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• W2788911163 abstract "Background To date no studies have explored the effectiveness of written cognitive–behavioural therapy (CBT) resources for low mood and stress delivered via a course of self-help classes in a community setting. Aims To assess the effectiveness of an 8-week community-based CBT self-help group classes on symptoms of depression, anxiety and social function at 6 months (trial registration: ISRCTN86292664). Method In total, 142 participants were randomly allocated to immediate ( n = 71) or delayed access to a low-intensity CBT intervention ( n = 71). Measures of depression, anxiety and social function were collected at baseline and 6 months. Results There was a significant improvement for the primary outcome of Patient Health Questionnaire-9 (PHQ-9) score (mean between-group difference: –3.64, 95% CI –6.06 to –1.23; P = 0.004). The percentage of participants reducing their PHQ-9 score between baseline and 6 months by 50% or more was 17.9% for the delayed access group and 43.8% for the immediate access group. Secondary outcomes also improved including anxiety and social function. The intervention was cost neutral. The probabilities of a net benefit at willingness to pay thresholds of £20 000, £25 000 or £30 000 were 0.928, 0.944 and 0.955, respectively. Conclusions Low-intensity class-based CBT delivered within a community setting is effective for reducing depression, anxiety and impaired social function at little additional cost. Declaration of interest C.W. is president of British Association for Behavioural & Cognitive Psychotherapies (BABCP) – the lead body for CBT in the UK. He is also author of a range of CBT-based resources available commercially. He is developer of the LLTTF classes evaluated in this study. He receives royalty, and is shareholder and director of a company that commercialises these resources." @default.
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• W2788911163 date "2018-02-01" @default.
• W2788911163 modified "2023-10-18" @default.
• W2788911163 title "Community-based group guided self-help intervention for low mood and stress: randomised controlled trial" @default.
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• W2788911163 doi "https://doi.org/10.1192/bjp.2017.18" @default.
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