Premium
Clinical and cost‐effectiveness of nurse‐led cognitive behavioral group therapy for recovery of self‐esteem among individuals with mental disorders: A single‐group pre‐post study
Author(s) -
Kunikata Hiroko,
Yoshinaga Naoki,
Yoshimura Kensuke,
Furushima Daisuke
Publication year - 2021
Publication title -
japan journal of nursing science
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.363
H-Index - 17
eISSN - 1742-7924
pISSN - 1742-7932
DOI - 10.1111/jjns.12371
Subject(s) - intervention (counseling) , cognition , medicine , mood , quality of life (healthcare) , clinical psychology , self esteem , physical therapy , psychiatry , nursing
Aim To investigate whether the addition of a nurse‐led cognitive behavioral group therapy for recovery of self‐esteem (CBGTRS) program to usual care for individuals with mental disorders can improve clinical outcomes and reduce direct medical costs. Methods This study employed single‐group pre‐post design, and recruited 51 community‐dwelling individuals with mental disorders. Participants received 12 weekly CBGTRS sessions by a nurse in addition to usual care. The primary outcome measure was the level of self‐esteem, with other clinical outcomes and direct medical costs. The clinical outcomes were measured at pre‐intervention (T0), intervention midpoint (T1), immediate post‐intervention (T2), and 3 months post‐intervention (T3). Direct medical costs were calculated for 3 months pre‐intervention (A0), 3 months post‐intervention (A1), between 4–6 months post‐intervention (A2), and between 7–9 months post‐intervention (A3). Results Self‐esteem scores were significantly improved from T0 to T2 and T3 ( p = .009 and .006, respectively); within‐group effect sizes were .49 (small) for T0‐T2, and .51 (medium) for T0‐T3. Other secondary clinical outcomes for mood, cognitive bias, global functioning, and quality of life were also improved by T3 (all p < .05). The mean total direct medical costs were significantly reduced from A0 (49,569.51 JPY) to A2 and A3 (21,845.76 JPY and 25,981.69 JPY, respectively) ( p = .003 and .017, respectively). Conclusions The results suggest that nurse‐led CBGTRS for mental disorders is a potentially effective approach in improving self‐esteem and other clinical outcomes, and in reducing direct medical costs. Further controlled studies that address the limitations of this study are required.