Michael McGrath
Effectiveness of community interventions for protecting and promoting the mental health of working-aged 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
Authors
Fiona Duncan
Kate Dotsikas
Cleo Baskin
Liam Crosby
Shamini Gnani
Rachael Maree Hunter
Eileen Kaner
James Bowes Kirkbride
Louise Lafortune
Caroline Lee
Dr Emily Oliver emily.oliver@durham.ac.uk
Honorary Professor
David P. Osborn
Kate R. Walters
Jennifer Dykxhoorn
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.
Citation
McGrath, M., Duncan, F., Dotsikas, K., Baskin, C., Crosby, L., Gnani, S., …Dykxhoorn, J. (2021). Effectiveness of community interventions for protecting and promoting the mental health of working-aged adults experiencing financial uncertainty: a systematic review. Journal of Epidemiology and Community Health, 75(7), 665-673. https://doi.org/10.1136/jech-2020-215574
Journal Article Type | Article |
---|---|
Acceptance Date | Mar 23, 2021 |
Online Publication Date | Apr 30, 2021 |
Publication Date | 2021-07 |
Deposit Date | May 5, 2021 |
Publicly Available Date | Oct 14, 2021 |
Journal | Journal of Epidemiology and Community Health |
Print ISSN | 0143-005X |
Electronic ISSN | 1470-2738 |
Publisher | BMJ Publishing Group |
Peer Reviewed | Peer Reviewed |
Volume | 75 |
Issue | 7 |
Pages | 665-673 |
DOI | https://doi.org/10.1136/jech-2020-215574 |
Public URL | https://durham-repository.worktribe.com/output/1243314 |
Publisher URL | https://jech.bmj.com/content/early/2021/04/29/jech-2020-215574 |
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Copyright Statement
This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.
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