Table 2 Results of meta-analyses investigating pre/post effects and long-term stability of treatment gains for digital and face-to-face CBT interventions. P values indicate significance of meta-analytic summary effect sizes (SMCR) testing the difference between symptoms pre- vs. post-intervention. Effect sizes and p values are presented without correction for differences in patient samples or study design characteristics and without correction for potential publication bias.

From: A systematic review of digital and face-to-face cognitive behavioral therapy for depression

 

Face-to-face studies

Digital studies

Face-to-face vs. Digital

Outcome

k

SMCR

95%-CI

p value

k

SMCR

95%-CI

p value

Direction

p value

Pre/Post analysis

         

 Depression symptoms

81

1.934

1.737–2.130

p < 0.001

80

1.204

1.086–1.321

p < 0.001

face-to-face > digital

p < 0.001

 Psychosocial functioning

18

1.293

0.869–1.718

p < 0.001

53

0.489

0.398–0.580

p < 0.001

face-to-face > digital

p < 0.001

 Anxiety symptoms

4

1.299

0.649–1.949

p < 0.001

44

0.902

0.775–1.029

p < 0.001

face-to-face > digital

p = 0.240

Follow-Up analysis

         

 Depression symptoms

45

0.112

−0.005–0.229

p = 0.061

64

0.167

0.031–0.302

p = 0.016

face-to-face < digital

p = 0.550

 Psychosocial functioning

9

−0.533

−1.179–0.113

p = 0.106

45

0.064

−0.093–0.220

p = 0.426

face-to-face < digital

p = 0.078

 Anxiety symptoms

3

0.098

−0.057–0.253

p = 0.217

36

0.073

−0.077–0.223

p = 0.343

face-to-face > digital

p = 0.820