Evidence map›Paper›PMID 37226603›Full record

ArticleBJPsych open2023

A service evaluation of phased- and stepped-care psychological support for health and social care workers during the COVID-19 pandemic.

Charles L Cole, Charlotte Barry, Rob Saunders, Jo Billings, Joshua Stott, Joshua E J Buckman, Talya Greene, Mirko Cirkovik, Stephen Pilling, Jon Wheatley

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BJPsych open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.3field-weighted citation impact, top 21% 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.

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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. 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

10 authors at 4 institutions in 1 country.

Charles L ColeResearch Department of Clinical, Educational, and Health Psychology, University College London, UK; CORE Data Lab, Centre for Outcomes Research and Effectiveness (CORE), Research Department of Clinical, Educational and Health Psychology, University College London, UK; and Talk Changes (City & Hackney IAPT), Homerton Healthcare Foundation Trust, UK.ORCID https://orcid.org/0000-0002-4887-751X
Charlotte BarryResearch Department of Clinical, Educational, and Health Psychology, University College London, UK; CORE Data Lab, Centre for Outcomes Research and Effectiveness (CORE), Research Department of Clinical, Educational and Health Psychology, University College London, UK; and Talk Changes (City & Hackney IAPT), Homerton Healthcare Foundation Trust, UK.
Rob SaundersResearch Department of Clinical, Educational, and Health Psychology, University College London, UK; and CORE Data Lab, Centre for Outcomes Research and Effectiveness (CORE), Research Department of Clinical, Educational and Health Psychology, University College London, UK.ORCID https://orcid.org/0000-0002-7077-8729
Jo BillingsDivision of Psychiatry, University College London, UK.ORCID https://orcid.org/0000-0003-1238-2440
Joshua StottResearch Department of Clinical, Educational, and Health Psychology, University College London, UK; and ADAPT lab, Research Department of Clinical, Educational and Health Psychology, University College London, UK.
Joshua E J BuckmanResearch Department of Clinical, Educational, and Health Psychology, University College London, UK; CORE Data Lab, Centre for Outcomes Research and Effectiveness (CORE), Research Department of Clinical, Educational and Health Psychology, University College London, UK; ADAPT lab, Research Department of Clinical, Educational and Health Psychology, University College London, UK; and iCope - Camden and Islington Psychological Therapies Services, Camden & Islington NHS Foundation Trust, UK.ORCID https://orcid.org/0000-0002-2281-0907
Talya GreeneResearch Department of Clinical, Educational, and Health Psychology, University College London, UK.ORCID https://orcid.org/0000-0002-3044-2841
Mirko CirkovikTalk Changes (City & Hackney IAPT), Homerton Healthcare Foundation Trust, UK.
Stephen PillingResearch Department of Clinical, Educational, and Health Psychology, University College London, UK; and CORE Data Lab, Centre for Outcomes Research and Effectiveness (CORE), Research Department of Clinical, Educational and Health Psychology, University College London, UK.ORCID https://orcid.org/0000-0002-7361-8202
Jon WheatleyTalk Changes (City & Hackney IAPT), Homerton Healthcare Foundation Trust, UK.
Homerton University Hospital NHS Foundation Trust · GBUniversity College London · GBHealth Data Research UK · GBDepartment of Health and Social Care · GB

Funding

Wellcome Trust 201292/Z/16/Z
6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic has disproportionally affected the mental health of health and social care workers (HSCWs), with many experiencing symptoms of depression, anxiety and post-traumatic stress disorder. Psychological interventions have been offered via mental health services and in-house psychology teams, but their effectiveness in this context is not well documented.

aimsTo evaluate a stepped-care psychological support pathway for HSCWs from Homerton Healthcare Foundation Trust in London, which offered psychological first aid, evidence-based psychological therapies and group-based well-being workshops.

methodThe service evaluation used a pre-post approach to assess depression, anxiety, functional impairment and post-traumatic stress disorder symptom change for those who attended sessions of psychological first aid, low- or high-intensity cognitive-behavioural therapy or a combination of these. In addition, the acceptability of the psychological first aid sessions and well-being workshops was explored via feedback data.

resultsAcross all interventions, statistically significant reductions of depression (

conclusionsThe evaluation supports the utility of evidence-based interventions delivered as part of a stepped-care pathway for HSCWs with common mental health problems in the context of the COVID-19 pandemic. Given the novel integration of psychological first aid within the stepped-care model as a step one intervention, replication and further testing in larger-scale studies is warranted.

Indexed as

cognitive–behavioural therapiescommon mental disordersPrimary carepsychosocial interventionstrauma

Identifiers

PMID37226603
PMCPMC10228210
OpenAlexW4378171975

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.