Trial reportThe British journal of general practice : the journal of the Royal College of General Practitioners2003
PHASE: a randomised, controlled trial of supervised self-help cognitive behavioural therapy in primary care.
Trial report in The British journal of general practice : the journal of the Royal College of General Practitioners, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 7 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed, 7 syntheses or guidelines pooled it, 84 citations in OpenAlex.
- Helping patients help themselves: A systematic review of self-management support strategies in primary health care practice.PloS one · 2019Pooled it
- Media-delivered cognitive behavioural therapy and behavioural therapy (self-help) for anxiety disorders in adults.The Cochrane database of systematic reviews · 2013Pooled it
- Influence of initial severity of depression on effectiveness of low intensity interventions: meta-analysis of individual patient data.BMJ (Clinical research ed.) · 2013Pooled it
- Counselling for mental health and psychosocial problems in primary care.The Cochrane database of systematic reviews · 2011Pooled it
- Researching the mental health needs of hard-to-reach groups: managing multiple sources of evidence.BMC health services research · 2009Pooled it
- On-site mental health workers delivering psychological therapy and psychosocial interventions to patients in primary care: effects on the professional practice of primary care providers.The Cochrane database of systematic reviews · 2009Pooled it
- Self-help books for depression: how can practitioners and patients make the right choice?The British journal of general practice : the journal of the Royal College of General Practitioners · 2005Pooled it
- Development and evaluation of culturally sensitive psychosocial interventions for under-served people in primary care.BMC psychiatry · 2014Trial
- Guided self-help cognitive behavioural therapy for depression in primary care: a randomised controlled trial.PloS one · 2013Trial
- An intervention to increase alcohol treatment engagement: a pilot trial.Journal of substance abuse treatment · 2012Trial
- Trial
- Design of the Coordinated Anxiety Learning and Management (CALM) study: innovations in collaborative care for anxiety disorders.General hospital psychiatryTrial
- A comparison of the effectiveness of cognitive behavioural interventions based on delivery features for elevated symptoms of depression in adolescents: A systematic review.Campbell systematic reviews · 2024Review
- Psychological interventions for anxiety in adult primary care patients: A review and recommendations for future research.Journal of anxiety disorders · 2018Review
- Cognitive Behavioral Therapy in Psychiatric Nursing in Japan.Nursing research and practice · 2015Review
- The role of self-help in the treatment of mild anxiety disorders in young people: an evidence-based review.Psychology research and behavior management · 2012Article
- Depression case management by practice nurses in primary care: an audit.Mental health in family medicine · 2008Article
- The organisation of the stress response, and its relevance to chiropractors: a commentary.Chiropractic & osteopathy · 2006Article
- Usage and longitudinal effectiveness of a Web-based self-help cognitive behavioral therapy program for panic disorder.Journal of medical Internet research · 2005Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCommon mental health problems account for up to 40% of all general practitioner (GP) consultations. Patients have limited access to evidence-based psychological therapies. Cognitive behavioural therapy self-help strategies offer one potential solution.
aimTo determine differences in clinical outcome, patient satisfaction and costs, between a cognitive behavioural-based self-help package facilitated by practice nurses compared to ordinary care by GPs for mild to moderate anxiety and depression. DESIGN OF STUDY: Randomised controlled trial.
settingSeventeen primary healthcare teams.
methodPatients presenting to their GP with mild to moderate anxiety and/or depression were recruited to the study and randomised to receive either a self-help intervention facilitated by practice nurses or ordinary care. The self-help intervention consisted of up to three appointments: two 1 week apart and a third 3 months later. There were no restrictions on ordinary care.
resultsIntention-to-treat analysis showed that patients treated with practice nurse-supported cognitive behavioural therapy self-help attained similar clinical outcomes for similar costs and were more satisfied than patients treated by GPs with ordinary care. On-treatment analysis showed patients receiving the facilitated cognitive behavioural therapy self-help were more likely to be below clinical threshold at 1 month compared to the ordinary care group (odds ratio [OR] = 3.65, 95% confidence interval [CI] = 1.87 to 4.37). This difference was less well marked at 3 months (OR = 1.36, 95% CI = 0.52 to 3.56).
conclusionFacilitated cognitive behavioural self-help may provide a short-term cost-effective clinical benefit for patients with mild to moderate anxiety and depression. This has the potential to help primary care provide a choice of effective psychological as well as pharmacological treatments for mental health problems.
Indexed as
Identifiers
14601351PMC1314708W251337398What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.