Guided self-help in primary care mental health : Meta-synthesis of qualitative studies of patient experience
2007
Background There is a gap between the supply of trained
cognitive-behavioural therapists to treat depression and demand for care in
the community. There is interest in the potential of self-help interventions,
which require less input from a therapist. However, the design of effective
self-help interventions is complex. Qualitative research can help to explore
some of this complexity. Aims The study aimed to identify qualitative studies of patient
experience of depression management in primary care, synthesise these studies
to develop an explanatory framework, and then apply this framework to the
development of a guided self-help intervention for depression. Method A meta-synthesis was conducted of published qualitative
research. Results The synthesis revealed a number of themes, including the
nature of personal experience in depression; help-seeking in primary care;
control and helplessness in engagement with treatment; stigma associated with
treatment; and patients9 understandings of self-help interventions. Conclusions This meta-synthesis of qualitative studies provided a
useful explanatory framework for the development of effective and acceptable
guided self-help interventions for depression.
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