FACT effectiveness in primary care; a single visit RCT for depressive symptoms

Background Patients with depressive symptoms are common in primary care. Brief, simple therapies are needed. Aim Is a focussed acceptance and commitment therapy (FACT) intervention more effective than the control group for patients with depressive symptoms in primary care at one week follow up? Desi...

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Bibliographic Details
Published in:International journal of psychiatry in medicine 2022-03, Vol.57 (2), p.91-102
Main Authors: Arroll, B, Frischtak, H, Roskvist, R, Mount, V, Sundram, F, Fletcher, S, Kingsford, DW, Buttrick, L, Bricker, J, van der Werf, B
Format: Article
Language:English
Subjects:
Acceptance and Commitment Therapy
Cost-Benefit Analysis
Depression - psychology
Depression - therapy
Humans
New Zealand
Primary care
Primary Health Care
Surveys and Questionnaires
Treatment Outcome
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Summary:Background Patients with depressive symptoms are common in primary care. Brief, simple therapies are needed. Aim Is a focussed acceptance and commitment therapy (FACT) intervention more effective than the control group for patients with depressive symptoms in primary care at one week follow up? Design and setting: A randomised, blinded controlled trial at a single primary care clinic in Auckland, New Zealand. Methods Patients presenting to their primary care practice for any reason were recruited from the clinic waiting room. Eligible patients who scored ≥2 on the PHQ-2 indicating potential depressive symptoms were randomised using a remote computer to intervention or control groups. Both groups received a psychosocial assessment using the “work-love-play” questionnaire. The intervention group received additional FACT-based behavioural activation activities. The primary outcome was the mean PHQ-8 score at one week. Results 57 participants entered the trial and 52 had complete outcome data after one week. Baseline PHQ-8 scores were similar for intervention (11.0) and control (11.7). After one week, the mean PHQ-8 score was significantly lower in the intervention group (7.4 vs 10.1 for control; p
ISSN:0091-2174
1541-3527
DOI:10.1177/00912174211010536