Evidence map›Paper›PMID 36997215›Full record

SynthesisThe British journal of general practice : the journal of the Royal College of General Practitioners2023

Non-pharmaceutical primary care interventions to improve mental health in deprived populations: a systematic review.

Louise M Tanner, Josephine M Wildman, Akvile Stoniute, Madeleine Still, Kate Bernard, Rhiannon Green, Claire H Eastaugh, Katie H Thomson, Sarah Sowden

Abstract readSystematic Review
In one paragraph

Synthesis in The British journal of general practice : the journal of the Royal College of General Practitioners, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. The social determinants of mental health and disorder: evidence, prevention and recommendations.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2024
    Article
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

9 authors.

Louise M TannerPopulation Health Sciences Institute, Newcastle University; National Institute for Health and Care Research (NIHR) Innovation Observatory, Newcastle University, Newcastle-upon-Tyne.ORCID 0000-0003-2340-8677
Josephine M WildmanNIHR/Health Education England Integrated Clinical Academic clinical lecturer and honorary consultant in public health, Population Health Sciences Institute, Newcastle University; NIHR Applied Research Collaboration North East and North Cumbria, Newcastle-upon-Tyne.ORCID 0000-0001-9669-6708
Akvile StoniutePopulation Health Sciences Institute, Newcastle University; National Institute for Health and Care Research (NIHR) Innovation Observatory, Newcastle University, Newcastle-upon-Tyne.ORCID 0000-0001-8279-5123
Madeleine StillPopulation Health Sciences Institute, Newcastle University; National Institute for Health and Care Research (NIHR) Innovation Observatory, Newcastle University, Newcastle-upon-Tyne.ORCID 0000-0003-0625-6325
Kate BernardPopulation Health Sciences Institute, Newcastle University, Newcastle-upon-Tyne.ORCID 0000-0001-9139-046X
Rhiannon GreenNIHR Innovation Observatory, Newcastle University, Newcastle-upon-Tyne.ORCID 0000-0001-6113-0675
Claire H EastaughPopulation Health Sciences Institute, Newcastle University; National Institute for Health and Care Research (NIHR) Innovation Observatory, Newcastle University, Newcastle-upon-Tyne.ORCID 0000-0002-1371-6601
Katie H ThomsonNIHR/Health Education England Integrated Clinical Academic clinical lecturer and honorary consultant in public health, Population Health Sciences Institute, Newcastle University; NIHR Applied Research Collaboration North East and North Cumbria, Newcastle-upon-Tyne.ORCID 0000-0002-9614-728X
Sarah SowdenNIHR/Health Education England Integrated Clinical Academic clinical lecturer and honorary consultant in public health, Population Health Sciences Institute, Newcastle University; NIHR Applied Research Collaboration North East and North Cumbria, Newcastle-upon-Tyne.ORCID 0000-0001-9359-3463

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCommon mental health disorders are especially prevalent among people from socioeconomically disadvantaged backgrounds. Non-pharmaceutical primary care interventions, such as social prescribing and collaborative care, provide alternatives to pharmaceutical treatments for common mental health disorders, but little is known about the impact of these interventions for patients who are socioeconomically disadvantaged.

aimTo synthesise evidence for the effects of non-pharmaceutical primary care interventions on common mental health disorders and associated socioeconomic inequalities. DESIGN AND

settingSystematic review of quantitative primary studies published in English and undertaken in high-income countries.

methodSix bibliographic databases were searched and additional grey literature sources screened. Data were extracted onto a standardised proforma and quality assessed using the Effective Public Health Practice Project tool. Data were synthesised narratively and effect direction plots were produced for each outcome.

resultsThirteen studies were included. Social-prescribing interventions were evaluated in 10 studies, collaborative care in two studies, and a new model of care in one study. Positive results (based on effect direction) were reported for the impact of the interventions on wellbeing in groups that were socioeconomically deprived. Inconsistent (mainly positive) results were reported for anxiety and depression. One study reported that people from the group with least deprivation, compared with the group with greatest deprivation, benefitted most from these interventions. Overall, study quality was weak.

conclusionTargeting non-pharmaceutical primary care interventions at areas of socioeconomic deprivation may help to reduce inequalities in mental health outcomes. However, only tentative conclusions can be drawn from the evidence in this review and more-robust research is required.

Indexed as

AnxietyMental HealthAnxiety DisordersHumansIncomePrimary Health Carehealthcare disparitieshealth inequalitiesmental disordersprimary health caresocioeconomic factorssystematic review

Identifiers

PMID36997215
PMCPMC9926284

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.