Review2014

Adherence to self-care interventions for depression or anxiety: A systematic review

Russell Simco · Jane McCusker · Maida J. Sewitch

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Digital Mental Health Interventions Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes Medication Adherence and Compliance

Abstract

Objective: The objective of this study was to synthesise and describe adherence to intervention in published studies of supported self-care for depression or anxiety, and to identify participant characteristics associated with higher adherence. Methods: We searched the databases EMBASE, MEDLINE, CINAHL, and PSYCINFO for the period from January 1986 until September 2010. Eligible studies reporting on adherence to supported self-care interventions for depression or anxiety symptoms were identified. Results: We identified 40 studies of supported self-care interventions for depression and anxiety, of which 22 (55%) reported any measure of adherence to the intervention. Among these 22 studies, 18 (82%) reported the percentage of participants completing the entire self-care tool (20%–93%; Mean = 66%, SD 17), 13 studies reported the amount of self-care tools completed by the average participant (50.6%–96.4%; Mean = 80%, SD 11.6). Four studies (18%) reported the frequency of contacts with the self-care guide. Three (14%) studies reported participant characteristics associated with adherence. Conclusion: Overall, reported adherence levels to supported self-care interventions for depression and anxiety indicate a significant amount of patient involvement in these interventions. Routine reporting of adherence will improve our understanding of adherence to supported self-care interventions, and will allow researchers to link adherence with intervention outcome.

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References

2009Adherence in Internet Interventions for Anxiety and Depression 2006National Collaborating Centre for Mental Health 2011A Systematic Review of the Impact of Adherence on the Effectiveness of e-Therapies 1996Cognitive Therapy for Depression 2005Internet-based self-help for depression: randomised controlled trial 2007What makes self-help interventions effective in the management of depressive symptoms? Meta-analysis and meta-regression 2000Homework assignments in cognitive and behavioral therapy: A meta-analysis.2010Internet Treatment for Depression: A Randomized Controlled Trial Comparing Clinician vs. Technician Assistance

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