Examining the description of the concept “treatment as usual” for patients with depression, anxiety and stress-related mental disorders in primary health care research – A systematic review

Petersson, E-L; Emmanuel, Forsén; Björkelund, Cecilia; Hammarbäck, L; Hessman, Eva; Weineland, S; Svenningsson, Irene

doi:10.1016/j.jad.2023.01.076

Cited by 7 publications

(6 citation statements)

References 48 publications

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“…The knowledge obtained in this research may become a challenge to further expand the types of treatments for mothers experiencing mental disorders. Integrating mothers' perspectives and experiences with perinatal mental health disorders and issues into the development of services may help handle the challenges of treatment (Petersson et al, 2023). Experiences that women have gone through may show their resilience.…”

Section: Discussionmentioning

confidence: 99%

Interprofessional collaboration on mothers with perinatal mental health problems and disorders: A scoping review

Pragastiwi,

Pratiwi

2023

jika

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Perinatal mental health problem and disorder often occurs in women during pregnancy and two year postpartum. Types of perinatal mental health problems and disordes include perinatal depression, post-traumatic stress disorder, postpartum psychosis, postpartum blues, and postpartum depression. Treatment and care for mothers with perinatal mental health problems need to be well-coordinated by skilled interprofessional teams that work collaboratively. This study aims to mapping out scientific evidence based on published articles on interprofessional collaboration among mothers with perinatal mental health issues and disorders. This study used PRISMA-ScR with the PEO framework, three databases, and one grey literature. Articles were selected through Prisma Flowchart and Critical Appraisal using Joanna Briggs Institute (JBI) and Mixed Method Appraisal Tool (MMAT). The literature search identified 10 out of 2441 articles, data charting was carried out on the ten selected articles to insert several points such as the aim of the research, authors, methodology, location, number of articles, and results of the research. Research which focus on interprofessional collaboration in managing perinatal mental health problems is very limited. The authors suggest future studies undergo a more comprehensive assessment and continued with integrated management of perinatal mental health problems and disorders. Collaborative practice skills are crucial in the future to support perinatal women who suffer from psychosocial pressures.

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Section: Discussionmentioning

confidence: 99%

Interprofessional collaboration on mothers with perinatal mental health problems and disorders: A scoping review

Pragastiwi,

Pratiwi

2023

jika

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“…Usual care commonly involves meetings with a physician, and decisions on treatments and sick leave are based on individual assessment and evidence-based guidelines. This process differs somewhat for the different conditions within the CMD spectrum but often include advice on self-care, medication, CBT and meetings with a physiotherapist, rehab coordinator, occupational therapist or group treatments [ 30 , 31 ]. For participants in the intervention group, phone support from HCPs were offered on top of usual care during a period of 6 months, as well as unlimited access to a web-based platform.…”

Section: Methodsmentioning

confidence: 99%

A lowered threshold to partnerships: a mixed methods process evaluation of participants’ experiences of a person-centred eHealth intervention

Cederberg,

Barenfeld,

Ali

et al. 2023

BMC Health Serv Res

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Background In order to understand pathways of complex interventions, the Medical Research Council has suggested that process evaluations should be conducted alongside randomised controlled trials (RCTs). This paper presents a mixed methods process evaluation of a complex, person-centred eHealth intervention for persons on sick leave with common mental disorders. Aim The aim of the study was to explore participants’ experiences of a person-centred eHealth intervention and illuminate meaningful activities and processes. Methods Participants were recruited from the intervention arm of an RCT (n = 102). Questionnaires on perceived meaningfulness of the overall intervention and intervention activities were sent to participants on two occasions, after 3 and 6 months, and semi-structured interviews were conducted with a purposeful sample of 15 participants in the intervention group. Questionnaire data were analysed using descriptive statistics, and interview data were analysed using qualitative content analysis. The quantitative and qualitative data strands were integrated at interpretation. Results At both follow-ups, a majority of participants reported that the intervention was fully or partly meaningful and that the most meaningful activity was the phone calls with health care professionals working in the intervention. In the qualitative analysis, three categories describing participants’ experiences of the intervention were formed: Acknowledgment in a disconcerting situation, Finding ways forward and Unmet expectations. A synthesis of quantitative and qualitative findings resulted in the overarching theme of meaningfulness as constituted by a lowered threshold to partnerships: support within reach, when needed. Conclusion Experiences of meaningfulness of the intervention were constituted by a lowered threshold to forming care partnerships, in which support was within reach, when needed. If the content of the intervention was not in accordance with individuals’ needs or expectations, access alone did not suffice to constitute meaningfulness. Trial registration ClinicalTrials.gov; NCT03404583; 19/01/2018.

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“…However, treatment can vary between physicians as clinical guidelines (concerning detection, diagnosis, and treatment) only provide recommendations. Interventions for these patients can include medication in combination with conversational therapy (psychoeducation) and support (high accessibility and continuity, early next appointment, guided self-help) [ 38 ]. Treatment can also include contact with an occupational therapist, rehabilitation coordinator, or physiotherapist and group sessions targeting specific symptoms or problems depending on available services at each primary health care centre.…”

Section: Methodsmentioning

confidence: 99%

Effectiveness of a person-centred eHealth intervention in reducing symptoms of burnout in patients with common mental disorders – secondary outcome analysis of a randomized controlled trial

Alsén,

Hadžibajramović,

Jonsdottir

et al. 2023

BMC Prim. Care

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Background The number of people with common mental disorders (CMDs), especially stress-related disorders, has increased in several countries, including Sweden, during the past decade. Patients seeking care for long-term stress report severe symptoms. Although person-centred care (PCC) has shown several benefits, studies evaluating the effects of a PCC eHealth intervention on patients with CMDs are scarce. Objective The aim of this study was to compare levels of self-reported symptoms of burnout between a control group receiving treatment as usual (TAU) and an intervention group receiving TAU with the addition of a person-centred eHealth intervention, in patients on sick leave for CMDs. Methods This study reports analysis of a secondary outcome measure from a randomized controlled trial. Patients (n = 209) on sick leave for CMDs were recruited from nine primary health care centres and allocated to either a control group (n = 107) or an intervention group (n = 102). The intervention consisted of phone support and an interactive digital platform built on PCC principles. Self-reported symptoms of burnout were assessed using the Shirom-Melamed Burnout Questionnaire (SMBQ) at baseline and at 3 and 6 months. Results Our findings showed changes in SMBQ scores over time in both the control and the intervention group. There was no significant difference in SMBQ scores between the groups; however, a difference in change over time between the groups was observed. The SMBQ scores decreased significantly more in the intervention group than in the controls between 0 and 3 months and between 0 and 6 months. No differences in change between the two groups were seen between the 3- and 6-month follow-ups. Conclusion This person-centred eHealth intervention for patients on sick leave for CMDs showed a slight initial effect in reducing symptoms of burnout. Taking into account that both groups reported comparable SMBQ scores throughout the study period, the overall effect may be considered limited. Trial registration : The trial was registered in ClinicalTrials.gov (Identifier NCT03404583). Date of registration: 19/01/2018. https://clinicaltrials.gov/ct2/show/NCT03404583.

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Examining the description of the concept “treatment as usual” for patients with depression, anxiety and stress-related mental disorders in primary health care research – A systematic review

Cited by 7 publications

References 48 publications

Interprofessional collaboration on mothers with perinatal mental health problems and disorders: A scoping review

Interprofessional collaboration on mothers with perinatal mental health problems and disorders: A scoping review

A lowered threshold to partnerships: a mixed methods process evaluation of participants’ experiences of a person-centred eHealth intervention

Effectiveness of a person-centred eHealth intervention in reducing symptoms of burnout in patients with common mental disorders – secondary outcome analysis of a randomized controlled trial

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