1. Adaptation and outcomes of a lay-guided mental health self-care model: Results of six trials.
- Author
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McCusker, Jane, Lambert, Sylvie, Yaffe, Mark, Schwartz, Hannah, Haggerty, Jeannie, Belzile, Eric, Pelland, Marie-Eve, Minotti, Simona C., and de Raad, Manon
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ANXIETY treatment , *EVALUATION of medical care , *CONFIDENCE intervals , *EFFECT sizes (Statistics) , *MENTAL health , *PSYCHOLOGY , *AUTODIDACTICISM , *COMPARATIVE studies , *CONCEPTUAL models , *MENTAL depression , *DESCRIPTIVE statistics , *PSYCHOLOGICAL adaptation , *HEALTH self-care - Abstract
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. 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. 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. 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). [ABSTRACT FROM AUTHOR]
- Published
- 2023
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