Evidence map›Paper›PMID 27377429›Full record

SynthesisScientific reports2016

The Efficacy and Cost-Effectiveness of Stepped Care Prevention and Treatment for Depressive and/or Anxiety Disorders: A Systematic Review and Meta-Analysis.

Fiona Yan-Yee Ho, Wing-Fai Yeung, Tommy Ho-Yee Ng, Christian S Chan

2 registry-linked trialsOpen access · goldAbstract readMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Scientific reports, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 80 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
80citing papers in PubMed, 8 pooled it
7.0field-weighted citation impact, top 3% of its field
1 · What the graph read from 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.

2 · The registry

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.

NCT05033210 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Prevention of Mental Health Problems Among Persons Without Personal Housing in the Context of the COVID-19 Epidemic: a Randomized Controlled Trial

TypeinterventionalSponsorANRS, Emerging Infectious DiseasesRan2022 to 2023Enrolled210ConditionsPsychological Distress, Quality of Life, Psychosocial InterventionArmsPsychological First Aid (PFA), Care as Usual (CAU), Doing What Matters in Times of Stress (DWM), Problem Management Plus (PM+)
NCT05395312 nacompletednot on this mapstarted 2022, after this paper: background citation

Evaluation of Blended Stepped-care Mental Well-being Intervention for Adults: A Randomized Controlled Trial

TypeinterventionalSponsorChinese University of Hong KongRan2022 to 2023Enrolled360ConditionsMental Well-being, Mental Health Issue, Mental Health Wellness 1ArmsOnline blended stepped-care mental well-being platform
3 · Its place in the literature

Who cites it

80 citing papers in PubMed, 8 syntheses or guidelines pooled it, 173 citations in OpenAlex.

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20 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 2 countries.

Fiona Yan-Yee HoDepartment of Psychology, The University of Hong Kong, Hong Kong.
Wing-Fai YeungSchool of Nursing, The Hong Kong Polytechnic University, Hong Kong.
Tommy Ho-Yee NgDepartment of Psychology, Temple University, United States.
Christian S ChanDepartment of Psychology, The University of Hong Kong, Hong Kong.
University of Hong Kong · HKHong Kong Polytechnic University · HKTemple University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Stepped care is an increasingly popular treatment model for common mental health disorders, given the large discrepancy between the demand and supply of healthcare service available. In this review, we aim to compare the efficacy and cost-effectiveness of stepped care prevention and treatment with care-as-usual (CAU) or waiting-list control for depressive and/or anxiety disorders. 5 databases were utilized from its earliest available records up until April 2015. 10 randomized controlled trials were included in this review, of which 6 examined stepped care prevention and 4 examined stepped care treatment, specifically including ones regarding depressive and/or anxiety disorders. Only trials with self-help as a treatment component were included. Results showed stepped care treatment revealed a significantly better performance than CAU in reducing anxiety symptoms, and the treatment response rate of anxiety disorders was significantly higher in stepped care treatment than in CAU. No significant difference was found between stepped care prevention/treatment and CAU in preventing anxiety and/or depressive disorders and improving depressive symptoms. In conclusion, stepped care model appeared to be better than CAU in treating anxiety disorders. The model has the potential to reduce the burden on existing resources in mental health and increase the reach and availability of service.

Indexed as

Cost-Benefit AnalysisAdultAgedAged, 80 and overAnxiety DisordersDelivery of Health CareDepressionFemaleHumansMaleMiddle AgedRandomized Controlled Trials as TopicTreatment OutcomeYoung Adult

Identifiers

PMID27377429
PMCPMC4932532
OpenAlexW2264241746

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.