Table 23Summary evidence profile of guided self-help

Individual guided self-help (with support)Individual guided self-help (minimal support)Group guided self-help (psychoeducation)Self-help (with support by mail)
versus waitlistversus TAUversus waitlistversus TAUversus waitlistversus TAUversus waitlist
Leaving study early for any reasonRR 0.50 (0.05 to 4.94)RR 7.24 (0.95 to 55.26)RR 1.71 (0.62 to 4.69)RR 10.77 (0.0 to 31281.62)Not estimableRR 2.16 (1.08 to 4.34)RR 1.75 (0.67 to 4.56)
QualityLowLowModerateModerateModerateModerateModerate
Number of studies; participantsK = 1; n = 30K = 1; n = 59K = 6; n = 227K = 2; n = 497K = 1; n = 21K = 1; n = 319K = 3; n = 368
Forest plot numberGSH 04.01GSH 02.01GSH 01.01GSH 03.01GSH 05.01GSH 06.01GSH 07.01
Depression self-report measures at endpointSMD −0.28 (−1.08 to 0.53)SMD −0.27 (−0.88 to 0.34)SMD −0.98 (−1.50 to −0.47)SMD −0.49 (−0.77 to −0.21)
At 12 months:
SMD −0.42 (−0.70 to −0.14)
SMD −0.67 (−1.56 to 0.21)
At 3 months:
SMD −0.51 (−1.05 to 0.03)
SMD −0.45 (−0.83 to −0.07)SMD −0.57 (−1.02 to −0.12)
At 1 month:
SMD −0.08 (−0.30 to 0.13)
At 3 months:
SMD 0.02 (−0.38 to 0.42)
At 6 months:
SMD −0.32 (−0.62 to −0.02)
QualityLowLowModerateModerate
Moderate
Low
Low
ModerateModerate
Moderate
Low
High
Number of studies; participantsK = 1; n = 24K = 1; n = 42K = 5; n = 159K = 1; n = 204
K = 1; n = 204
K = 1; n = 21
K = 1; n = 55
K = 1; n = 122K = 1; n = 95
K = 3; n = 358
K = 1; n = 96
K = 2; n = 191
Forest plot numberGSH 04.02GSH 02.02GSH 01.02GSH 03.02
GSH 03.03
GSH 05.02
SSH 05.04
GSH 06.02GSH 07.02
GSH 07.03
GSH 07.04
GSH 07.05
Depression clinician-report measures at endpointNot reportedNot reportedSMD −1.54 (−1.90 to −1.18)Not reportedNot reportedNot reportedNot reported
QualityHigh
Number of studies; participantsK = 4; n = 161
Forest plot numberGSH 01.04

From: 7, LOW-INTENSITY PSYCHOSOCIAL INTERVENTIONS

Cover of Depression
Depression: The Treatment and Management of Depression in Adults (Updated Edition).
NICE Clinical Guidelines, No. 90.
National Collaborating Centre for Mental Health (UK).
Leicester (UK): British Psychological Society; 2010.
Copyright © The British Psychological Society & The Royal College of Psychiatrists, 2010.

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