Empowering Adults in Recovery from Depression: A Community-Based Self-Management Group Program

Houle, Janie; Gauvin, Geoffrey; Collard, Bruno; Meunier, Sophie; Frasure-Smith, Nancy; Lespérance, François; Villaggi, Benjamin; Roberge, Pasquale; Provencher, Martin D.; Lambert, Jean

doi:10.7870/cjcmh-2016-033

Cited by 5 publications

(13 citation statements)

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“…The sample size was calculated using G*Power with the BAI based on an estimated effect size of the SMS + TAU intervention (Cohen’s d ) of 0.32 (0.56 intra-group). This corresponds to a 7-point difference based on previous studies [ 51 ] that have established clinically significant change thresholds for the BAI [ 69 ]; such an effect size at post-treatment for symptom reduction is consistent with previous SMS studies for mental disorders [ 25 , 35 , 37 , 38 ] as well as with pilot data of SMS (conservative estimates). The 3-point difference and SD for the TAU only group are conservative values based on our current data in a similar study with a TAU group [ 70 ].…”

Section: Methodssupporting

confidence: 87%

A pragmatic randomized controlled trial of a group self-management support program versus treatment-as-usual for anxiety disorders: study protocol

et al. 2022

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Background The integration of a personal recovery-oriented practice in mental health services is an emerging principle in policy planning. Self-management support (SMS) is an intervention promoting recovery that aims at educating patients on the nature of their mental disorder, improving their strategies to manage their day-to-day symptoms, fostering self-efficacy and empowerment, preventing relapse, and promoting well-being. While SMS is well established for chronic physical conditions, there is a lack of evidence to support the implementation of structured SMS programs for common mental disorders, and particularly for anxiety disorders. This study aims to examine the effectiveness of a group-based self-management support program for anxiety disorders as an add-on to treatment-as-usual in community-based care settings. Methods/design We will conduct a multicentre pragmatic randomized controlled trial with a pre-treatment, post-treatment (4-month post-randomization), and follow-ups at 8, 12 and 24-months. Treatment and control groups a) group self-management support (10 weekly 2.5-h group web-based sessions with 10–15 patients with two trained facilitators); b) treatment-as-usual. Participants will include adults meeting DSM-5 criteria for Panic Disorder, Agoraphobia, Social Anxiety Disorder, and/or Generalized Anxiety Disorder. The primary outcome measure will be the Beck Anxiety Inventory; secondary outcome measures will comprise self-reported instruments for anxiety and depressive symptoms, recovery, self-management, quality of life, and service utilisation. Statistical analysis Data will be analysed based on intention-to-treat with a mixed effects regression model accounting for between and within-subject variations in the effects of the intervention. Discussion This study will contribute to the limited knowledge base regarding the effectiveness of structured group self-management support for anxiety disorders. It is expected that changes in patients’ self-management behaviour will lead to better anxiety management and, consequently, to improved patient outcomes. Trial registration ClinicalTrials.gov: NCT05124639. Prospectively registered 18 November 2021.

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Section: Methodssupporting

confidence: 87%

A pragmatic randomized controlled trial of a group self-management support program versus treatment-as-usual for anxiety disorders: study protocol

et al. 2022

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“…2012); self‐management skills (Houle et al . 2016; Nicolaidis et al . 2013) and social functioning (Aisenberg et al .…”

Section: Resultsmentioning

confidence: 99%

“…Person-centred care has been characterized as an individualized intervention extending beyond psychotherapies in holistically meeting the PMDDs' unique needs (Gibbons et al 2019). Based on the literature, these included biological needs (physical health), psychological needs (self-management) and social health needs (interpersonal and social support), which could be fulfilled by integrating evidence-based psychotherapies through a collaborative or multidomain approach (Chang et al 2018;Cooper et al 2013;Houle et al 2016;Jahoda et al 2018;Lerner et al 2020;Nicolaidis et al 2013;Roh et al 2020;Rojas et al 2018;Yeung et al 2010). Accordingly, rather than addressing MDD in isolation, the above approaches aimed to jointly improve the PMDDs' overall health and QoL and manage their MDD (Roh et al 2020).…”

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confidence: 99%

“…One noteworthy feature of the multi-domain CMHIs in several studies was the empowerment of PMDD with selfmanagement skills to spur lifestyle modification in managing their physical health (Crits-Christoph et al 2020;Dobkin et al 2018;Houle et al 2016;Jahoda et al 2018;Ly et al 2014;Nicolaidis et al 2013). The concept of self-management deviated from the traditional medical model (characterized by constant guidance from a healthcare professional), by shifting the responsibility to the patient (Houle et al 2016). It considered the needs, preferences and health beliefs of the PMDD as cardinal elements.…”

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confidence: 99%

“…It considered the needs, preferences and health beliefs of the PMDD as cardinal elements. Despite their differing components, self-management skills revolved around setting personal recovery goals, self-managing depressive symptoms, self-reviewing lifestyle choices, self-coping with workplace challenges and seeking suitable social support (Houle et al 2016;Jahoda et al 2018;Ly et al 2014). Amongst the studies, self-management CMHIs were either delivered via workshops (using psychoeducation) and individualized manuals as stand-alone interventions (with minimal support from healthcare personnel) or incorporated into psychotherapy such as behavioural activation and cognitive behavioural therapy (CBT) (Crits-Christoph et al 2020;Houle et al 2016;Jahoda et al 2018).…”

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confidence: 99%

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Community mental health interventions for people with major depressive disorder: A scoping review

Tan

Goh

2022

Int J Mental Health Nurs

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People with major depressive disorder continue to be marred by chronically pernicious yet preventable outcomes in the biopsychosocial aspects. With the reallocation of healthcare resources towards the fight against the coronavirus 2019 pandemic, much emphasis has been placed on existing community mental health interventions to ameliorate the disruption of mental health services. Moreover, the recent propulsion of community mental health services by the World Health Organization Mental Health Action Plan 2013-2030 ignited the need to bolster existing community interventions by providing comprehensive, responsive and integrated mental healthcare. The enhanced emphasis on mental healthcare in the community and the heightened demands of people with major depressive disorder underscores the need to explore the current state of community mental health interventions. This scoping review examined 51 primary studies published from year 2010 to 2020 using Arskey & O 0 Malley's five-stage framework and provided an overview of the impact of existing community mental health interventions for people with major depressive disorder. Findings using thematic analysis have recommended the adoption of person-centred community mental healthcare via the biopsychosocial approach for people with major depressive disorder. Enablers of community mental health interventions were driven by culturally appropriate care and augmented by technology-driven modalities. Challenges and gaps of community mental health interventions include the perpetuation of stigma and misconception, complex demands of persons with major depressive disorder and lack of holistic and long-term outcomes. Given the impact of major depressive disorder on the various biopsychosocial aspects, it is envisioned that our insights into the enablers and barriers of community mental health interventions will guide prospective interdisciplinary and nurse-led interventions in holistically improving the care of persons with major depressive disorder in the community settings.

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Addressing Individualisation in Depression: Towards a Socially Informed Empowerment

Orphanidou

Kadianaki

2021

Depression Conceptualization and Treatment

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Empowering Adults in Recovery from Depression: A Community-Based Self-Management Group Program

Cited by 5 publications

References 24 publications

A pragmatic randomized controlled trial of a group self-management support program versus treatment-as-usual for anxiety disorders: study protocol

A pragmatic randomized controlled trial of a group self-management support program versus treatment-as-usual for anxiety disorders: study protocol

Community mental health interventions for people with major depressive disorder: A scoping review

Addressing Individualisation in Depression: Towards a Socially Informed Empowerment

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