Large-Scale Health Promotion Stress Workshops for the General Public: A Controlled Evaluation

Brown, June; Cochrane, Raymond; Hancox, Teresa

doi:10.1017/s1352465800001053

Cited by 56 publications

(58 citation statements)

References 26 publications

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“…The 1‐day workshop format has been found to be clinically effective in two randomised controlled trials (RCTs). The first found that stress workshops resulted in significantly decreased anxiety scores at 3‐month follow‐up (Brown et al. , 2000), and the second found that self‐confidence workshops led to significantly lower depression scores (Brown et al.…”

Section: Introductionmentioning

confidence: 99%

“…One possible approach to addressing treatment barriers very relevant to EspieÕs (2009) stepped-care model is to deliver CBT-I in a day-long psycho-educational workshop format. This CBT format, aiming to reach large numbers of the general public at once, was originally developed by Brown et al (2000) for stress problems. To maximise accessibility, the workshops were run at the weekend in non-mental health settings, such as leisure centres, and members of the public could directly refer themselves to these workshops rather than relying on GP referral (Brown et al, 2000).…”

Section: Introductionmentioning

confidence: 99%

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The effectiveness of community day‐long CBT‐I workshops for participants with insomnia symptoms: a randomised controlled trial

Swift

Stewart

Andiappan

et al. 2011

Journal of Sleep Research

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Summary Insomnia is a very common and disabling symptom. Whilst evidence for the efficacy of cognitive behavioural therapy for people diagnosed with insomnia (CBT‐I) is strong, few people seek help and not many services offer CBT‐I. Less intensive adaptations of CBT‐I have been shown to be valuable, and given the size of the problem and low rates of help‐seeking, an accessible intervention with a large capacity is needed. Day‐long CBT‐I psycho‐educational workshops (each for up to 30 people), to which members of the public with insomnia symptoms could self‐refer, have been developed. This randomised controlled trial aimed to evaluate the effectiveness of these workshops. Baseline measures were taken from 151 participants, who were then randomised to experimental or waiting‐list control groups. Scores of the experimental group and the control group were compared 3 months after baseline. Random effects models found a significant interaction between time and group, indicating differences between the control and experimental groups on the Insomnia Severity Index (ISI). Post hoc analyses indicated that ISI scores decreased significantly in the experimental group, but not in the control group. Promising results were also found on corroborative sleep diary measures. Access to the workshops was good, with 50% of participants having never previously sought help for sleep difficulties from their GP. CBT‐I workshops proved to be both accessible and effective in reducing insomnia symptoms in the medium term. They may represent a feasible brief intervention with the potential to address unmet treatment needs of adults complaining of insomnia symptoms.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The effectiveness of community day‐long CBT‐I workshops for participants with insomnia symptoms: a randomised controlled trial

Swift

Stewart

Andiappan

et al. 2011

Journal of Sleep Research

Self Cite

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“…Brown et al . (2000) conclude that given the undoubted unmet need, there are two possible options that could help us to achieve the standards for improving access and choice in primary mental healthcare laid out in the National Service Framework for Mental Health (Department of Health 1999):…”

Section: Introductionmentioning

confidence: 99%

Improving patient access and choice: Assisted Bibliotherapy for mild to moderate stress/anxiety in primary care

Reeves¹,

Stace²

2005

Psychiatric Ment Health Nurs

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Current traditional methods of mental healthcare service delivery, based on 'specialists' providing 'outpatient appointments' for formal therapy, are often inappropriate for the needs of patients in primary care. The estimated numbers of adults with mental health problems are immense, and it is this, combined with Department of Health initiatives aimed at improving choice and access, which make it essential that new ways of delivering services are explored. This trial examines the use of an assisted self-help treatment package for mild to moderate stress/anxiety [Assisted Bibliotherapy (AB)] with an adult clinical population referred by their general practitioner. Assisted Bibliotherapy is a brief intervention (8 weeks), with limited therapist contact (20-min sessions). Non-parametric statistical testing of scores from the Zung Anxiety Scale and the Clinical Outcomes in Routine Evaluation (CORE) questionnaire indicated positive results. There was significant improvement at post-treatment, which was maintained at 3 month follow-up. The results from this trial and a previous trial of AB by Kupshik & Fisher in 1999, indicate that it is an effective treatment which could be used as part of a stepped care approach to managing and treating stress/anxiety in primary care.

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“…There are a few data, particularly economic data, on services and outcomes for youth mental health services in the UK, 10,39 which may be in part because of the rarity of this type of service model. Of the available published evaluations of youth mental health services in the UK, an evaluation of the Youthspace service for [16][17][18][19][20][21][22][23][24][25] year olds in Birmingham 40 found higher levels of engagement, attendance and acceptability. The results for youth advice services for 14-25 year olds 41 showed an improvement in mental health and related stressors, in particular housing, with associated cost savings.…”

Section: Introductionmentioning

confidence: 99%

The role of youth mental health services in the treatment of young people with serious mental illness: 2‐year outcomes and economic implications

Brimblecombe

Knapp

Murguia

et al. 2015

Early Intervention Psych

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Large-Scale Health Promotion Stress Workshops for the General Public: A Controlled Evaluation

Cited by 56 publications

References 26 publications

The effectiveness of community day‐long CBT‐I workshops for participants with insomnia symptoms: a randomised controlled trial

The effectiveness of community day‐long CBT‐I workshops for participants with insomnia symptoms: a randomised controlled trial

Improving patient access and choice: Assisted Bibliotherapy for mild to moderate stress/anxiety in primary care

The role of youth mental health services in the treatment of young people with serious mental illness: 2‐year outcomes and economic implications

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