Adaptation and outcomes of a lay-guided mental health self-care model: Results of six trials.
Gen Hosp Psychiatry
; 85: 63-70, 2023.
Article
in En
| MEDLINE
| ID: mdl-37820547
ABSTRACT
OBJECTIVE:
To synthesize results of six controlled trials of self-care interventions for depression and/or anxiety, focusing on five trials in which lay guidance was compared to self-directed use of the same self-care tools.METHODS:
The trials were conducted in Canada in different target populations. Self-care tools were adapted to each population. Guidance was provided in 3-15 calls over a period of 6-26 weeks. Depression and/or anxiety were assessed at follow-up (6-26 weeks). Pooled analyses used a meta-analytic approach. Engagement with the self-care tools was compared using the standardized difference or Cohen's d effect size.RESULTS:
In studies with homogeneous outcomes (three for depression, four for anxiety), the pooled effect sizes of guidance vs. self-directed use of the self-care tools were 0.36 (95% CI 0.10, 0.62, N = 235) for depression and 0.21 (95% CI -0.03, 0.44, N = 285) for anxiety. Guidance consistently led to greater engagement with the tools.CONCLUSIONS:
The intervention model is a potentially sustainable and accessible alternative to professionally guided self-care for people with mild-moderate depression. Factors which may have limited implementation success include co-interventions, reduced number of guide calls (3 vs 6 or more), and delivery to dyads (patient-caregiver).Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Mental Health
/
Depression
Type of study:
Prognostic_studies
Limits:
Humans
Language:
En
Journal:
Gen Hosp Psychiatry
Year:
2023
Document type:
Article