study for the results to be reliable? #wecats
@WeNurses
08 September 2016 20:59
A really useful link #WeCATS https://twitter.com/CochraneUK/status/773973606950928384
@Bartontd
08 September 2016 20:59
RT @CochraneUK: There's lots of helpful stuff for critical thinking at http://www.testingtreatments.org too #wecats
@WeNurses
08 September 2016 21:00
Oooh interesting question to close ? #WeCATS https://twitter.com/Mental_Elf/status/773973557827166208
@CamilleCronin
08 September 2016 21:00
I found CASP limiting @Mental_Elf #wecats #wenurses apart from the rct tool https://twitter.com/mental_elf/status/773973886023114752
@WeNurses
08 September 2016 21:00
RT @CamilleCronin: I guess how do we know we are using the right critical appraisal tool? #wecats https://twitter.com/mental_elf/status/773973169602437123
@WeNurses
08 September 2016 21:00
RT @CochraneUK: There's lots of helpful stuff for critical thinking at http://www.testingtreatments.org too #wecats
@WeNurses
08 September 2016 21:00
Another great link #WeCATS https://twitter.com/Mental_Elf/status/773973886023114752
@Mental_Elf
08 September 2016 21:00
@DavidEkers @Mental_Elf And NIHR paid £2m to do it, so it should get used appropriately! #wecats
@HealthUKTD
08 September 2016 21:00
RT @Mental_Elf: 5 mins to go. Did anyone have any other questions or comments about this trial? #wecats
@HealthUKTD
08 September 2016 21:00
RT @WeNurses: Theres lots of links to further thinking on our Pinterest Page > https://uk.pinterest.com/wenurses/wecats/ #WeCATS https://twitter.com/WeNurses/status/773973032163545088
@karmicgirl
08 September 2016 21:00
RT @Zia_Julia: @DBadenoch @AgencyNurse @Mental_Elf This is why @cochranecollab recommends reporting both ITT & PP in NI trials #wecats
@CochraneUK
08 September 2016 21:00
RT @DavidEkers: @Mental_Elf #WeCATS NICE asked for more high quality uk evidence on BA hopefully this study provided that
@AgencyNurse
08 September 2016 21:01
Waited for someone else to say it as wasnt quite sure ... but one study not enough surely ? #WeCATS https://twitter.com/DBadenoch/status/773973911000186884
@Mental_Elf
08 September 2016 21:01
Thanks very much to everyone who contributed tonight. It was a bit more technical than some # #wecats
@DBadenoch
08 September 2016 21:01
Yes. Also, as @Zia_Julia says in her blog, there are questions about the state of the evidence for BA vs usual care. #wecats
@CochraneUK
08 September 2016 21:01
@CamilleCronin yes indeed! Hope you'll come back for more! #wecats
@WeNurses
08 September 2016 21:01
@CamilleCronin yes indeed - watch this space #WeCATS
@WeNurses
08 September 2016 21:01
RT @CochraneUK: Not forgetting our #WeCATS partner @CASPUK - look for their critical appraisal tools http://www.casp-uk.net/#!casp-tools-checklists/c18f8
@AgencyNurse
08 September 2016 21:01
RT @WeNurses: Please do check out @Mental_Elf's blog on this study > http://www.nationalelfservice.net/treatment/cbt/behavioural-activation-not-inferior-to-cbt-for-depression-the-cobra-rct/ #WeCATS https://t.co/MAhi7nJsB2
@Mental_Elf
08 September 2016 21:01
@WeNurses @CamilleCronin Give us a shout if you have any thoughts about future papers for #wecats
@DBadenoch
08 September 2016 21:02
Many thanks everyone. #wecats
@DavidEkers
08 September 2016 21:02
@Mental_Elf #WeCATS That is very true indeed
@karmicgirl
08 September 2016 21:02
RT @CamilleCronin: #WeCATS #wenurses my passion is making research accessible https://twitter.com/cochraneuk/status/773971412637847552
@CamilleCronin
08 September 2016 21:02
RT @WeNurses: A really useful link #WeCATS https://twitter.com/CochraneUK/status/773973606950928384
@CochraneUK
08 September 2016 21:02
Thanks very much to those elves @Mental_Elf & @DBadenoch & @AgencyNurse for leading us & to all who joined us #wecats
@CamilleCronin
08 September 2016 21:03
RT @WeNurses: Oooh interesting question to close ? #WeCATS https://twitter.com/Mental_Elf/status/773973557827166208
@CochraneUK
08 September 2016 21:03
RT @Mental_Elf: @WeNurses @CamilleCronin Give us a shout if you have any thoughts about future papers for #wecats
@CamilleCronin
08 September 2016 21:03
I guess they need to include this paper #WeCATS @Mental_Elf https://twitter.com/wenurses/status/773974205763358720
@Mental_Elf
08 September 2016 21:03
RT @CochraneUK: Thanks very much to those elves @Mental_Elf & @DBadenoch & @AgencyNurse for leading us & to all who joined us #wecats
@WeNurses
08 September 2016 21:03
Thank you all for a great #WeCATS discussion - that all for tonight, but the CATS will be back #WatchThisSpace https://t.co/tJIvQe99eV
@CochraneUK
08 September 2016 21:03
And bug thanks to members of the research team who joined us too - really helpful #wecats
@CochraneUK
08 September 2016 21:03
RT @WeNurses: Thank you all for a great #WeCATS discussion - that all for tonight, but the CATS will be back #WatchThisSpace https://t.co/t…
@Mental_Elf
08 September 2016 21:04
@CochraneUK Yes, thanks+ @DavidEkers @Zia_Julia and everyone else! #wecats
@WeNurses
08 September 2016 21:04
Next week via #wenurses The importance of storytelling > http://www.wecommunities.org/tweet-chats/chat-details/2843 #WeCATS https://t.co/xZhUroKM2E
@WeNurses
08 September 2016 21:05
We agree and thank you too @CochraneUK :D #WeCATS https://twitter.com/CochraneUK/status/773974926478962688
@Mental_Elf
08 September 2016 21:05
RT @WeNurses: Next week via #wenurses The importance of storytelling > https://t.co/rxN9wcvRks #WeCATS https://t.co/xZhUroKM2E
@AgencyNurse
08 September 2016 21:05
Really enjoyed tonights #WeCATS - felt like its getting easier :D
@GillCoupland7
08 September 2016 21:05
RT @WeNurses: Theres lots of links to further thinking on our Pinterest Page > https://t.co/KzqIvECefX #WeCATS https://t.co/3cr7ihWhGg
@WeNurses
08 September 2016 21:05
RT @WeNurses: Next week via #wenurses The importance of storytelling > https://t.co/rxN9wcvRks #WeCATS https://t.co/xZhUroKM2E
@CamilleCronin
08 September 2016 21:06
Thank you!!! ??????#WeCATS #wenurses @Mental_Elf @CochraneUK https://t.co/aXKkLIyT6S
@Bartontd
08 September 2016 21:06
Evidence - the founation of how we care - understanding evidence is a skill - implementing evidence is a skill - #PROFESSION #wecats
@WeNurses
08 September 2016 21:06
No "bugs' here ... but huge thanks from us too ;D #hehe #WeCATS ;D https://twitter.com/CochraneUK/status/773975144096292864
@Bartontd
08 September 2016 21:06
RT @WeNurses: We agree and thank you too @CochraneUK :D #WeCATS https://twitter.com/CochraneUK/status/773974926478962688
@Bartontd
08 September 2016 21:06
RT @WeNurses: Next week via #wenurses The importance of storytelling > http://www.wecommunities.org/tweet-chats/chat-details/2843 #WeCATS https://t.co/xZhUroKM2E
@Jones23Emma
08 September 2016 21:07
RT @WeNurses: Next week via #wenurses The importance of storytelling > http://www.wecommunities.org/tweet-chats/chat-details/2843 #WeCATS https://t.co/xZhUroKM2E
@WeNurses
08 September 2016 21:07
RT @Mental_Elf: Thanks very much to everyone who contributed tonight. It was a bit more technical than some # #wecats
@Bartontd
08 September 2016 21:07
RT @WeNurses: Thank you all for a great #WeCATS discussion - that all for tonight, but the CATS will be back #WatchThisSpace https://t.co/t…
@DavidEkers
08 September 2016 21:07
Thank you for the interest in the COBRA study, hope it was useful #WeCATS
@RestoTrust
08 September 2016 21:07
RT @WeNurses: Next week via #wenurses The importance of storytelling > http://www.wecommunities.org/tweet-chats/chat-details/2843 #WeCATS https://t.co/xZhUroKM2E
@WeNurses
08 September 2016 21:07
Very - thanks for joining us #WeCATS https://twitter.com/DavidEkers/status/773976014338818049
@livinginhope
08 September 2016 21:07
RT @Mental_Elf: Thanks very much to everyone who contributed tonight. It was a bit more technical than some # #wecats
@CochraneUK
08 September 2016 21:07
@DavidEkers It certainly was. Thank you for joining us #WeCATS
@livinginhope
08 September 2016 21:08
RT @AgencyNurse: Waited for someone else to say it as wasnt quite sure ... but one study not enough surely ? #WeCATS https://t.co/DbkSeGyK…
@UCLanMH
08 September 2016 21:08
RT @WeNurses: Please do check out @Mental_Elf's blog on this study > http://www.nationalelfservice.net/treatment/cbt/behavioural-activation-not-inferior-to-cbt-for-depression-the-cobra-rct/ #WeCATS https://t.co/MAhi7nJsB2
@Jones23Emma
08 September 2016 21:08
RT @WeNurses: Please do check out @Mental_Elf's blog on this study > http://www.nationalelfservice.net/treatment/cbt/behavioural-activation-not-inferior-to-cbt-for-depression-the-cobra-rct/ #WeCATS https://t.co/MAhi7nJsB2
@livinginhope
08 September 2016 21:08
RT @WeNurses: Oooh interesting question to close ? #WeCATS https://twitter.com/Mental_Elf/status/773973557827166208
@lauren_bpd
08 September 2016 21:08
RT @Mental_Elf: Lots of people typically drop out of talking therapy depression trials. It's a widespread problem with the field #wecats
@Jones23Emma
08 September 2016 21:08
RT @CochraneUK: Not forgetting our #WeCATS partner @CASPUK - look for their critical appraisal tools http://www.casp-uk.net/#!casp-tools-checklists/c18f8
@CochraneUK
08 September 2016 21:08
@AgencyNurse That's really good news! #WeCATS does what it says on the (cat food) tin maybe?!
@Bartontd
08 September 2016 21:08
RT @CochraneUK: @DavidEkers It certainly was. Thank you for joining us #WeCATS
@livinginhope
08 September 2016 21:09
RT @AgencyNurse: wow yes indeed - and hats off to those who wrote it & did the research ! #WeCATS https://twitter.com/Mental_Elf/status/773971700564328450
@Mental_Elf
08 September 2016 21:09
@AgencyNurse That's good to hear. Your frank and honest contributions were (as ever) fabulous. Thank you x #wecats
@karmicgirl
08 September 2016 21:09
RT @AgencyNurse: Now i would never have guessed that !!! #WeCATS https://twitter.com/CochraneUK/status/773964261534142465
@WeNurses
08 September 2016 21:10
For those lurking on #WeCATS tonight - we will post a question and answer summary tomorrow that may help #WeCATS
@Mental_Elf
08 September 2016 21:10
RT @WeNurses: For those lurking on #WeCATS tonight - we will post a question and answer summary tomorrow that may help #WeCATS
@kind_curious
08 September 2016 21:11
RT @WeNurses: Next week via #wenurses The importance of storytelling > https://t.co/rxN9wcvRks #WeCATS https://t.co/xZhUroKM2E
@karmicgirl
08 September 2016 21:11
RT @WeNurses: Please remember that #WeCATS is just a speedy taste of critical appraisal #WeCATS
@AgencyNurse
08 September 2016 21:12
Looking forward to this and tweeting with wonderful guest @nursingbard #WeCATS https://twitter.com/WeNurses/status/773975403560075264
@UCLanMH
08 September 2016 21:12
RT @Mental_Elf: Lots of people typically drop out of talking therapy depression trials. It's a widespread problem with the field #wecats
@Jones23Emma
08 September 2016 21:12
RT @CochraneUK: Any words or phrases that you don’t understand, call for the #jargonbin & I’ll try to help. #WeCATS https://t.co/92gyGPNj7k
@CamilleCronin
08 September 2016 21:14
RT @WeNurses: This is really handy #WeCATS https://twitter.com/Mental_Elf/status/773972792664592385
@Bartontd
08 September 2016 21:15
RT @AgencyNurse: Looking forward to this and tweeting with wonderful guest @nursingbard #WeCATS https://t.co/fGcvLMS8Va
@HealthUKTD
08 September 2016 21:16
RT @WeNurses: Next week via #wenurses The importance of storytelling > http://www.wecommunities.org/tweet-chats/chat-details/2843 #WeCATS https://t.co/xZhUroKM2E
@tweetsdistilled
08 September 2016 21:16
RT @WeNurses: Next week via #wenurses The importance of storytelling > http://www.wecommunities.org/tweet-chats/chat-details/2843 #WeCATS https://t.co/xZhUroKM2E
@CamilleCronin
08 September 2016 21:17
What about critical appraisal courses? Would anyone recommend one? #wenurses #WeCATS https://twitter.com/mental_elf/status/773973169602437123
@WeNurses
08 September 2016 21:17
RT @CamilleCronin: What about critical appraisal courses? Would anyone recommend one? #wenurses #WeCATS https://twitter.com/mental_elf/status/773973169602437123
@VivianBumgarner
08 September 2016 21:18
RT @WeNurses: Next week via #wenurses The importance of storytelling > http://www.wecommunities.org/tweet-chats/chat-details/2843 #WeCATS https://t.co/xZhUroKM2E
@UCLanHealth
08 September 2016 21:18
RT @CochraneUK: There's lots of helpful stuff for critical thinking at http://www.testingtreatments.org too #wecats
@WeMHNurses
08 September 2016 21:20
RT @WeNurses: Next week via #wenurses The importance of storytelling > https://t.co/rxN9wcvRks #WeCATS https://t.co/xZhUroKM2E
@WeMHNurses
08 September 2016 21:22
RT @WeNurses: Please do check out @Mental_Elf's blog on this study > http://www.nationalelfservice.net/treatment/cbt/behavioural-activation-not-inferior-to-cbt-for-depression-the-cobra-rct/ #WeCATS https://t.co/MAhi7nJsB2
@WeMHNurses
08 September 2016 21:23
RT @CochraneUK: Not forgetting our #WeCATS partner @CASPUK - look for their critical appraisal tools http://www.casp-uk.net/#!casp-tools-checklists/c18f8
@CVFarrow
08 September 2016 21:24
RT @Mental_Elf: 8 therapy sessions completed: - 67% BA group - 72% CBT group A 6-months B 12-months C 18-months #WeCATS https://t.co/7jBzdU…
@CVFarrow
08 September 2016 21:24
RT @Mental_Elf: We’re hoping that @BarbaraMBarrett @DavidEkers will be joining us this evening from the COBRA trial team #wecats
@CVFarrow
08 September 2016 21:25
RT @Mental_Elf: BA was non-inferior to CBT p1 abstract #WeCATS https://t.co/RhpAgJSa9R
@CVFarrow
08 September 2016 21:25
RT @Mental_Elf: Yes, BA was cheaper than CBT A potential cost saving of 20% See table 4 on p8 #WeCATS https://t.co/xiK6LCaETm
@VivianBumgarner
08 September 2016 21:26
RT @Mental_Elf: Thanks very much to everyone who contributed tonight. It was a bit more technical than some # #wecats
@CVFarrow
08 September 2016 21:28
RT @DavidEkers: We followed up 80% on primary outcome measure, which is pretty good at 1 year, managed t 18 months too #WeCATS




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