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

Sylvie Lambert, Lisa Beatty, Patrick McElduff, Janelle Levesque, Catalina Lawsin, Paul Jacobsen, Jane Turner, Afaf Girgis

    Research output: Contribution to journalArticle

    6 Citations (Scopus)

    Abstract

    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.

    Original languageEnglish
    Pages (from-to)2200-2217
    Number of pages18
    JournalPatient Education and Counseling
    Volume100
    Issue number12
    DOIs
    Publication statusPublished - 2017

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