Adoración Castro1, Margalida Gili2, Ignacio Ricci-Cabello3, Miquel Roca2, Simon Gilbody4, Maria Ángeles Perez-Ara5, Andrea Seguí6, Dean McMillan4. 1. Institut Universitari d'Investigació en Ciències de la Salut (IUNICS), University of Balearic Islands, Palma de Mallorca, Spain; Institut d'Investigació Sanitaria Illes Balears (IdISBa), Mallorca, Spain. Electronic address: a.castro@uib.es. 2. Institut Universitari d'Investigació en Ciències de la Salut (IUNICS), University of Balearic Islands, Palma de Mallorca, Spain; Institut d'Investigació Sanitaria Illes Balears (IdISBa), Mallorca, Spain; Primary Care Prevention and Health Promotion Research Network, RedIAPP, Madrid, Spain. 3. Institut d'Investigació Sanitaria Illes Balears (IdISBa), Mallorca, Spain; Gerencia de Atención Primaria Mallorca, IB-Salut. Mallorca, Spain; Ciber de Epidemiologia y Salud Pública (CIBERESP), Madrid, Spain. 4. Department of Health Sciences, University of York, York, United Kingdom. 5. Institut Universitari d'Investigació en Ciències de la Salut (IUNICS), University of Balearic Islands, Palma de Mallorca, Spain; Institut d'Investigació Sanitaria Illes Balears (IdISBa), Mallorca, Spain. 6. Institut Universitari d'Investigació en Ciències de la Salut (IUNICS), University of Balearic Islands, Palma de Mallorca, Spain.
Abstract
BACKGROUND: The aim of this systematic review was to evaluate the effectiveness of telephone-administered psychotherapy for depression in adults when compared to control conditions or other active treatments, and to determine adherence to telephone-administered psychotherapy. METHODS: A bibliographic search was conducted in MEDLINE, Embase, PsycINFO, the Cochrane library, and a number of sources of grey literature. We included randomised controlled trials (RCTs) examining the impact of telephone-administered psychotherapy on depressive symptomatology. Two reviewers independently screened citations, extracted the relevant data, and assessed risk of bias using Cochrane tools. Random effects meta-analyses were used to determine the average effect of the interventions on depressive symptomatology: main analysis including randomised trials only, and several exploratory subgroup and sensitivity analyses. RESULTS: We identified ten trials. Telephone-administered psychotherapy showed beneficial effects on depression severity when compared to control conditions ((standardized mean difference [SMD]= -0.85 (95% CI -1.56 to -0.15)). When compared to active comparators, the meta-analysis showed a non-significant small effect size (SMD= -0.18 (95% CI -0.45 to 0.09)), in favour of telephone-administered psychotherapy. Total weighted mean adherence was 73%. LIMITATIONS: Some of the included studies presented a small sample size. Due to variations in time points follow-ups among the studies, it was not possible to determine long term post intervention effects. CONCLUSIONS: Available evidence suggests that telephone-delivered psychotherapy may be an effective strategy to reduce depression symptoms when compared to control conditions, and shows an adequate treatment adherence. Future research is needed to determine its cost-effectiveness and long-term effects.
BACKGROUND: The aim of this systematic review was to evaluate the effectiveness of telephone-administered psychotherapy for depression in adults when compared to control conditions or other active treatments, and to determine adherence to telephone-administered psychotherapy. METHODS: A bibliographic search was conducted in MEDLINE, Embase, PsycINFO, the Cochrane library, and a number of sources of grey literature. We included randomised controlled trials (RCTs) examining the impact of telephone-administered psychotherapy on depressive symptomatology. Two reviewers independently screened citations, extracted the relevant data, and assessed risk of bias using Cochrane tools. Random effects meta-analyses were used to determine the average effect of the interventions on depressive symptomatology: main analysis including randomised trials only, and several exploratory subgroup and sensitivity analyses. RESULTS: We identified ten trials. Telephone-administered psychotherapy showed beneficial effects on depression severity when compared to control conditions ((standardized mean difference [SMD]= -0.85 (95% CI -1.56 to -0.15)). When compared to active comparators, the meta-analysis showed a non-significant small effect size (SMD= -0.18 (95% CI -0.45 to 0.09)), in favour of telephone-administered psychotherapy. Total weighted mean adherence was 73%. LIMITATIONS: Some of the included studies presented a small sample size. Due to variations in time points follow-ups among the studies, it was not possible to determine long term post intervention effects. CONCLUSIONS: Available evidence suggests that telephone-delivered psychotherapy may be an effective strategy to reduce depression symptoms when compared to control conditions, and shows an adequate treatment adherence. Future research is needed to determine its cost-effectiveness and long-term effects.
Authors: Samantha L Connolly; Kelly L Stolzmann; Leonie Heyworth; Jennifer L Sullivan; Stephanie L Shimada; Kendra R Weaver; Jan A Lindsay; Mark S Bauer; Christopher J Miller Journal: Am Psychol Date: 2021-12-23
Authors: Annie Irvine; Paul Drew; Peter Bower; Helen Brooks; Judith Gellatly; Christopher J Armitage; Michael Barkham; Dean McMillan; Penny Bee Journal: J Affect Disord Date: 2020-01-15 Impact factor: 4.839
Authors: Capilla Navarro; Aina M Yáñez; Aurora Garcia; Andrea Seguí; Francisco Gazquez; Jose Antonio Marino; Olga Ibarra; Maria J Serrano-Ripoll; Rocio Gomez-Juanes; Miquel Bennasar-Veny; Joan Salva; Bárbara Oliván; Miquel Roca; Margalida Gili; Mauro Garcia-Toro Journal: Medicine (Baltimore) Date: 2020-11-06 Impact factor: 1.817