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|Title:||Psychosocial outcomes of telephone-based counseling for adults with an acquired physical disability: A meta-analysis|
|Citation:||Rehabilitation Psychology, 2011; 56(1):1-14|
|Publisher:||Educational Publishing Foundation|
|D. S. Dorstyn, J. L. Mathias and L. A. Denson|
|Abstract:||Background: The delivery of mental health services by telephone, referred to as telecounseling, has the potential to improve the health outcomes of adults with an acquired physical disability in a cost-effective way. However, the efficacy of this form of treatment requires further evaluation before it is used on a larger scale. Aim: This meta-analysis provides a critical and quantitative evaluation of the impact of telephone-administered psychological interventions on the psychosocial functioning of adults with an acquired physical disability caused by spinal cord injury, limb amputation, severe burn injury, stroke, or multiple sclerosis. Method: A comprehensive search of eight electronic databases identified eight studies (N = 658 participants) that compared treatment efficacy to that of matched control groups. Differences in the psychosocial outcomes of treatment and control participants were examined using Cohen's d effect sizes. Fail-safe Ns and 95% confidence intervals were used to evaluate the significance of these results. Results: Significant improvements in coping skills and strategies (overall d = 0.57), community integration (overall d = 0.45), and depression (overall d = 0.44) were observed immediately after telecounseling, with modest improvements in quality of life maintained at 12 months post-intervention (overall d = 0.37). Conclusions: The results suggest that telecounseling is an effective treatment modality for adults adjusting to a physical disability; however, further trials are needed to establish the long term psychosocial benefits.|
|Keywords:||meta-analysis; multiple sclerosis; spinal cord injuries; telephone; treatment outcome; counseling; psychosocial outcomes|
|Rights:||© 2011 American Psychological Association|
|Appears in Collections:||Psychology publications|
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