TY - JOUR
T1 - A systematic review and meta-analysis of written self-administered psychosocial interventions among adults with a physical illness
AU - Lambert, Sylvie
AU - Beatty, Lisa
AU - McElduff, Patrick
AU - Levesque, Janelle
AU - Lawsin, Catalina
AU - Jacobsen, Paul
AU - Turner, Jane
AU - Girgis, Afaf
PY - 2017/12
Y1 - 2017/12
N2 - 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.
AB - 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.
KW - Anxiety
KW - Chronic disease self-management
KW - Depression
KW - Knowledge translation
KW - Meta-analysis
KW - Self-help
UR - http://www.scopus.com/inward/record.url?scp=85025451973&partnerID=8YFLogxK
U2 - 10.1016/j.pec.2017.06.039
DO - 10.1016/j.pec.2017.06.039
M3 - Review article
VL - 100
SP - 2200
EP - 2217
JO - Patient Education and Counseling
JF - Patient Education and Counseling
SN - 0738-3991
IS - 12
ER -