Effectiveness and Cost-Effectiveness of Mental Health Interventions Delivered by Frontline Health Care Workers in Emergency Health Services: A Systematic Review and Meta-Analysis.
View/ Open
Volume
19
DOI
10.3390/ijerph192315847
Journal
Int J Environ Res Public Health
Issue
Metadata
Show full item recordAbstract
This systematic review is to evaluate the effectiveness and cost-effectiveness of mental health interventions delivered by frontline health care workers in disasters and public health emergencies. Six databases and trial registries were searched, and manual searches were conducted. Of the 221 studies identified, 21 were included. Meta-analyses assessed differences between the intervention and control in terms of PTSD outcomes. Eleven studies of 1802 participants were incorporated in the meta-analysis. Interventions delivered or prompted by specialist health care workers showed significant and large effects in improving PTSD-related symptoms with a SMD = 0.99 (95% CI: 0.42-1.57, p = 0.0007). Interventions delivered or prompted by frontline non-specialist health care workers showed significant but small effects in improving PTSD-related symptoms with SMD of 0.25 (95% CI: 0.11-0.39; p = 0.0007). The results showed that most mental health interventions delivered by frontline health care workers effectively supported affected people. Mental health interventions delivered by mental health care professionals are effective in reducing PTSD-related disorders in natural disasters. Future adequately powered RCTs are needed to evaluate the effectiveness of mental health interventions delivered by trained non-specialists. Economic modelling may be useful to estimate cost effectiveness in low- and middle-income countries given the difficulties of conducting studies in disaster and emergency settings.
Authors
Peng, M; Xiao, T; Carter, B; Chen, P; Shearer, JCollections
Language
Licence information
Copyright statements
Related items
Showing items related by title, author, creator and subject.
-
Oral Health Disparities in Children: A Canary in the Coalmine?
Watt, RG; Mathur, MR; Aida, J; Bönecker, M; Venturelli, R; Gansky, SA (2018-10)Despite being largely preventable, oral diseases are still a major public health problem in child populations in many parts of the world. Increasingly, however, oral diseases disproportionately affect socially disadvantaged ... -
Role of Dentistry in Global Health: Challenges and Research Priorities.
Hugo, FN; Kassebaum, NJ; Marcenes, W; Bernabé, E (2021-07)Despite some improvements in the oral health of populations globally, major problems remain all over the planet, most notably among underprivileged communities of low- and middle-income countries but also in high-income ... -
Can we halt health workforce deterioration in failed states? Insights from Guinea-Bissau on the nature, persistence and evolution of its HRH crisis
Russo, G; Pavignani, E; Guerreiro, CS; Neves, C (2017-02-07)