Do distance-delivery group interventions improve depression in people with epilepsy?

Hum, Kathryn M.; Chan, Cindy J.; Gane, Jonathan; Conway, Lauryn; McAndrews, Mary Pat; Smith, Mary Lou

doi:10.1016/j.yebeh.2019.06.037

Cited by 14 publications

(24 citation statements)

References 21 publications

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“…Typical active controls were in-person interventions, unguided interventions, and one-on-one interventions. In all, 3 RCTs used both inactive and active control groups [ 48 , 50 , 54 ].…”

Section: Resultsmentioning

confidence: 99%

“…The specific measures used to examine changes in mental health across this review are described in Table 1 . Most of the interventions sought to improve mental health among adults with a specific physical health condition, including cancer or tumors [ 51 , 59 , 63 , 64 ], HIV or AIDS [ 47 - 49 ], epilepsy [ 50 , 55 , 56 ], multiple sclerosis (MS) [ 44 , 45 ], bulimia [ 62 ], and chronic fatigue [ 46 ]. Several sought to improve mental health among nonprofessional caregivers [ 52 , 53 , 58 , 60 , 61 ].…”

Section: Resultsmentioning

confidence: 99%

“…Studies that examined people living with HIV or AIDS used self-reported diagnosis [ 47 - 49 ]. Adults with epilepsy were required to have been diagnosed with the condition for at least one year [ 50 , 55 ], or at least 3 months should have elapsed after the diagnosis at the time of recruitment [ 56 ]. Adults with MS were included if they had a diagnosis of primary or secondary progressive MS [ 44 ] or a diagnosis of relapsing–remitting or secondary progressive MS, as determined by a neurologist [ 45 ].…”

Section: Resultsmentioning

confidence: 99%

“…Of the 20 group eHealth interventions, 6 (30%) delivered CBT [ 46 , 54 , 57 , 58 , 60 , 62 ], 1 (5%) was a mindfulness program tested across 2 RCTs [ 45 , 63 ], 4 (20%) used a combination of mindfulness and CBT [ 44 , 50 , 55 , 56 ], 2 (10%) were defined as resilience-based programs [ 53 , 59 , 64 ], and 6 (30%) were support groups led by a health professional [ 47 - 49 , 51 , 52 , 61 ].…”

Section: Resultsmentioning

confidence: 99%

“…In all, 38% (8/21) of RCTs examined interventions delivered by videoconference [ 44 , 45 , 52 , 53 , 59 , 60 , 63 , 64 ], 43% (9/21) by teleconference [ 46 - 50 , 55 , 56 , 58 , 61 ], and 19% (4/21) by live, synchronous chat room [ 51 , 54 , 57 , 62 ]. Of the 20 interventions, 95% (n=19) were fully delivered by facilitators with professional training related to the intervention (the facilitators were typically mental health or allied health professionals).…”

Section: Resultsmentioning

confidence: 99%

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Effectiveness of Live Health Professional–Led Group eHealth Interventions for Adult Mental Health: Systematic Review of Randomized Controlled Trials

Currie¹,

Larouche²,

Voss³

et al. 2022

J Med Internet Res

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Background The COVID-19 pandemic has had adverse impacts on mental health and substance use worldwide. Systematic reviews suggest eHealth interventions can be effective at addressing these problems. However, strong positive eHealth outcomes are often tied to the intensity of web-based therapist guidance, which has time and cost implications that can make the population scale-up of more effective interventions difficult. A way to offset cost while maintaining the intensity of therapist guidance is to offer eHealth programs to groups rather than more standard one-on-one formats. Objective This systematic review aims to assess experimental evidence for the effectiveness of live health professional–led group eHealth interventions on mental health, substance use, or bereavement among community-dwelling adults. Within the articles selected for our primary aim, we also seek to examine the impact of interventions that encourage physical activity compared with those that do not. Methods Overall, 4 databases (MEDLINE, CINAHL, PsycINFO, and the Cochrane Library) were searched in July 2020. Eligible studies were randomized controlled trials (RCTs) of eHealth interventions led by health professionals and delivered entirely to adult groups by videoconference, teleconference, or webchat. Eligible studies reported mental health, substance use, or bereavement as primary outcomes. The results were examined by outcome, eHealth platform, and intervention length. Postintervention data were used to calculate effect size by study. The findings were summarized using the Synthesis Without Meta-Analysis guidelines. Risk of bias was assessed using the Cochrane Collaboration Tool. Results Of the 4099 identified studies, 21 (0.51%) RCTs representing 20 interventions met the inclusion criteria. These studies examined mental health outcomes among 2438 participants (sample size range: 47-361 participants per study) across 7 countries. When effect sizes were pooled, live health professional–led group eHealth interventions had a medium effect on reducing anxiety compared with inactive (Cohen d=0.57) or active control (Cohen d=0.48), a medium to small effect on reducing depression compared with inactive (Cohen d=0.61) or active control (Cohen d=0.21), and mixed effects on mental distress and coping. Interventions led by videoconference, and those that provided 8-12 hours of live health professional–led group contact had more robust effects on adult mental health. Risk of bias was high in 91% (19/21) of the studies. Heterogeneity across interventions was significant, resulting in low to very low quality of evidence. No eligible RCT was found that examined substance use, bereavement, or physical activity. Conclusions Live eHealth group interventions led by health professionals can foster moderate improvements in anxiety and moderate to small improvements in depression among community-based adults, particularly those delivered by videoconference and those providing 8-12 hours of synchronous engagement. Trial Registration PROSPERO CRD42020187551; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=187551 International Registered Report Identifier (IRRID) RR2-10.1186/s13643-020-01479-3

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“…Typical active controls were in-person interventions, unguided interventions, and one-on-one interventions. In all, 3 RCTs used both inactive and active control groups [ 48 , 50 , 54 ].…”

Section: Resultsmentioning

confidence: 99%