- Title
- A systematic review and meta-analysis of written self-administered psychosocial interventions among adults with a physical illness
- Creator
- Lambert, Sylvie D.; Beatty, Lisa; McElduff, Patrick; Levesque, Janelle V.; Lawsin, Catalina; Jacobsen, Paul; Turner, Jane; Girgis, Araf
- Relation
- Patient Education and Counseling Vol. 100, Issue 12, p. 2200-2217
- Publisher Link
- http://dx.doi.org/10.1016/j.pec.2017.06.039
- Publisher
- Elsevier
- Resource Type
- journal article
- Date
- 2017
- Description
- 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.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.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.Findings showed that written self-administered interventions show promise across a number of outcomes.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.
- Subject
- self-help; anxiety; depression; chronic disease self-management; meta-analysis; knowledge translation
- Identifier
- http://hdl.handle.net/1959.13/1352673
- Identifier
- uon:30928
- Identifier
- ISSN:0738-3991
- Language
- eng
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