One-day cognitive-behavioural therapy self-confidence workshops for people with depression: randomised controlled trial

Linda Horrell; Kimberley Goldsmith; Andre Tylee; Ulrike Schmidt; Caroline Murphy; Eva-Maria Bonin; Jennifer Beecham; Joanna Kelly; Shriti Raikundalia; June Brown; The CLASSIC trial group

doi:10.1192/bjp.bp.112.121855

One-day cognitive-behavioural therapy self-confidence workshops for people with depression: randomised controlled trial

Linda Horrell, Kimberley Goldsmith, Andre Tylee, Ulrike Schmidt, Caroline Murphy, Eva-Maria Bonin, Jennifer Beecham, Joanna Kelly, Shriti Raikundalia, June Brown, The CLASSIC trial group

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Abstract

Background
Despite its high prevalence, help-seeking for depression is low.

Aims
To assess the effectiveness and cost-effectiveness of 1-day cognitive behavioural therapy (CBT) self-confidence workshops in reducing depression. Anxiety, self-esteem, prognostic indicators as well as access were also assessed.

Method
An open randomised controlled trial (RCT) waiting list control design with 12-week follow-up was used (trial registration: ISRCTN26634837). A total of 459 adult participants with depression (Beck Depression Inventory (BDI) scores of >= 14) self-referred and 382 participants (83%) were followed up.

Results
At follow-up, experimental and control participants differed significantly on the BDI, with an effect size of 0.55. Anxiety and self-esteem also differed. Of those who participated, 25% were GP non-consulters and 32% were from Black and minority ethnic groups. Women benefited more than men on depression scores. The intervention has a 90% chance of being considered cost-effective if a depression-free day is valued at 14.

Conclusions
Self-confidence workshops appear promising in terms of clinical effectiveness, cost-effectiveness and access by difficult-to-engage groups.

Original language	English
Pages (from-to)	222-233
Number of pages	12
Journal	British Journal of Psychiatry
Volume	204
Issue number	3
DOIs	https://doi.org/10.1192/bjp.bp.112.121855
Publication status	Published - Mar 2014

Keywords

GENERALIZED ANXIETY DISORDER
COST-EFFECTIVENESS
PRIMARY-CARE
UNMET NEED
METAANALYSIS
SYMPTOMS
HELP
SERVICES
ACCESS

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HORRELL_Self_confidence_workshops_final_10Apr13Accepted author manuscript, 119 KB
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Horrell, L., Goldsmith, K., Tylee, A., Schmidt, U., Murphy, C., Bonin, E.-M., Beecham, J., Kelly, J., Raikundalia, S., Brown, J., & The CLASSIC trial group (2014). One-day cognitive-behavioural therapy self-confidence workshops for people with depression: randomised controlled trial. British Journal of Psychiatry, 204(3), 222-233. https://doi.org/10.1192/bjp.bp.112.121855

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title = "One-day cognitive-behavioural therapy self-confidence workshops for people with depression: randomised controlled trial",

abstract = "Background Despite its high prevalence, help-seeking for depression is low. Aims To assess the effectiveness and cost-effectiveness of 1-day cognitive behavioural therapy (CBT) self-confidence workshops in reducing depression. Anxiety, self-esteem, prognostic indicators as well as access were also assessed. Method An open randomised controlled trial (RCT) waiting list control design with 12-week follow-up was used (trial registration: ISRCTN26634837). A total of 459 adult participants with depression (Beck Depression Inventory (BDI) scores of >= 14) self-referred and 382 participants (83%) were followed up. Results At follow-up, experimental and control participants differed significantly on the BDI, with an effect size of 0.55. Anxiety and self-esteem also differed. Of those who participated, 25% were GP non-consulters and 32% were from Black and minority ethnic groups. Women benefited more than men on depression scores. The intervention has a 90% chance of being considered cost-effective if a depression-free day is valued at 14. Conclusions Self-confidence workshops appear promising in terms of clinical effectiveness, cost-effectiveness and access by difficult-to-engage groups.",

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author = "Linda Horrell and Kimberley Goldsmith and Andre Tylee and Ulrike Schmidt and Caroline Murphy and Eva-Maria Bonin and Jennifer Beecham and Joanna Kelly and Shriti Raikundalia and June Brown and {The CLASSIC trial group}",

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doi = "10.1192/bjp.bp.112.121855",

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Horrell, L , Goldsmith, K , Tylee, A , Schmidt, U , Murphy, C, Bonin, E-M, Beecham, J , Kelly, J , Raikundalia, S , Brown, J & The CLASSIC trial group 2014, 'One-day cognitive-behavioural therapy self-confidence workshops for people with depression: randomised controlled trial', British Journal of Psychiatry, vol. 204, no. 3, pp. 222-233. https://doi.org/10.1192/bjp.bp.112.121855

TY - JOUR

T1 - One-day cognitive-behavioural therapy self-confidence workshops for people with depression

T2 - randomised controlled trial

AU - Horrell, Linda

AU - Goldsmith, Kimberley

AU - Tylee, Andre

AU - Schmidt, Ulrike

AU - Murphy, Caroline

AU - Bonin, Eva-Maria

AU - Beecham, Jennifer

AU - Kelly, Joanna

AU - Raikundalia, Shriti

AU - Brown, June

AU - The CLASSIC trial group

PY - 2014/3

Y1 - 2014/3

N2 - Background Despite its high prevalence, help-seeking for depression is low. Aims To assess the effectiveness and cost-effectiveness of 1-day cognitive behavioural therapy (CBT) self-confidence workshops in reducing depression. Anxiety, self-esteem, prognostic indicators as well as access were also assessed. Method An open randomised controlled trial (RCT) waiting list control design with 12-week follow-up was used (trial registration: ISRCTN26634837). A total of 459 adult participants with depression (Beck Depression Inventory (BDI) scores of >= 14) self-referred and 382 participants (83%) were followed up. Results At follow-up, experimental and control participants differed significantly on the BDI, with an effect size of 0.55. Anxiety and self-esteem also differed. Of those who participated, 25% were GP non-consulters and 32% were from Black and minority ethnic groups. Women benefited more than men on depression scores. The intervention has a 90% chance of being considered cost-effective if a depression-free day is valued at 14. Conclusions Self-confidence workshops appear promising in terms of clinical effectiveness, cost-effectiveness and access by difficult-to-engage groups.

AB - Background Despite its high prevalence, help-seeking for depression is low. Aims To assess the effectiveness and cost-effectiveness of 1-day cognitive behavioural therapy (CBT) self-confidence workshops in reducing depression. Anxiety, self-esteem, prognostic indicators as well as access were also assessed. Method An open randomised controlled trial (RCT) waiting list control design with 12-week follow-up was used (trial registration: ISRCTN26634837). A total of 459 adult participants with depression (Beck Depression Inventory (BDI) scores of >= 14) self-referred and 382 participants (83%) were followed up. Results At follow-up, experimental and control participants differed significantly on the BDI, with an effect size of 0.55. Anxiety and self-esteem also differed. Of those who participated, 25% were GP non-consulters and 32% were from Black and minority ethnic groups. Women benefited more than men on depression scores. The intervention has a 90% chance of being considered cost-effective if a depression-free day is valued at 14. Conclusions Self-confidence workshops appear promising in terms of clinical effectiveness, cost-effectiveness and access by difficult-to-engage groups.

KW - GENERALIZED ANXIETY DISORDER

KW - COST-EFFECTIVENESS

KW - PRIMARY-CARE

KW - UNMET NEED

KW - METAANALYSIS

KW - SYMPTOMS

KW - HELP

KW - SERVICES

KW - ACCESS

U2 - 10.1192/bjp.bp.112.121855

DO - 10.1192/bjp.bp.112.121855

M3 - Article

SN - 0007-1250

VL - 204

SP - 222

EP - 233

JO - British Journal of Psychiatry

JF - British Journal of Psychiatry

IS - 3

ER -

One-day cognitive-behavioural therapy self-confidence workshops for people with depression: randomised controlled trial

Abstract

Keywords

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