scholarly journals Effectiveness of Supported Self-Help in Recurrent Depression: A Randomized Controlled Trial in Primary Care

2017 ◽  
Vol 86 (4) ◽  
pp. 220-230 ◽  
Author(s):  
Karolien E.M. Biesheuvel-Leliefeld ◽  
Sandra M.A. Dijkstra-Kersten ◽  
Digna J.F. van Schaik ◽  
Harm W.J. van Marwijk ◽  
Filip Smit ◽  
...  
Keyword(s):  
Primary Care ◽  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Recurrent Depression ◽  
Randomized Controlled ◽  
Self Help

A randomized controlled trial of the use of self-help materials in addition to standard general practice treatment of depression compared to standard treatment alone

2005 ◽  
Vol 36 (3) ◽  
pp. 325-333 ◽  
Author(s):  
PAUL SALKOVSKIS ◽  
KATHARINE RIMES ◽  
DEBORAH STEPHENSON ◽  
GERALD SACKS ◽  
JAN SCOTT
Keyword(s):  
Primary Care ◽  
Randomized Controlled Trial ◽  
Social Adjustment ◽  
Standard Treatment ◽  
Controlled Trial ◽  
Control Group ◽  
Global Functioning ◽  
Randomized Controlled ◽  
Self Help ◽  
Treatment Of Depression

Background. The purpose of the study was to examine whether the addition of a brief individual self-help package to standard primary-care treatment of depression with antidepressants is associated with any additional improvements in clinical outcome.Method. Individuals with major depressive disorder who were prescribed an antidepressant were recruited through their general practitioner (GP) and allocated randomly to standard treatment alone or standard treatment plus self-help. Assessments of symptoms, social adjustment, global functioning, satisfaction with treatment and knowledge about the management of the disorder were completed at three time points over 26 weeks.Results. One hundred and twelve individuals agreed to participate and 96 met criteria for inclusion in the randomized controlled trial. Subjects in both treatment conditions improved substantially over the study period; the mean Beck Depression Inventory (BDI) score fell from 27·3 to 13·9 in the intention-to-treat analysis. There were no between group differences in outcome on any of the primary outcome measures, nor did these approach even marginal significance. Patients and GPs were highly satisfied with the self-help programme, and the intervention as compared to the control group reported significantly greater improvements in knowledge about depression and satisfaction with information received about depression.Conclusions. An individualized self-help package improved perceived knowledge about depression but did not have identifiable effects on outcome when offered to patients treated in primary care. The study was sufficiently well powered to detect relatively small effects.

Effect of Health Lifestyle Pattern on Dietary Change

2001 ◽  
Vol 16 (1) ◽  
pp. 27-33 ◽  
Author(s):  
Peggy O'Halloran ◽  
DeAnn Lazovich ◽  
Ruth E. Patterson ◽  
Lisa Harnack ◽  
Simone French ◽  
...  
Keyword(s):  
Primary Care ◽  
Randomized Controlled Trial ◽  
Alcohol Intake ◽  
Controlled Trial ◽  
Health Maintenance ◽  
Health Lifestyle ◽  
Randomized Controlled ◽  
Self Help ◽  
Lifestyle Pattern ◽  
Lifestyle Patterns

Purpose. To examine the effect of lifestyle on the effectiveness of a low-intensity dietary intervention. Design. A secondary data analysis was performed using data from the Eating Patterns Study, a randomized controlled trial that found that self-help materials with physician advice was effective in changing dietary intake and behavior. Setting. Primary care clinics in a large health maintenance organization. Subjects. A total of 2111 patients with a routine scheduled appointment with their primary care physicians. Measures. Participants were grouped into one of six health lifestyle patterns based on similarities in baseline measures of alcohol intake, smoking, diet quality, and exercise. Within each lifestyle pattern, changes from baseline in usual fat and fiber intake (based on a food frequency) and a fat and fiber behavior score were compared at 3 months and 12 months for intervention vs. control participants. Intervention. Self-help materials delivered by a physician with advice to change diet. Results. Intervention participants in the fitness lifestyle group made the largest changes relative to controls for each dietary outcome at 3 and 12 months. For intervention participants defined by their alcohol intake or current smoking, either no changes in diet were observed compared with controls, or early changes were not sustained over time. Intervention-control comparisons within the remaining lifestyle patterns showed smaller dietary changes compared with the fitness lifestyle. This finding was similar to previously published results. Conclusions. This randomized controlled trial had limited power to detect subgroup differences; however, these results suggest that lifestyle patterns may be useful in the development of effective, targeted interventions to change behavior.

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