Individually tailored Internet-delivered cognitive-behavioral therapy for survivors of intimate partner violence: A randomized controlled pilot trial.
Andersson G; Olsson E; Ringsgård E; Sandgren T; Viklund I; Andersson C; Hesselman Y; Johansson R; Nordgren LB; Bohman B · Internet interventions · 2021 · Randomized controlled trial
Original publication · Original publication · Original publication · Original publication · Original publication
Recorded summary
Some PTSD/depression measures favored guided internet CBT, while others did not. Follow-up improvements after both arms received treatment are within-group findings.
Recorded limitations
Small feasibility study, waitlist comparison, moderate adherence and substantial long-term attrition. Ongoing IPV excluded; later follow-up lacked an untreated comparator.
Evidence and provenance
Chapter Trust Factor uses a minimum of three distinct qualifying studies. Publication records retain their own evidence and assessment.
Study design and assessment
- design
- Randomized controlled trial
- assessment
- category
- rct
- is Randomized Controlled Trial
- true
- basis
- Independent person used a random-number service for 1:1 allocation: 32 per arm.
- sources
https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=EXT_ID:34584851%20AND%20SRC:MED&format=json&resultType=core · https://api.crossref.org/works/10.1016%2Fj.invent.2021.100453 · https://pmc.ncbi.nlm.nih.gov/articles/PMC8452796/
- review Scope
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- randomized Controlled Trial
- true
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- true
- blinding
- not-confirmed
- basis
- Independent person used a random-number service for 1:1 allocation: 32 per arm.
- sources
https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=EXT_ID:34584851%20AND%20SRC:MED&format=json&resultType=core · https://api.crossref.org/works/10.1016%2Fj.invent.2021.100453 · https://pmc.ncbi.nlm.nih.gov/articles/PMC8452796/
- review Scope
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- analysts
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- rating Scale
- library-trust-factor/1-3
- jadad
- status
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- score
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- evidence
- evidence Type
- Randomized controlled trial
- intervention
- Individually tailored internet CBT with guided self-help. Eight weeks; symptom-focused modules.
- comparator
- Waitlist with delayed treatment.
- sample
- 64 randomized and included in multilevel models; 58 completed post-treatment assessment and 42 follow-up.
- measurement
- PTSD, IES-R; Depression, BDI-II; PDS, PHQ-9, anxiety and quality of life
- timing
- Post-treatment
- trial Id
- relationship Note
- Explicit domestic/intimate-partner violence exposure in the studied population; psychological intervention is within Language scope. See limitation and quality fields; no population-wide clinical recommendation is implied.
- measured Genes
- None recorded
- pathways
- None recorded
- source Access
- level
- full-text
- source URLs
https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=EXT_ID:34584851%20AND%20SRC:MED&format=json&resultType=core · https://api.crossref.org/works/10.1016%2Fj.invent.2021.100453 · https://pmc.ncbi.nlm.nih.gov/articles/PMC8452796/
- retrieved At
- 2026-10-30T07:15:55.705516+00:00
- outcomes
- name
- PTSD, IES-R
- follow Up
- Post-treatment
- result
- Favored treatment.
- effect Estimate
- d=.89; 95% CI .41–1.36
- uncertainty
- Confidence interval included when stated; otherwise not established from accessed source.
- primary Status
- Preliminary efficacy outcome; feasibility was the primary study aim.
- name
- Depression, BDI-II
- follow Up
- Post-treatment
- result
- Favored treatment.
- effect Estimate
- d=.86; 95% CI .22–1.50
- uncertainty
- Confidence interval included when stated; otherwise not established from accessed source.
- primary Status
- Preliminary efficacy outcome; feasibility was the primary study aim.
- name
- PDS, PHQ-9, anxiety and quality of life
- follow Up
- Post-treatment
- result
- No significant between-group differences.
- effect Estimate
- Not recorded
- uncertainty
- Confidence interval included when stated; otherwise not established from accessed source.
- primary Status
- Preliminary efficacy outcome; feasibility was the primary study aim.
- quality
- risk Of Bias
- Provisional appraisal; see limitations, attrition and masking. No formal risk-of-bias score assigned.
- attrition
- Six missed post-treatment (five intervention, one control); follow-up 42/64. Average five of eight modules completed.
- confounding
- Random allocation addresses baseline confounding if implemented; allocation concealment and analysis details remain source-dependent.
- adverse Findings
- Reliable post-treatment deterioration occurred: PTSD measure 1/26 intervention versus 3/30 control; depression measure 5/26 versus 7/30. These are symptom changes, not adjudicated treatment harms.
- transfer Limits
- Generalizability is limited to the stated population, setting and comparator.
- jadad
- not established
- masking Roles
- participants
- Not established from accessed source.
- providers
- Not established from accessed source.
- assessors
- Not established from accessed source.
- analysts
- Not established from accessed source.
- population
- relation
- direct
- population
- 63 women and one man with prior IPV and at least moderate mental-health problems; ongoing IPV was an exclusion.
- exposure Evidence
- 63 women and one man with prior IPV and at least moderate mental-health problems; ongoing IPV was an exclusion.
- rationale
- Explicit domestic/intimate-partner violence exposure in the studied population; psychological intervention is within Language scope.
- transfer Limit
- See limitation and quality fields; no population-wide clinical recommendation is implied.
Topics and recorded topic scores
- key
- language:domestic-family-violence
- title
- Domestic & Family Violence
- collection
- language
- trust Score
- 2
Citation snapshot and identifiers
- id
- dv-adult-therapy-34584851
- doi
- 10.1016/j.invent.2021.100453
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- count
- Not recorded
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- retrieved At
- Not recorded
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- language
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Complete approved library record
- publication Approval
- status
- approved-for-publication
- approved By
- Ben Korbel
- approved At
- 2026-11-01
- assessment
- AI assessed; human approved for publication
- scope
- Qualified research-library summaries. No professional clinical peer review or treatment recommendation is claimed.
- source Revision
- audit-r2-6b51a80717f4
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- 6b51a80717f422cb178106dc10c801bfb15dcbd78f696b58beab8e07aa236dec
- source Access
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https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=EXT_ID:34584851%20AND%20SRC:MED&format=json&resultType=core · https://api.crossref.org/works/10.1016%2Fj.invent.2021.100453 · https://pmc.ncbi.nlm.nih.gov/articles/PMC8452796/
- retrieved At
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- claim Check
- Headline finding/design/limitations compared with indexed abstract or accessible primary evidence; retained methods amendments separately adjudicated.
- sources
https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=EXT_ID:34584851%20AND%20SRC:MED&format=json&resultType=core · https://api.crossref.org/works/10.1016%2Fj.invent.2021.100453 · https://pmc.ncbi.nlm.nih.gov/articles/PMC8452796/
- applied Proposals
- None recorded
- method
- AI editorial assessment of all 130 publication records: compare identity, headline finding, design, relevance and limitations with indexed abstracts or available primary material; adjudicate retained source-supported methods amendments. This is a source-limited publication audit, not an independent full-text systematic review or a clinical guideline.
- limitations
Abstract-only records do not establish allocation concealment, complete harms reporting or full risk of bias. · No formal independent RoB 2, GRADE appraisal or numerical reconstruction of every effect was performed. · Source-access labels describe retained appraisal evidence; fuller prior appraisals were checked through their source ledgers and selected material, not independently repeated in full. · Publication counts are not independent trial or participant counts; cohort links and overlapping review evidence remain provisional. · A randomized design cross does not indicate benefit, low risk of bias or human approval. No double-blind trial is verified in this release. · No professional clinical peer review is claimed. Recommended content is limited to accurately qualified research summaries.
- study Family Id
- ICBT-IPV-64-2021
- family Linkage Uncertain
- false
- approaches
- None recorded
- id
- dv-adult-therapy-34584851
- aliases
- None recorded
- title
- Individually tailored Internet-delivered cognitive-behavioral therapy for survivors of intimate partner violence: A randomized controlled pilot trial.
- journal
- Internet interventions
- neurotransmitters
- None recorded
- year
- 2021
- authors
- Andersson G; Olsson E; Ringsgård E; Sandgren T; Viklund I; Andersson C; Hesselman Y; Johansson R; Nordgren LB; Bohman B
- design
- Randomized controlled trial
- kind
- Journal article
- identity Conflict
- Not recorded
- doi
- 10.1016/j.invent.2021.100453
- pmid
- 34584851
- urls
https://doi.org/10.1016/j.invent.2021.100453 · https://pubmed.ncbi.nlm.nih.gov/34584851/ · https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=EXT_ID:34584851%20AND%20SRC:MED&format=json&resultType=core · https://api.crossref.org/works/10.1016%2Fj.invent.2021.100453 · https://pmc.ncbi.nlm.nih.gov/articles/PMC8452796/
- collections
language
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Clinical & self-report
- targets
- None recorded
- priority
- 1
- quotes
- None recorded
- summary
- Some PTSD/depression measures favored guided internet CBT, while others did not. Follow-up improvements after both arms received treatment are within-group findings.
- limitation
- Small feasibility study, waitlist comparison, moderate adherence and substantial long-term attrition. Ongoing IPV excluded; later follow-up lacked an untreated comparator.
- citation Count
- Not recorded
- citation Snapshot
- count
- Not recorded
- source
- Not recorded
- retrieved At
- Not recorded
- status
- not-assessed
- study Design Assessment
- category
- rct
- is Randomized Controlled Trial
- true
- basis
- Independent person used a random-number service for 1:1 allocation: 32 per arm.
- sources
https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=EXT_ID:34584851%20AND%20SRC:MED&format=json&resultType=core · https://api.crossref.org/works/10.1016%2Fj.invent.2021.100453 · https://pmc.ncbi.nlm.nih.gov/articles/PMC8452796/
- review Scope
- full-text
- paper Trust Assessment
- scope
- Paper
- status
- assessed
- score
- 2
- randomized Controlled Trial
- true
- peer Reviewed
- true
- blinding
- not-confirmed
- basis
- Independent person used a random-number service for 1:1 allocation: 32 per arm.
- sources
https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=EXT_ID:34584851%20AND%20SRC:MED&format=json&resultType=core · https://api.crossref.org/works/10.1016%2Fj.invent.2021.100453 · https://pmc.ncbi.nlm.nih.gov/articles/PMC8452796/
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- language
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- language:domestic-family-violence
- title
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- journal Key
- internetinterventions
- journal Label
- Internet interventions
- chapter Entries
- id
- language-dv-dv-adult-therapy-34584851
- aliases
- None recorded
- title
- Individually tailored Internet-delivered cognitive-behavioral therapy for survivors of intimate partner violence: A randomized controlled pilot trial.
- authors
- Andersson G; Olsson E; Ringsgård E; Sandgren T; Viklund I; Andersson C; Hesselman Y; Johansson R; Nordgren LB; Bohman B
- year
- 2021
- journal
- Internet interventions
- doi
- 10.1016/j.invent.2021.100453
- pmid
- 34584851
- urls
https://doi.org/10.1016/j.invent.2021.100453 · https://pubmed.ncbi.nlm.nih.gov/34584851/ · https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=EXT_ID:34584851%20AND%20SRC:MED&format=json&resultType=core · https://api.crossref.org/works/10.1016%2Fj.invent.2021.100453 · https://pmc.ncbi.nlm.nih.gov/articles/PMC8452796/
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language
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Clinical & self-report
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anxiety · ptsd · depression
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- age Groups
youth · adults · older-adults
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language
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- finding
- Some PTSD/depression measures favored guided internet CBT, while others did not. Follow-up improvements after both arms received treatment are within-group findings.
- summary
- Some PTSD/depression measures favored guided internet CBT, while others did not. Follow-up improvements after both arms received treatment are within-group findings.
- limitation
- Small feasibility study, waitlist comparison, moderate adherence and substantial long-term attrition. Ongoing IPV excluded; later follow-up lacked an untreated comparator.
- evidence
- evidence Type
- Randomized controlled trial
- intervention
- Individually tailored internet CBT with guided self-help. Eight weeks; symptom-focused modules.
- comparator
- Waitlist with delayed treatment.
- sample
- 64 randomized and included in multilevel models; 58 completed post-treatment assessment and 42 follow-up.
- measurement
- PTSD, IES-R; Depression, BDI-II; PDS, PHQ-9, anxiety and quality of life
- timing
- Post-treatment
- trial Id
- relationship Note
- Explicit domestic/intimate-partner violence exposure in the studied population; psychological intervention is within Language scope. See limitation and quality fields; no population-wide clinical recommendation is implied.
- measured Genes
- None recorded
- pathways
- None recorded
- source Access
- level
- full-text
- source URLs
https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=EXT_ID:34584851%20AND%20SRC:MED&format=json&resultType=core · https://api.crossref.org/works/10.1016%2Fj.invent.2021.100453 · https://pmc.ncbi.nlm.nih.gov/articles/PMC8452796/
- retrieved At
- 2026-10-30T07:15:55.705516+00:00
- outcomes
- name
- PTSD, IES-R
- follow Up
- Post-treatment
- result
- Favored treatment.
- effect Estimate
- d=.89; 95% CI .41–1.36
- uncertainty
- Confidence interval included when stated; otherwise not established from accessed source.
- primary Status
- Preliminary efficacy outcome; feasibility was the primary study aim.
- name
- Depression, BDI-II
- follow Up
- Post-treatment
- result
- Favored treatment.
- effect Estimate
- d=.86; 95% CI .22–1.50
- uncertainty
- Confidence interval included when stated; otherwise not established from accessed source.
- primary Status
- Preliminary efficacy outcome; feasibility was the primary study aim.
- name
- PDS, PHQ-9, anxiety and quality of life
- follow Up
- Post-treatment
- result
- No significant between-group differences.
- effect Estimate
- Not recorded
- uncertainty
- Confidence interval included when stated; otherwise not established from accessed source.
- primary Status
- Preliminary efficacy outcome; feasibility was the primary study aim.
- quality
- risk Of Bias
- Provisional appraisal; see limitations, attrition and masking. No formal risk-of-bias score assigned.
- attrition
- Six missed post-treatment (five intervention, one control); follow-up 42/64. Average five of eight modules completed.
- confounding
- Random allocation addresses baseline confounding if implemented; allocation concealment and analysis details remain source-dependent.
- adverse Findings
- Reliable post-treatment deterioration occurred: PTSD measure 1/26 intervention versus 3/30 control; depression measure 5/26 versus 7/30. These are symptom changes, not adjudicated treatment harms.
- transfer Limits
- Generalizability is limited to the stated population, setting and comparator.
- jadad
- not established
- masking Roles
- participants
- Not established from accessed source.
- providers
- Not established from accessed source.
- assessors
- Not established from accessed source.
- analysts
- Not established from accessed source.
- population
- relation
- direct
- population
- 63 women and one man with prior IPV and at least moderate mental-health problems; ongoing IPV was an exclusion.
- exposure Evidence
- 63 women and one man with prior IPV and at least moderate mental-health problems; ongoing IPV was an exclusion.
- rationale
- Explicit domestic/intimate-partner violence exposure in the studied population; psychological intervention is within Language scope.
- transfer Limit
- See limitation and quality fields; no population-wide clinical recommendation is implied.
- study Design Assessment
- category
- rct
- is Randomized Controlled Trial
- true
- basis
- Independent person used a random-number service for 1:1 allocation: 32 per arm.
- sources
https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=EXT_ID:34584851%20AND%20SRC:MED&format=json&resultType=core · https://api.crossref.org/works/10.1016%2Fj.invent.2021.100453 · https://pmc.ncbi.nlm.nih.gov/articles/PMC8452796/
- review Scope
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- randomized Controlled Trial
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- true
- blinding
- not-confirmed
- basis
- Independent person used a random-number service for 1:1 allocation: 32 per arm.
- sources
https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=EXT_ID:34584851%20AND%20SRC:MED&format=json&resultType=core · https://api.crossref.org/works/10.1016%2Fj.invent.2021.100453 · https://pmc.ncbi.nlm.nih.gov/articles/PMC8452796/
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- approved By
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- approved At
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- assessment
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https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=EXT_ID:34584851%20AND%20SRC:MED&format=json&resultType=core · https://api.crossref.org/works/10.1016%2Fj.invent.2021.100453 · https://pmc.ncbi.nlm.nih.gov/articles/PMC8452796/
- retrieved At
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- study Family Id
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- completed At
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- sources
https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=EXT_ID:34584851%20AND%20SRC:MED&format=json&resultType=core · https://api.crossref.org/works/10.1016%2Fj.invent.2021.100453 · https://pmc.ncbi.nlm.nih.gov/articles/PMC8452796/
- applied Proposals
- None recorded
- method
- AI editorial assessment of all 130 publication records: compare identity, headline finding, design, relevance and limitations with indexed abstracts or available primary material; adjudicate retained source-supported methods amendments. This is a source-limited publication audit, not an independent full-text systematic review or a clinical guideline.
- limitations
Abstract-only records do not establish allocation concealment, complete harms reporting or full risk of bias. · No formal independent RoB 2, GRADE appraisal or numerical reconstruction of every effect was performed. · Source-access labels describe retained appraisal evidence; fuller prior appraisals were checked through their source ledgers and selected material, not independently repeated in full. · Publication counts are not independent trial or participant counts; cohort links and overlapping review evidence remain provisional. · A randomized design cross does not indicate benefit, low risk of bias or human approval. No double-blind trial is verified in this release. · No professional clinical peer review is claimed. Recommended content is limited to accurately qualified research summaries.
- assessment Record
- id
- dv-adult-therapy-34584851
- title
- Individually tailored Internet-delivered cognitive-behavioral therapy for survivors of intimate partner violence: A randomized controlled pilot trial.
- authors
Andersson G · Olsson E · Ringsgård E · Sandgren T · Viklund I · Andersson C · Hesselman Y · Johansson R · Nordgren LB · Bohman B
- year
- 2021
- journal
- Internet interventions
- doi
- 10.1016/j.invent.2021.100453
- pmid
- 34584851
- trial Registration
- None recorded
- collection
- language
- intervention Family
- Individually tailored internet CBT with guided self-help.
- publication Type
- Primary intervention study
- study Family Id
- ICBT-IPV-64-2021
- family Linkage Uncertain
- false
- existing Repository Matches
- None recorded
- relevance
- relation
- direct
- population
- 63 women and one man with prior IPV and at least moderate mental-health problems; ongoing IPV was an exclusion.
- exposure Evidence
- 63 women and one man with prior IPV and at least moderate mental-health problems; ongoing IPV was an exclusion.
- rationale
- Explicit domestic/intimate-partner violence exposure in the studied population; psychological intervention is within Language scope.
- transfer Limit
- See limitation and quality fields; no population-wide clinical recommendation is implied.
- age
- groups
youth · adults · older-adults
- reported Range
- 23–72 years
- youth Scope
- included
- country
- Sweden
- setting
- Online self-help.
- sample Size
- randomized
- 64
- analyzed
- 64
- description
- 64 randomized and included in multilevel models; 58 completed post-treatment assessment and 42 follow-up.
- intervention
- description
- Individually tailored internet CBT with guided self-help.
- dose
- Eight weeks; symptom-focused modules.
- provider
- Not established from accessed source.
- comparator
- Waitlist with delayed treatment.
- outcomes
- name
- PTSD, IES-R
- follow Up
- Post-treatment
- result
- Favored treatment.
- effect Estimate
- d=.89; 95% CI .41–1.36
- uncertainty
- Confidence interval included when stated; otherwise not established from accessed source.
- primary Status
- Preliminary efficacy outcome; feasibility was the primary study aim.
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https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=EXT_ID:34584851%20AND%20SRC:MED&format=json&resultType=core · https://api.crossref.org/works/10.1016%2Fj.invent.2021.100453 · https://pmc.ncbi.nlm.nih.gov/articles/PMC8452796/
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research-article · Journal Article
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Full paper available; methods, outcomes, missingness and discussion examined. Formal risk-of-bias scoring and comprehensive correction audit remain incomplete. · Study-family label is retained separately from publication identity; this does not prove independence from every unpublished or secondary report.
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https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=EXT_ID:34584851%20AND%20SRC:MED&format=json&resultType=core · https://api.crossref.org/works/10.1016%2Fj.invent.2021.100453 · https://pmc.ncbi.nlm.nih.gov/articles/PMC8452796/
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Abstract-only records do not establish allocation concealment, complete harms reporting or full risk of bias. · No formal independent RoB 2, GRADE appraisal or numerical reconstruction of every effect was performed. · Source-access labels describe retained appraisal evidence; fuller prior appraisals were checked through their source ledgers and selected material, not independently repeated in full. · Publication counts are not independent trial or participant counts; cohort links and overlapping review evidence remain provisional. · A randomized design cross does not indicate benefit, low risk of bias or human approval. No double-blind trial is verified in this release. · No professional clinical peer review is claimed. Recommended content is limited to accurately qualified research summaries.
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https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=EXT_ID:34584851%20AND%20SRC:MED&format=json&resultType=core · https://api.crossref.org/works/10.1016%2Fj.invent.2021.100453 · https://pmc.ncbi.nlm.nih.gov/articles/PMC8452796/
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https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=EXT_ID:34584851%20AND%20SRC:MED&format=json&resultType=core · https://api.crossref.org/works/10.1016%2Fj.invent.2021.100453 · https://pmc.ncbi.nlm.nih.gov/articles/PMC8452796/
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https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=EXT_ID:34584851%20AND%20SRC:MED&format=json&resultType=core · https://api.crossref.org/works/10.1016%2Fj.invent.2021.100453 · https://pmc.ncbi.nlm.nih.gov/articles/PMC8452796/
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https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=EXT_ID:34584851%20AND%20SRC:MED&format=json&resultType=core · https://api.crossref.org/works/10.1016%2Fj.invent.2021.100453 · https://pmc.ncbi.nlm.nih.gov/articles/PMC8452796/
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