A systematic review and meta-analysis of written self-administered psychosocial interventions among adults with a physical illness

PATIENT EDUCATION AND COUNSELING

卷:100

Review

Lambert, Sylvie D.^1,2,8  Beatty, Lisa³  McElduff, Patrick⁴  Levesque, Janelle V.²  Lawsin, Catalina⁵  Jacobsen, Paul⁶  Turner, Jane⁷  Girgis, Afaf² 

[1] McGill Univ, Ingram Sch Nursing, Wilson Hall,3506 Univ St, Montreal, PQ H3A 2A7, Canada

[2] Univ New South Wales, UNSW Sydney, South Western Sydney Clin Sch, Psychooncol Res Grp,Ingham Inst Appl Med Res, Liverpool, Merseyside, England

[3] Flinders Univ S Australia, Sch Psychol, Adelaide, SA, Australia

[4] Univ Newcastle, Sch Med & Publ Hlth, HMRI Bldg,John Hunter Hosp Campus, New Lambton Hts, NSW, Australia

[5] Univ Sydney, Sch Psychol, Sydney, NSW, Australia

[6] H Lee Moffitt Canc Ctr & Res Inst, Div Populat Sci, Tampa, FL USA

[7] Univ Queensland, Mental Hlth Ctr, Herston, Qld, Australia

[8] St Marys Res Ctr, Montreal, PQ, Canada

关键词: Self-help;    Anxiety;    Depression;    Chronic disease self-management;    Meta-analysis;    Knowledge translation;   

DOI  :  10.1016/j.pec.2017.06.039

来源: Elsevier

【 摘 要 】

Objective: The cost of implementing professionally-led psychosocial interventions has limited their integration into routine care. To enhance the translation of effective psychosocial interventions in routine care, a self-administered format is sometimes used. The meta-analysis examined the efficacy of written self-administered, psychosocial interventions to improve outcomes among individuals with a physical illness. Methods: Studies comparing a written self-administered intervention to a control group were identified through electronic databases searching. Pooled effect sizes were calculated across follow-up time points using random-effects models. Studies were also categorised according to three levels of guidance (self-administered, minimal contact, or guided) to examine the effect of this variable on outcomes. Results: Forty manuscripts were retained for the descriptive review and 28 for the meta-analysis. Findings were significant for anxiety, depression, distress, and self-efficacy. Results were not significant for quality of life and related domains as well as coping. Purely self-administered interventions were efficacious for depression, distress, and self-efficacy; only guided interventions had an impact on anxiety. Conclusions: Findings showed that written self-administered interventions show promise across a number of outcomes. Practice implications: Self-administered interventions are a potentially efficacious and cost-effective approach to address some of the most common needs of patients with a physical illness. (C) 2017 Elsevier B.V. All rights reserved.

【 授权许可】

Free