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

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dc.contributor.author Arroll, B
dc.contributor.author Frischtak, H
dc.contributor.author Roskvist, R
dc.contributor.author Mount, V
dc.contributor.author Sundram, F
dc.contributor.author Fletcher, S
dc.contributor.author Kingsford, DW
dc.contributor.author Buttrick, L
dc.contributor.author Bricker, J
dc.contributor.author van der Werf, B
dc.coverage.spatial United States
dc.date.accessioned 2022-01-11T23:03:01Z
dc.date.available 2022-01-11T23:03:01Z
dc.date.issued 2021-4-23
dc.identifier.issn 0091-2174
dc.identifier.uri https://hdl.handle.net/2292/57948
dc.description.abstract <h4>Background</h4>Patients with depressive symptoms are common in primary care. Brief, simple therapies are needed.<h4>Aim</h4>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.<h4>Methods</h4>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.<h4>Results</h4>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<0.039 one sided and 0.078 two sided). The number needed to treat to achieve a PHQ-8 score ≤6 was 4.0 on intention to treat analysis (p = 0.043 two sided). There were no significant differences observed on the secondary outcomes.<h4>Conclusion</h4>This is the first effectiveness study to examine FACT in any population. The results suggest that it is effective compared with control, at one week, for patients with depressive symptoms in primary care.
dc.format.medium Print-Electronic
dc.language eng
dc.publisher SAGE Publications
dc.relation.ispartofseries International journal of psychiatry in medicine
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher.
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm
dc.subject Primary health care
dc.subject acceptance and commitment therapy
dc.subject behavioural activation
dc.subject Science & Technology
dc.subject Life Sciences & Biomedicine
dc.subject Psychiatry
dc.subject Primary health care
dc.subject behavioural activation
dc.subject acceptance and commitment therapy
dc.subject 1103 Clinical Sciences
dc.subject 1701 Psychology
dc.title FACT effectiveness in primary care; a single visit RCT for depressive symptoms.
dc.type Journal Article
dc.identifier.doi 10.1177/00912174211010536
pubs.begin-page 912174211010536
dc.date.updated 2021-12-28T21:46:02Z
dc.rights.holder Copyright: The author en
pubs.author-url https://www.ncbi.nlm.nih.gov/pubmed/33892599
pubs.publication-status Published
dc.rights.accessrights http://purl.org/eprint/accessRights/RetrictedAccess en
pubs.subtype Journal Article
pubs.elements-id 850812
dc.identifier.eissn 1541-3527
pubs.number ARTN 00912174211010536
pubs.online-publication-date 2021-4-23


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