A community-based pilot randomised controlled study of life skills classes for individuals with low mood and depression

Mcclay, C.-A. et al. (2015) A community-based pilot randomised controlled study of life skills classes for individuals with low mood and depression. BMC Psychiatry, 15, 17. (doi:10.1186/s12888-015-0384-2) (PMID:25884922) (PMCID:PMC4331464)

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Abstract

Background: Cognitive behavioural therapy (CBT) is recommended for the treatment of depression and anxiety. However, access is limited. Low-intensity approaches such as guided CBT self-help (bibliotherapy) can increase access to treatment and is recommended by UK guidelines. No previous research has explored the provision of group-based guidance/support for a bibliotherapy approach for depression and anxiety in community settings. The objective was to carry out a pilot study of a group guided self-help intervention, using community based recruitment methods. Method: A randomised controlled trial comparing an 8 week CBT group guided self-help intervention to usual care. Recruitment and the delivery of the intervention were carried out in Glasgow and Derry/Londonderry in partnership with national depression charities. Fifty-three people were randomised, however we refer only to the forty-six participants who provided baseline data: 16 males and 30 females, aged 16 or over, with a PHQ-9 score of ≥ 5, were recruited from the community. The mean age of the sample was 43.7 (sd = 13) and 93.5% of participants had suffered from low mood for a year or more. Results: There was effective recruitment, randomisation, uptake and adherence with 21 Immediate Access (IA) and 25 Delayed Access Control (DAC) participants. The intervention was highly acceptable to participants attending on average 4.46 of the 8 sessions (sd 3.06), 65.2% attended more than half of all sessions. The mean satisfaction on the Client Satisfaction Questionnaire was 28 out of 32 (sd 4.8). The provisional results in the pilot suggest the intervention may improve both anxiety and depression. At three months, data collection was achieved from 74% of participants. The trial successfully provided estimates of the sample size needed for the future planned trial. Conclusions: Low-intensity group-based classes may offer an alternative method of managing depression and anxiety and warrant further research.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:McConnachie, Dr Alex and Williams, Professor Christopher and Matthews, Dr Lynsay and Mcclay, Miss Carrie-Anne and Haig, Dr Caroline and Morrison, Professor Jillian
Authors: Mcclay, C.-A., Collins, K., Matthews, L., Haig, C., McConnachie, A., Morrison, J., Lynch, P., Waters, L., Day, I., McAnee, G., and Williams, C.
College/School:College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > General Practice and Primary Care
College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > MRC/CSO Unit
College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > Mental Health and Wellbeing
College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > Robertson Centre
Journal Name:BMC Psychiatry
Publisher:BioMed Central
ISSN:1471-244X
ISSN (Online):1471-244X
Copyright Holders:Copyright © 2015 The Authors
First Published:First published in BMC Psychiatry 15:17
Publisher Policy:Reproduced under a Creative Commons License

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