A co-produced self-management programme improves psychosocial outcomes for people living with depression

Andy Turner, Alba Realpe, Louise Wallace, Jo Kosmala-Anderson

    Research output: Contribution to journalArticle

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    Abstract

    AbstractPurpose: There is growing interest in self-management support for people living with mental health problems. This paper describes the evaluation of a co-designed and co-delivered self-management programme (SMP) for people living with depression delivered as part of large scale National Health Service quality improvement programme, which was grounded in the principles of co-production. We investigated whether participants became more activated, were less psychologically distressed enjoyed better health status, and quality of life, and improved their self-management skills after attending the 7 week SMP. Design: We conducted a longitudinal survey of 114 people living with depression who attended the SMP. Participants completed self-reported measures before attending the SMP and at 6 months follow-up.Findings: Patient activation significantly improved 6 months after the SMP (baseline M=49.6 SD =12.3, follow up M= 57.2, SD =15.0, t(113)=4.83 p<0.001; d =0. 61) Participants’ experience of depression symptoms as measured by the Patient Health Questionnaire-9 significantly reduced (baseline M=15.5, SD= 6.8, follow up M= 10.6, SD= 6.9, t(106)= 7.22 p<0.001, d=-0.72). Participants’ anxiety and depression as measured by the Hospital Anxiety Depression Scale also decreased significantly (baseline anxiety: M=13.1, SD =4.2, follow up M= 10.2, SD=4.4, t(79) =6.29, p<0.001, d= -0.69); (baseline depression: M=10.3, SD=4.6, follow up M= 7.7, SD=4.5, t(79) =5.32, p<0.001,d= -0.56). We also observed significant improvement in participants’ health status (baseline M=0.5, SD=0.3, follow up M= 0.6, SD =0.3, t(97)=-3.86, p<0.001, d=0.33), and health-related quality of life (baseline M=45.4 , SD=20.5, follow up M= 60.8, SD=22.8, t(91) =-2.71 p=0.008, d = 0.75). About 35% of participant showed substantial improvements of self-management skills. Originality/value: The co-produced depression SMP is innovative in a UK mental health setting. Improvements in activation, depression, anxiety, quality of life and self-management skills suggest that the SMP could make a useful contribution to the recovery services in mental health. Keywords: Co-production, self-management, patient activation, depression, recovery.
    Original languageEnglish
    Pages (from-to)242-255
    Number of pages14
    JournalMental Health Review Journal
    Volume20
    Issue number4
    DOIs
    Publication statusPublished - 1 Jul 2015

    Fingerprint

    Self Care
    Depression
    Anxiety
    Patient Participation
    Quality of Life
    Health Status
    Mental Health
    National Health Programs
    Mental Health Services
    Quality Improvement
    Longitudinal Studies

    Keywords

    • Self-management
    • Recovery
    • Depression
    • Co-production
    • Patient activation
    • Support

    Cite this

    A co-produced self-management programme improves psychosocial outcomes for people living with depression. / Turner, Andy; Realpe, Alba; Wallace, Louise; Kosmala-Anderson, Jo.

    In: Mental Health Review Journal, Vol. 20, No. 4, 01.07.2015, p. 242-255.

    Research output: Contribution to journalArticle

    Turner, Andy ; Realpe, Alba ; Wallace, Louise ; Kosmala-Anderson, Jo. / A co-produced self-management programme improves psychosocial outcomes for people living with depression. In: Mental Health Review Journal. 2015 ; Vol. 20, No. 4. pp. 242-255.
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    abstract = "AbstractPurpose: There is growing interest in self-management support for people living with mental health problems. This paper describes the evaluation of a co-designed and co-delivered self-management programme (SMP) for people living with depression delivered as part of large scale National Health Service quality improvement programme, which was grounded in the principles of co-production. We investigated whether participants became more activated, were less psychologically distressed enjoyed better health status, and quality of life, and improved their self-management skills after attending the 7 week SMP. Design: We conducted a longitudinal survey of 114 people living with depression who attended the SMP. Participants completed self-reported measures before attending the SMP and at 6 months follow-up.Findings: Patient activation significantly improved 6 months after the SMP (baseline M=49.6 SD =12.3, follow up M= 57.2, SD =15.0, t(113)=4.83 p<0.001; d =0. 61) Participants’ experience of depression symptoms as measured by the Patient Health Questionnaire-9 significantly reduced (baseline M=15.5, SD= 6.8, follow up M= 10.6, SD= 6.9, t(106)= 7.22 p<0.001, d=-0.72). Participants’ anxiety and depression as measured by the Hospital Anxiety Depression Scale also decreased significantly (baseline anxiety: M=13.1, SD =4.2, follow up M= 10.2, SD=4.4, t(79) =6.29, p<0.001, d= -0.69); (baseline depression: M=10.3, SD=4.6, follow up M= 7.7, SD=4.5, t(79) =5.32, p<0.001,d= -0.56). We also observed significant improvement in participants’ health status (baseline M=0.5, SD=0.3, follow up M= 0.6, SD =0.3, t(97)=-3.86, p<0.001, d=0.33), and health-related quality of life (baseline M=45.4 , SD=20.5, follow up M= 60.8, SD=22.8, t(91) =-2.71 p=0.008, d = 0.75). About 35{\%} of participant showed substantial improvements of self-management skills. Originality/value: The co-produced depression SMP is innovative in a UK mental health setting. Improvements in activation, depression, anxiety, quality of life and self-management skills suggest that the SMP could make a useful contribution to the recovery services in mental health. Keywords: Co-production, self-management, patient activation, depression, recovery.",
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    N2 - AbstractPurpose: There is growing interest in self-management support for people living with mental health problems. This paper describes the evaluation of a co-designed and co-delivered self-management programme (SMP) for people living with depression delivered as part of large scale National Health Service quality improvement programme, which was grounded in the principles of co-production. We investigated whether participants became more activated, were less psychologically distressed enjoyed better health status, and quality of life, and improved their self-management skills after attending the 7 week SMP. Design: We conducted a longitudinal survey of 114 people living with depression who attended the SMP. Participants completed self-reported measures before attending the SMP and at 6 months follow-up.Findings: Patient activation significantly improved 6 months after the SMP (baseline M=49.6 SD =12.3, follow up M= 57.2, SD =15.0, t(113)=4.83 p<0.001; d =0. 61) Participants’ experience of depression symptoms as measured by the Patient Health Questionnaire-9 significantly reduced (baseline M=15.5, SD= 6.8, follow up M= 10.6, SD= 6.9, t(106)= 7.22 p<0.001, d=-0.72). Participants’ anxiety and depression as measured by the Hospital Anxiety Depression Scale also decreased significantly (baseline anxiety: M=13.1, SD =4.2, follow up M= 10.2, SD=4.4, t(79) =6.29, p<0.001, d= -0.69); (baseline depression: M=10.3, SD=4.6, follow up M= 7.7, SD=4.5, t(79) =5.32, p<0.001,d= -0.56). We also observed significant improvement in participants’ health status (baseline M=0.5, SD=0.3, follow up M= 0.6, SD =0.3, t(97)=-3.86, p<0.001, d=0.33), and health-related quality of life (baseline M=45.4 , SD=20.5, follow up M= 60.8, SD=22.8, t(91) =-2.71 p=0.008, d = 0.75). About 35% of participant showed substantial improvements of self-management skills. Originality/value: The co-produced depression SMP is innovative in a UK mental health setting. Improvements in activation, depression, anxiety, quality of life and self-management skills suggest that the SMP could make a useful contribution to the recovery services in mental health. Keywords: Co-production, self-management, patient activation, depression, recovery.

    AB - AbstractPurpose: There is growing interest in self-management support for people living with mental health problems. This paper describes the evaluation of a co-designed and co-delivered self-management programme (SMP) for people living with depression delivered as part of large scale National Health Service quality improvement programme, which was grounded in the principles of co-production. We investigated whether participants became more activated, were less psychologically distressed enjoyed better health status, and quality of life, and improved their self-management skills after attending the 7 week SMP. Design: We conducted a longitudinal survey of 114 people living with depression who attended the SMP. Participants completed self-reported measures before attending the SMP and at 6 months follow-up.Findings: Patient activation significantly improved 6 months after the SMP (baseline M=49.6 SD =12.3, follow up M= 57.2, SD =15.0, t(113)=4.83 p<0.001; d =0. 61) Participants’ experience of depression symptoms as measured by the Patient Health Questionnaire-9 significantly reduced (baseline M=15.5, SD= 6.8, follow up M= 10.6, SD= 6.9, t(106)= 7.22 p<0.001, d=-0.72). Participants’ anxiety and depression as measured by the Hospital Anxiety Depression Scale also decreased significantly (baseline anxiety: M=13.1, SD =4.2, follow up M= 10.2, SD=4.4, t(79) =6.29, p<0.001, d= -0.69); (baseline depression: M=10.3, SD=4.6, follow up M= 7.7, SD=4.5, t(79) =5.32, p<0.001,d= -0.56). We also observed significant improvement in participants’ health status (baseline M=0.5, SD=0.3, follow up M= 0.6, SD =0.3, t(97)=-3.86, p<0.001, d=0.33), and health-related quality of life (baseline M=45.4 , SD=20.5, follow up M= 60.8, SD=22.8, t(91) =-2.71 p=0.008, d = 0.75). About 35% of participant showed substantial improvements of self-management skills. Originality/value: The co-produced depression SMP is innovative in a UK mental health setting. Improvements in activation, depression, anxiety, quality of life and self-management skills suggest that the SMP could make a useful contribution to the recovery services in mental health. Keywords: Co-production, self-management, patient activation, depression, recovery.

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    KW - Patient activation

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