Your browser doesn't support javascript.
Effectiveness of community interventions for protecting and promoting the mental health of working-age adults experiencing financial uncertainty: a systematic review.
McGrath, Michael; Duncan, Fiona; Dotsikas, Kate; Baskin, Cleo; Crosby, Liam; Gnani, Shamini; Hunter, Rachael Maree; Kaner, Eileen; Kirkbride, James Bowes; Lafortune, Louise; Lee, Caroline; Oliver, Emily; Osborn, David P; Walters, Kate R; Dykxhoorn, Jennifer.
  • McGrath M; Division of Psychiatry, University College London, London, UK.
  • Duncan F; Department of Health Services Research and Policy, London School of Hygiene & Tropical Medicine, London, UK.
  • Dotsikas K; Department of Sport and Exercise Sciences, Durham University, Durham, UK.
  • Baskin C; Division of Psychiatry, University College London, London, UK.
  • Crosby L; Department of Primary Care and Public Health, Imperial College London, London, UK.
  • Gnani S; Department of Primary Care and Population Health, University College London, London, UK.
  • Hunter RM; Department of Primary Care and Public Health, Imperial College London, London, UK.
  • Kaner E; Department of Primary Care and Population Health, University College London, London, UK.
  • Kirkbride JB; Institute of Health and Society, Newcastle University, Newcastle, UK.
  • Lafortune L; Division of Psychiatry, University College London, London, UK.
  • Lee C; Cambridge Public Health, University of Cambridge, Cambridge, UK.
  • Oliver E; Cambridge Public Health, University of Cambridge, Cambridge, UK.
  • Osborn DP; Cambridge Institute for Sustainability Leadership, Cambridge, UK.
  • Walters KR; Department of Sport and Exercise Sciences, Durham University, Durham, UK.
  • Dykxhoorn J; Division of Psychiatry, University College London, London, UK.
J Epidemiol Community Health ; 2021 Apr 30.
Article in English | MEDLINE | ID: covidwho-1209000
Semantic information from SemMedBD (by NLM)
1. Insecurity PROCESS_OF Persons
Subject
Insecurity
Predicate
PROCESS_OF
Object
Persons
2. Intervention regimes ADMINISTERED_TO Persons
Subject
Intervention regimes
Predicate
ADMINISTERED_TO
Object
Persons
3. Insecurity PROCESS_OF Persons
Subject
Insecurity
Predicate
PROCESS_OF
Object
Persons
4. Intervention regimes ADMINISTERED_TO Persons
Subject
Intervention regimes
Predicate
ADMINISTERED_TO
Object
Persons
ABSTRACT

BACKGROUND:

The COVID-19 pandemic has created a period of global economic uncertainty. Financial strain, personal debt, recent job loss and housing insecurity are important risk factors for the mental health of working-age adults. Community interventions have the potential to attenuate the mental health impact of these stressors. We examined the effectiveness of community interventions for protecting and promoting the mental health of working-age adults in high-income countries during periods of financial insecurity.

METHODS:

Eight electronic databases were systematically screened for experimental and observational studies published since 2000 measuring the effectiveness of community interventions on mental health outcomes. We included any non-clinical intervention that aimed to address the financial, employment, food or housing insecurity of participants. A review protocol was registered on the PROSPERO database (CRD42019156364) and results are reported in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines.

RESULTS:

From 2326 studies screened, 15 met our inclusion criteria. Five categories of community intervention were identified advice services colocated in healthcare settings; link worker social prescribing; telephone debt advice; food insecurity interventions; and active labour market programmes. In general, the evidence for effective and cost-effective community interventions delivered to individuals experiencing financial insecurity was lacking. From the small number of studies without a high risk of bias, there was some evidence that financial insecurity and associated mental health problems were amenable to change and differences by subpopulations were observed.

CONCLUSION:

There is a need for well-controlled studies and trials to better understand effective ingredients and to identify those interventions warranting wider implementation.
Keywords

Full text: Available Collection: International databases Database: MEDLINE Type of study: Clinical Practice Guide / Health economic evaluation / Prognostic study / Reviews / Risk factors / Systematic review Language: English Year: 2021 Document Type: Article Affiliation country: Jech-2020-215574

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Collection: International databases Database: MEDLINE Type of study: Clinical Practice Guide / Health economic evaluation / Prognostic study / Reviews / Risk factors / Systematic review Language: English Year: 2021 Document Type: Article Affiliation country: Jech-2020-215574