The effectiveness of psychological interventions delivered in routine practice. Systematic review and meta-analysis
By [Gaskell, C., Simmonds-Buckley, M., Kellett, S., Stockton, C., Somerville, E., Rogerson, E., & Delgadillo, J.] in Administration and Policy in Mental Health and Mental Health Services Research
Abstract
Purpose: This review presents a comprehensive evaluation of the effectiveness of routinely delivered psychological therapies across inpatient, outpatient and University-based clinics.
Methods: This was a pre-registered systematic-review of studies meeting pre-specified inclusion criteria (CRD42020175235). Eligible studies were searched in three databases: MEDLINE, CINAHL and PsycInfo. Pre-post treatment (uncontrolled) effect sizes were calculated and pooled using random effects meta-analysis to generate effectiveness benchmarks. Moderator analyses were used to examine sources of heterogeneity in effect sizes.
Results: Overall, 252 studies (k = 298 samples) were identified, of which 223 (k = 263 samples) provided sufficient data for inclusion in meta-analysis. Results showed large pre- post treatment effects for depression (d = 0.96, [CI 0.88-1.04], p = < 0.001, k = 122), anxiety (d = 0.8 [CI 0.71-0.9], p = < 0.001, k = 69), and other outcomes (d = 1.01 [CI 0.93-1.09], p = < 0.001, k = 158).
Conclusions: This review provides support for the effectiveness of routinely delivered psychological therapy. Effectiveness benchmarks are supplied to support service evaluations across multiple settings.
- Posted on:
- September 23, 2022
- Length:
- 1 minute read, 172 words