Outcomes of telephone-delivered low-intensity cognitive behaviour therapy (LiCBT) to community dwelling Australians with a recent hospital admission due to depression or anxiety: MindStep™

dc.contributor.author Lawn, Sharon Joy en_US
dc.contributor.author Huang, Nancy en_US
dc.contributor.author Zabeen, Sara en_US
dc.contributor.author Smith, David en_US
dc.contributor.author Battersby, Malcolm Wayne en_US
dc.contributor.author Redpath, Paula en_US
dc.contributor.author Glover, Fiona en_US
dc.contributor.author Venning, Anthony en_US
dc.contributor.author Fairweather-Schmidt, Kate en_US
dc.date.accessioned 2019-01-24T05:32:17Z
dc.date.available 2019-01-24T05:32:17Z
dc.date.issued 2019-01-03
dc.date.updated 2019-01-20T04:18:51Z
dc.description This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made en_US
dc.description.abstract Background In 2006, the British government launched ‘Improving Access to Psychological Therapies’ (IAPT), a low intensity cognitive behaviour therapy intervention (LiCBT) designed to manage people with symptoms of anxiety and depression in the community. The evidence of the effectiveness of IAPT has been demonstrated in multiple studies from the UK, USA, Australia and other countries. MindStep™ is the first adaptation of IAPT in Australia, delivered completely by telephone, targeting people with a recent history of a hospital admission for mental illnesses within the private health system. This paper reports on the outcome of the first 17 months of MindStep™ implemented across Australia from March 2016. Methods This prospective observational study investigated the MindStep™ program in a cohort of clients with a recent hospitalisation for mental illnesses. The study used quantitative methods to compare pre-post treatment clinical measures (N = 680) using Patient Health Questionnaire (PHQ-9) and the Generalised Anxiety Disorder (GAD-7). This study also included in-depth interviews with participants (N = 14) and coaches (N = 4) to determine the feasibility and acceptability of the program. Results Of the 867 clients referred to MindStep™, 757 had initial assessments by phone making an enrolment rate of 87.3%. Following assessment, 680 commenced treatment and of them, 427 (62.7%) completed treatment. According to ‘per-protocol’ analysis (N = 427), there was a large effect size for post-treatment PHQ-9 (d = 1.03) and GAD-7 (d = 0.99) scores; reliable recovery rate was 62% (95% CI: 57–68%). For intent-to-treat analysis using multiple imputation (N = 680), effect sizes were also large for pre-post treatment change: PHQ-9 (d = 0.78) and GAD-7 (d = 0.76). The reliable recovery rate was 49% (95% CI: 45–54%). Qualitative findings supported these claims where participants were positive about MindStep™ and found the telephone delivery and use of mental health coaches highly acceptable. Conclusions MindStep™ has demonstrated encouraging outcomes that suggest LiCBT can be successfully delivered to people with a history of hospital admissions for anxiety and depressive disorders and achieve target recovery rates of > 50%. Other promising evaluation findings indicate the MindStep™ option is acceptable, feasible and safe within the stepped models of mental health care delivery in Australia. en_US
dc.identifier.citation Lawn, S., Huang, N., Zabeen, S., Smith, D., Battersby, M., Redpath, P., … Fairweather-Schmidt, K. (2019). Outcomes of telephone-delivered low-intensity cognitive behaviour therapy (LiCBT) to community dwelling Australians with a recent hospital admission due to depression or anxiety: MindStep™. BMC Psychiatry, 19(1). https://doi.org/10.1186/s12888-018-1987-1 en_US
dc.identifier.doi https://doi.org/10.1186/s12888-018-1987-1 en_US
dc.identifier.issn 1471-244X
dc.identifier.uri https://doi.org/10.1186/s12888-018-1987-1
dc.identifier.uri http://hdl.handle.net/2328/38876
dc.language.iso en en_US
dc.language.rfc3066 en
dc.publisher BioMed Central en_US
dc.rights © The Author(s). 2019 en_US
dc.rights.holder The Author(s). en_US
dc.rights.license CC-BY
dc.subject Low-intensity cognitive behaviour therapy en_US
dc.subject Community mental health service en_US
dc.subject Depression en_US
dc.subject Anxiety en_US
dc.subject Prevention and early intervention en_US
dc.subject Private health insurance en_US
dc.subject Hospital admission en_US
dc.subject Improving access to psychological therapies en_US
dc.title Outcomes of telephone-delivered low-intensity cognitive behaviour therapy (LiCBT) to community dwelling Australians with a recent hospital admission due to depression or anxiety: MindStep™ en_US
dc.type Article en_US
local.contributor.authorOrcidLookup Lawn, Sharon Joy: https://orcid.org/0000-0002-5464-8887 en_US
local.contributor.authorOrcidLookup Venning, Anthony: https://orcid.org/0000-0003-1885-2423 en_US
local.contributor.authorOrcidLookup Battersby, Malcolm Wayne: https://orcid.org/0000-0001-7306-5591 en_US
local.contributor.authorOrcidLookup Redpath, Paula: https://orcid.org/0000-0003-1751-6460 en_US
local.contributor.authorOrcidLookup Fairweather-Schmidt, Kate: https://orcid.org/0000-0001-9352-9648 en_US
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