Cited by 288Mental Health Treatment and AccessAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychotherapy Techniques and Applications

The DOI matches its Crossref record; 59 of the 59 references it cites were found in a registry or an index.

Stepped care treatment delivery for depression: a systematic review and meta-analysis

Open access

van Straten, A., Hill, J., Richards, D. A., Cuijpers, P.·2015·Psychological Medicine

DOI 10.1017/s0033291714000701

Open this paper in CoChat — free account Open PDF

Abstract

Background: In stepped care models patients typically start with a low-intensity evidence-based treatment. Progress is monitored systematically and those patients who do not respond adequately step up to a subsequent treatment of higher intensity. Despite the fact that many guidelines have endorsed this stepped care principle it is not clear if stepped care really delivers similar or better patient outcomes against lower costs compared with other systems. We performed a systematic review and meta-analysis of all randomized trials on stepped care for depression. Method: We carried out a comprehensive literature search. Selection of studies, evaluation of study quality and extraction of data were performed independently by two authors. Results: A total of 14 studies were included and 10 were used in the meta-analyses (4580 patients). All studies used screening to identify possible patients and care as usual as a comparator. Study quality was relatively high. Stepped care had a moderate effect on depression (pooled 6-month between-group effect size Cohen's d was 0.34; 95% confidence interval 0.20–0.48). The stepped care interventions varied greatly in number and duration of treatment steps, treatments offered, professionals involved, and criteria to step up. Conclusions: There is currently only limited evidence to suggest that stepped care should be the dominant model of treatment organization. Evidence on (cost-) effectiveness compared with high-intensity psychological therapy alone, as well as with matched care, is required.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

Integrity signals

Registry

Crossref · 10.1017/s0033291714000701

Cites

59 of 59 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Trim and Fill: A Simple Funnel‐Plot–Based Method of Testing and Adjusting for Publication Bias in Meta‐Analysis
Duval, S., & Tweedie, R. (2000) · Biometrics · doi:10.1111/j.0006-341x.2000.00455.x · Cited by 14,099
Book Reviews: Statistical Methods for Meta-Analysis Larry V. Hedges and Ingram Olkin New York: Academic Press, 1985. xxii + 369 pp
Wasserman, S. S., Hedges, L. V., & Olkin, I. (1988) · Journal of Educational Statistics · doi:10.2307/1164953 · Cited by 10,377
Statistical Methods for Meta-Analysis.
Freeman, P. R., Hedges, L. V., & Olkin, I. (1986) · Biometrics · doi:10.2307/2531069 · Cited by 4,840
The Handbook of Research Synthesis.
Howel, D., Cooper, H., & Hedges, L. V. (1995) · Biometrics · doi:10.2307/2533295 · Cited by 3,657
Collaborative Care Management of Late-Life Depression in the Primary Care Setting: A Randomized Controlled Trial
Unützer, J., Katon, W., Callahan, C. M., Williams, Jr., Hunkeler, E., Harpole, L., Hoffing, M., Della Penna, R. D., Noël, P. H., Lin, E. H. B., et al. (2002) · JAMA · doi:10.1001/jama.288.22.2836 · Cited by 2,405
The efficacy of psychological, educational, and behavioral treatment: Confirmation from meta-analysis.
Lipsey, M. W., & Wilson, D. B. (1993) · American Psychologist · doi:10.1037/0003-066x.48.12.1181 · Cited by 2,033
Computer-based psychological treatments for depression: A systematic review and meta-analysis
Richards, D., & Richardson, T. (2012) · Clinical Psychology Review · doi:10.1016/j.cpr.2012.02.004 · Cited by 1,442
Self-citation
Randomized Controlled Trial
Epidoxorubicin In, A., Cascinu, S., Labianca, R., Barone, C., Santoro, O., Carnaghi, C., Frontini, L., Aitini, E., Rota, S., Torri, V., et al. (2009) · Springer eBooks · doi:10.1007/978-0-387-78665-0_6514 · Cited by 1,394
Computer Therapy for the Anxiety and Depressive Disorders Is Effective, Acceptable and Practical Health Care: A Meta-Analysis
Andrews, G., Cuijpers, P., Craske, M. G., McEvoy, P., & Titov, N. (2010) · PLoS ONE · doi:10.1371/journal.pone.0013196 · Cited by 1,311
Self-citation
Collaborative care for depression and anxiety problems
Archer, J., Bower, P., Gilbody, S., Lovell, K., Richards, D., Gask, L., Dickens, C., & Coventry, P. (2012) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd006525.pub2 · Cited by 1,126
Self-citation

Show all 58 references

Research works printed but not linked: 4

Higgins, 2011, Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 (updated March 2011)
Andrews, 2006, A Needs-Based, Costed Stepped-Care Model for Mental Health Services
2011, Common Mental Health Disorders: Identification and Pathways to Care
2010, Depression: The NICE Guideline on the Treatment and Management of Depression in Adults

Sorted by citations

The efficacy of app-supported smartphone interventions for mental health problems: a meta-analysis of randomized controlled trials
Linardon, J., Cuijpers, P., Carlbring, P., Messer, M., & Fuller‐Tyszkiewicz, M. (2019) · World Psychiatry · doi:10.1002/wps.20673 · Cited by 860
Self-citation
Canadian Network for Mood and Anxiety Treatments (CANMAT) 2023 Update on Clinical Guidelines for Management of Major Depressive Disorder in Adults: Réseau canadien pour les traitements de l'humeur et de l'anxiété (CANMAT) 2023 : Mise à jour des lignes directrices cliniques pour la prise en charge du trouble dépressif majeur chez les adultes
Lam, R. W. M., Kennedy, S. H., Adams, G. C., Bahji, A., Beaulieu, S., Bhat, V., Blier, P., Blumberger, D. M., Brietzke, E. M., Chakrabarty, T., et al. (2024) · The Canadian Journal of Psychiatry · doi:10.1177/07067437241245384 · Cited by 435
Do guided internet-based interventions result in clinically relevant changes for patients with depression? An individual participant data meta-analysis
Karyotaki, E., Ebert, D. D., Donkin, L., Riper, H., Twisk, J., Burger, S., Rozental, A., Lange, A., Williams, A. D., Zarski, A. C., et al. (2018) · Clinical Psychology Review · doi:10.1016/j.cpr.2018.06.007 · Cited by 303
Self-citation
Integrating the Hierarchical Taxonomy of Psychopathology (HiTOP) into clinical practice.
Ruggero, C. J., Kotov, R., Hopwood, C. J., First, M., Clark, L. A., Skodol, A. E., Mullins-Sweatt, S. N., Patrick, C. J., Bach, B., Cicero, D. C., et al. (2019) · Journal of Consulting and Clinical Psychology · doi:10.1037/ccp0000452 · Cited by 333
Canadian Network for Mood and Anxiety Treatments (CANMAT) 2016 Clinical Guidelines for the Management of Adults with Major Depressive Disorder: Section 1. Disease Burden and Principles of Care
Lam, R. W., McIntosh, D., Wang, J., Enns, M. W., Kolivakis, T., Michalak, E. E., Sareen, J., Song, W.-Y., Kennedy, S. H., MacQueen, G. M., et al. (2016) · The Canadian Journal of Psychiatry · doi:10.1177/0706743716659416 · Cited by 288
Current evidence on the efficacy of mental health smartphone apps for symptoms of depression and anxiety. A meta‐analysis of 176 randomized controlled trials
Linardon, J., Torous, J. B., Firth, J., Cuijpers, P. J., Messer, M., & Fuller‐Tyszkiewicz, M. (2024) · World Psychiatry · doi:10.1002/wps.21183 · Cited by 260
Self-citation
Right care, first time: a highly personalised and measurement‐based care model to manage youth mental health
Hickie, I. B., Scott, E. M., Cross, S. P., Iorfino, F., Davenport, T. A., Guastella, A. J., Naismith, S. L., Carpenter, J. S., Rohleder, C., Crouse, J. J., et al. (2019) · Medical Journal of Australia · doi:10.5694/mja2.50383 · Cited by 208
A randomized controlled trial of three smartphone apps for enhancing public mental health
Bakker, D., Kazantzis, N., Rickwood, D., & Rickard, N. (2018) · Behaviour Research and Therapy · doi:10.1016/j.brat.2018.08.003 · Cited by 176
Stratified Care vs Stepped Care for Depression: A Cluster Randomized Clinical Trial
Delgadillo, J., Ali, S., Fleck, K., Agnew, C., Southgate, A., Parkhouse, L., Cohen, Z. D., DeRubeis, R. J., & Barkham, M. (2022) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2021.3539 · Cited by 194
The World Health Organization World Mental Health International College Student initiative: An overview
Cuijpers, P., Auerbach, R. P., Benjet, C., Bruffaerts, R., Ebert, D., Karyotaki, E., & Kessler, R. C. (2019) · International Journal of Methods in Psychiatric Research · doi:10.1002/mpr.1761 · Cited by 190
“Our goal in estimating these prescriptive treatment effectiveness models will be to develop a principled basis for implementing a stepped‐care treatment approach (Van Straten et al., 2015).”
BackgroundSelf-citation
A systematic review of rehabilitation interventions to prevent and treat depression in post-stroke aphasia
Baker, C., Worrall, L., Rose, M., Hudson, K., Ryan, B., & O’Byrne, L. (2018) · Disability and Rehabilitation · doi:10.1080/09638288.2017.1315181 · Cited by 186
The Efficacy and Cost-Effectiveness of Stepped Care Prevention and Treatment for Depressive and/or Anxiety Disorders: A Systematic Review and Meta-Analysis
Ho, F. Y.-Y., Yeung, W.-F., Ng, T. H.-Y., & Chan, C. S. (2016) · Scientific Reports · doi:10.1038/srep29281 · Cited by 173
The use of PROMs and shared decision‐making in medical encounters with patients: An opportunity to deliver value‐based health care to patients
Damman, O. C., Jani, A. R., de Jong, B. A., Becker‐Commissaris, A., Metz, M. J., de Bruijne, M. C., Timmermans, D. R. M., Cornel, M. C., Ubbink, D. T., van der Steen, M., et al. (2019) · Journal of Evaluation in Clinical Practice · doi:10.1111/jep.13321 · Cited by 189
Meeting the mental health needs of today’s college student: Reinventing services through Stepped Care 2.0.
Cornish, P. A., Berry, G., Benton, S. A., Barros-Gomes, P., Johnson, D., Ginsburg, R., Whelan, B., Fawcett, E. J., & Romano, V. (2017) · Psychological Services · doi:10.1037/ser0000158 · Cited by 165
Stepped Care for Opioid Use Disorder Train the Trainer (Scoutt) Initiative: Expanding Access to Medication Treatment for Opioid Use Disorder within Veterans Health Administration Facilities
Gordon, A. J., Drexler, K. P. G., Hawkins, E. J., Burden, J. L., Codell, N. K., Mhatre-Owens, A., Dungan, M. T., & Hagedorn, H. (2020) · Substance Abuse · doi:10.1080/08897077.2020.1787299 · Cited by 138
Transdiagnostic stepped care in mental health
Cross, S., & Hickie, I. (2017) · Public Health Research and Practice · doi:10.17061/phrp2721712 · Cited by 130
Public attitudes toward guided internet-based therapies: web-based survey study
Apolinário-Hagen, J., Harrer, M., Kählke, F., Fritsche, L., Salewski, C., & Ebert, D. D. (2018) · JMIR Mental Health · doi:10.2196/10735 · Cited by 123
Mediators and mechanisms of change in internet- and mobile-based interventions for depression: A systematic review
Domhardt, M., Steubl, L., Boettcher, J., Buntrock, C., Karyotaki, E., Ebert, D. D., Cuijpers, P., & Baumeister, H. (2021) · Clinical Psychology Review · doi:10.1016/j.cpr.2020.101953 · Cited by 106
Self-citation
Internet and mobile interventions for depression: Opportunities and challenges: Cuijpers et al .
Cuijpers, P., Kleiboer, A., Karyotaki, E., & Riper, H. (2017) · Depression and Anxiety · doi:10.1002/da.22641 · Cited by 112
Self-citation
Costs and effects of Internet cognitive behavioral treatment blended with face-to-face treatment: results from a naturalistic study
Kenter, R. M. F., van de Ven, P. M., Cuijpers, P., Koole, G., Niamat, S., Gerrits, R. S., Willems, M., & van Straten, A. (2015) · Internet Interventions · doi:10.1016/j.invent.2015.01.001 · Cited by 105
Self-citation
The concept and definition of low intensity cognitive behaviour therapy
Shafran, R., Myles-Hooton, P., Bennett, S., & Öst, L.-G. (2021) · Behaviour Research and Therapy · doi:10.1016/j.brat.2021.103803 · Cited by 104
Stepped care for depression and anxiety in visually impaired older adults: multicentre randomised controlled trial
van der Aa, H. P. A., van Rens, G. H. M. B., Comijs, H. C., Margrain, T. H., Gallindo-Garre, F., Twisk, J. W. R., & van Nispen, R. M. A. (2015) · BMJ · doi:10.1136/bmj.h6127 · Cited by 104
A randomised controlled trial of a couples‐based sexuality intervention for men with localised prostate cancer and their female partners
Chambers, S. K., Occhipinti, S., Schover, L. R., Nielsen, L., Zajdlewicz, L., Clutton, S., Halford, W. K., Gardiner, R. A., & Dunn, J. C. (2014) · Psycho-Oncology · doi:10.1002/pon.3726 · Cited by 104
An Update on Telepsychiatry and How It Can Leverage Collaborative, Stepped, and Integrated Services to Primary Care
Hilty, D. M., Rabinowitz, T., McCarron, R. M., Katzelnick, D. J., Chang, T. E., Bauer, A. M., & Fortney, J. C. (2017) · Psychosomatics · doi:10.1016/j.psym.2017.12.005 · Cited by 95
eHealth to redress psychotherapy access barriers both new and old: A review of reviews and meta-analyses
Bennett, C. B., Ruggero, C. J., Sever, A. C., & Yanouri, L. (2020) · Journal of Psychotherapy Integration · doi:10.1037/int0000217 · Cited by 87
Telepsychiatry and other technologies for integrated care: evidence base, best practice models and competencies
Hilty, D. M., Sunderji, N., Suo, S., Chan, S. R., & McCarron, R. M. (2018) · International Review of Psychiatry · doi:10.1080/09540261.2019.1571483 · Cited by 91
‘It was really dark’: the experiences and preferences of people with aphasia to manage mood changes and depression
Baker, C., Worrall, L. E., Rose, M. L., & Ryan, B. (2019) · Aphasiology · doi:10.1080/02687038.2019.1673304 · Cited by 100
Comparison of Stepped Care Delivery Against a Single, Empirically Validated Cognitive-Behavioral Therapy Program for Youth With Anxiety: A Randomized Clinical Trial
Rapee, R. M., Lyneham, H. J., Wuthrich, V., Chatterton, M. L., Hudson, J. L., Kangas, M., & Mihalopoulos, C. (2017) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2017.08.001 · Cited by 81
Psychological Interventions Prior to Cancer Surgery: a Review of Reviews
Grimmett, C., Heneka, N., & Chambers, S. (2022) · Current Anesthesiology Reports · doi:10.1007/s40140-021-00505-x · Cited by 78
Evaluation of the Use of Digital Mental Health Platforms and Interventions: Scoping Review
Balcombe, L., & Leo, D. D. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20010362 · Cited by 83
The efficacy of mindfulness apps on symptoms of depression and anxiety: An updated meta-analysis of randomized controlled trials
Linardon, J., Messer, M., Goldberg, S. B., & Fuller‐Tyszkiewicz, M. (2023) · Clinical Psychology Review · doi:10.1016/j.cpr.2023.102370 · Cited by 78
Stepped care targeting psychological distress in head and neck cancer and lung cancer patients: a randomized, controlled trial
Krebber, A. M. H., Jansen, F., Lissenberg-Witte, B. I., Cuijpers, P. J., de Bree, R., Becker‐Commissaris, A., Smit, E. F., van Straten, A., Eeckhout, A. M., Beekman, A. T. F., et al. (2016) · Annals of Oncology · doi:10.1093/annonc/mdw230 · Cited by 74
Self-citation
Efficacy of a stepped care approach to deliver cognitive-behavioral therapy for insomnia in cancer patients: a noninferiority randomized controlled trial
Savard, J., Ivers, H., Savard, M., Morin, C. M., Caplette‐Gingras, A., Bouchard, S., & Lacroix, G. (2021) · SLEEP · doi:10.1093/sleep/zsab166 · Cited by 80
Stepped Care Versus Direct Face-to-Face Cognitive Behavior Therapy for Social Anxiety Disorder and Panic Disorder: A Randomized Effectiveness Trial
Nordgreen, T., Haug, T., Öst, L.-G., Andersson, G., Carlbring, P., Kvale, G., Tangen, T., Heiervang, E., & Havik, O. E. (2016) · Behavior Therapy · doi:10.1016/j.beth.2015.10.004 · Cited by 64
Scoping review of stepped care interventions for mental health and substance use service delivery to youth and young adults
Berger, M., Fernando, S., Churchill, A., Cornish, P. A., Henderson, J. L., Shah, J. L., Tee, K. A., & Salmon, A. (2021) · Early Intervention in Psychiatry · doi:10.1111/eip.13180 · Cited by 67
Eating disorders “mental health literacy”: a scoping review
Bullivant, B., Rhydderch, S., Griffiths, S., Mitchison, D., & Mond, J. (2020) · Journal of Mental Health · doi:10.1080/09638237.2020.1713996 · Cited by 67
Guideline-based stepped and collaborative care for patients with depression in a cluster-randomised trial
Härter, M. C., Watzke, B., Daubmann, A., Wegscheider, K., König, H., Brettschneider, C., Liebherz, S., Heddaeus, D., & Steinmann, M. (2018) · Scientific Reports · doi:10.1038/s41598-018-27470-6 · Cited by 63
A randomized noninferiority trial evaluating remotely-delivered stepped care for depression using internet cognitive behavioral therapy (CBT) and telephone CBT
Mohr, D. C., Lattie, E. G., Tomasino, K. N., Kwasny, M. J., Kaiser, S. M., Gray, E. L., Alam, N., Jordan, N., & Schueller, S. M. (2019) · Behaviour Research and Therapy · doi:10.1016/j.brat.2019.103485 · Cited by 57
Development and Evaluation of Cognitive Analytic Guided Self-Help (CAT-SH) for Use in IAPT Services
Meadows, J., & Kellett, S. (2017) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465816000485 · Cited by 59
Psychotherapy of adjustment disorders: Current state and future directions
Domhardt, M., & Baumeister, H. (2018) · The World Journal of Biological Psychiatry · doi:10.1080/15622975.2018.1467041 · Cited by 61
Defining and Predicting Patterns of Early Response in a Web-Based Intervention for Depression
Lutz, W., Arndt, A., Rubel, J. A., Berger, T., Schröder, J., Späth, C., Meyer, B., Greiner, W., Gräfe, V., Hautzinger, M., et al. (2017) · Journal of Medical Internet Research · doi:10.2196/jmir.7367 · Cited by 58
Implementation of integrated stepped care for unhealthy alcohol use in HIV clinics
Edelman, E. J., Hansen, N. B., Cutter, C. J., Danton, C., Fiellin, L. E., O’Connor, P. G., Williams, E. C., Maisto, S. A., BRYANT, K. J., & Fiellin, D. A. (2016) · Addiction Science & Clinical Practice · doi:10.1186/s13722-015-0048-z · Cited by 55
Stepped care for the treatment of depression: a systematic review and meta-analysis
Rivero‐Santana, A., Perestelo‐Pérez, L., Álvarez‐Pérez, Y., Ramos‐García, V., Duarte‐Díaz, A., Linertová, R., García‐Pérez, L., & Serrano‐Aguilar, P. (2021) · Journal of Affective Disorders · doi:10.1016/j.jad.2021.07.008 · Cited by 48
Effectiveness of a mental health stepped-care programme for healthcare workers with psychological distress in crisis settings: a multicentre randomised controlled trial
Mediavilla, R., Felez-Nobrega, M., McGreevy, K. R., Monistrol-Mula, A., Bravo-Ortiz, M.-F., Bayón, C., Giné-Vázquez, I., Villaescusa, R., Muñoz-Sanjosé, A., Aguilar-Ortiz, S., et al. (2023) · BMJ Mental Health · doi:10.1136/bmjment-2023-300697 · Cited by 47
Effective, clinically feasible and sustainable: Key design features of psycho-educational and supportive care interventions to promote individualised self-management in cancer care
Schofield, P. E., & Chambers, S. K. (2015) · Acta Oncologica · doi:10.3109/0284186x.2015.1010016 · Cited by 47
Stepped care in primary care – guided self-help and face-to-face cognitive behavioural therapy for common mental disorders: a randomized controlled trial
Salomonsson, S., Santoft, F., Lindsäter, E., Ejeby, K., Ljótsson, B., Öst, L., Ingvar, M., Lekander, M., & Hedman‐Lagerlöf, E. (2017) · Psychological Medicine · doi:10.1017/s0033291717003129 · Cited by 45
Pragmatic cluster randomized trial to evaluate effectiveness and implementation of enhanced EHR-facilitated cancer symptom control (E2C2)
Rutten, L. J. F., Ruddy, K. J., Chlan, L. L., Griffin, J. M., Herrin, J. S., Leppin, A. L., Pachman, D. R., Ridgeway, J. L., Rahman, P., Storlie, C. B., et al. (2020) · Trials · doi:10.1186/s13063-020-04335-w · Cited by 43
A cluster randomised controlled trial of a web-based youth mental health service in Australian schools
O’Dea, B., Subotic-Kerry, M., KING, C. A., Mackinnon, A. J., Achilles, M. R., Anderson, M., Parker, B., Werner‐Seidler, A., Torok, M. H., Cockayne, N. L., et al. (2021) · The Lancet Regional Health - Western Pacific · doi:10.1016/j.lanwpc.2021.100178 · Cited by 46
Impact of a progressive stepped care approach in an improving access to psychological therapies service: An observational study
Boyd, L., Baker, E., & Reilly, J. G. (2019) · PLoS ONE · doi:10.1371/journal.pone.0214715 · Cited by 42
Economic evaluation of stepped care for the management of childhood anxiety disorders: Results from a randomised trial
Chatterton, M. L., Rapee, R. M., Catchpool, M., Lyneham, H. J., Wuthrich, V. M., Hudson, J. L., Kangas, M., & Mihalopoulos, C. (2019) · Australian & New Zealand Journal of Psychiatry · doi:10.1177/0004867418823272 · Cited by 42
Recent trends in the management of depression in persons with cancer
Panjwani, A. A., & Li, M. (2021) · Current Opinion in Psychiatry · doi:10.1097/yco.0000000000000727 · Cited by 41
Real world effectiveness of digital mental health services during the COVID-19 pandemic
Prescott, M., Henson, S. J. S., Chamberlain, C. E. W., Castro, C. M., & Altman, M. (2022) · PLoS ONE · doi:10.1371/journal.pone.0272162 · Cited by 39
Economic evaluation of stepped-care versus usual care for depression and anxiety in older adults with vision impairment: randomized controlled trial
van der Aa, H. P. A., van Rens, G. H. M. B., Bosmans, J. E., Comijs, H. C., & van Nispen, R. M. A. (2017) · BMC Psychiatry · doi:10.1186/s12888-017-1437-5 · Cited by 39
Nurse‐led task‐shifting strategies to substitute for mental health specialists in primary care: A systematic review
Aurizki, G. E., & Wilson, I. (2022) · International Journal of Nursing Practice · doi:10.1111/ijn.13046 · Cited by 46
Knowledge, Beliefs, and Practices of Australian Audiologists in Addressing the Mental Health Needs of Adults With Hearing Loss
Bennett, R. J., Meyer, C., Ryan, B., Barr, C., Laird, E., & Eikelboom, R. H. (2020) · American Journal of Audiology · doi:10.1044/2019_aja-19-00087 · Cited by 38
CBT-informed psychological interventions for adult patients with anxiety and depression symptoms: A narrative review of digital treatment options
Biagianti, B., Foti, G., Liberto, A. D., Bressi, C., & Brambilla, P. (2023) · Journal of Affective Disorders · doi:10.1016/j.jad.2023.01.057 · Cited by 44
Clinical efficacy of a Decision Support Tool (Link-me) to guide intensity of mental health care in primary practice: a pragmatic stratified randomised controlled trial
Fletcher, S. L., Spittal, M. J., Chondros, P., Palmer, V. J., Chatterton, M. L., Densley, K., Potiriadis, M., Harris, M., Bassilios, B., Burgess, P. M., et al. (2021) · The Lancet Psychiatry · doi:10.1016/s2215-0366(20)30517-4 · Cited by 36
Brief assessment of depression: Psychometric properties of the Portuguese version of the Patient Health Questionnaire (PHQ-9)
Ferreira, T. B., Silva, M. S., & Salgado, J. (2019) · The Psychologist Practice & Research Journal · doi:10.33525/pprj.v1i2.36 · Cited by 34
Recognition of personality disorder and anxiety disorder comorbidity in patients treated for depression in secondary psychiatric care
Asp, M., Lindqvist, D., Fernström, J., Ambrus, L., Tuninger, E., Reis, M., & Westrin, Å. (2020) · PLoS ONE · doi:10.1371/journal.pone.0227364 · Cited by 38
A Novel and Integrated Digitally Supported System of Care for Depression and Anxiety: Findings From an Open Trial
Wolitzky-Taylor, K. B., LeBeau, R. T., Arnaudova, I., Barnes‐Horowitz, N. M., Gong-Guy, E., Fears, S. C., Congdon, E. L., Freimer, N. B., & Craske, M. G. (2023) · JMIR Mental Health · doi:10.2196/46200 · Cited by 34
Matching depression management to severity prognosis in primary care: results of the Target-D randomised controlled trial
Fletcher, S. L., Chondros, P., Densley, K., Murray, E., Dowrick, C. F., Coe, A., Hegarty, K. L., Davidson, S. K., Wachtler, C., Mihalopoulos, C., et al. (2020) · British Journal of General Practice · doi:10.3399/bjgp.2020.0783 · Cited by 31
Interventions to support the management of work-related stress (WRS) and wellbeing/mental health issues for commercial pilots
Cahill, J., Cullen, P., & Gaynor, K. (2019) · Cognition Technology & Work · doi:10.1007/s10111-019-00586-z · Cited by 31
Using Staged Care to Provide “Right Care First Time” to People With Common Affective Disorders
Sawrikar, V., Stewart, E. M., LaMonica, H. M., Iorfino, F., Davenport, T. A., Cross, S. P. M., Scott, E. M., Naismith, S. L., Mowszowski, L., Guastella, A. J., et al. (2021) · Psychiatric Services · doi:10.1176/appi.ps.202000145 · Cited by 31
Making Internet-delivered cognitive behaviour therapy scalable for cancer survivors: a randomized non-inferiority trial of self-guided and technician-guided therapy
Dirkse, D., Hadjistavropoulos, H. D., Alberts, N. A., Karin, E., Schneider, L. H., Titov, N., & Dear, B. F. (2020) · Journal of Cancer Survivorship · doi:10.1007/s11764-019-00810-9 · Cited by 29
Effectiveness of stepped care for mental health disorders: An umbrella review of meta-analyses
Jeitani, A., Fahey, P. P., Gascoigne, M., Darnal, A., & Lim, D. (2024) · Personalized Medicine in Psychiatry · doi:10.1016/j.pmip.2024.100140 · Cited by 30
Internet-Based Cognitive Behavioral Therapy in Stepped Care for Chronic Fatigue Syndrome: Randomized Noninferiority Trial
Worm-Smeitink, M., Janse, A., van Dam, A., Evers, A. W. M., van der Vaart, R., Wensing, M., & Knoop, H. (2019) · Journal of Medical Internet Research · doi:10.2196/11276 · Cited by 34
Efficacy of a Digital Mental Health Biopsychosocial Transdiagnostic Intervention With or Without Therapist Assistance for Adults With Anxiety and Depression: Adaptive Randomized Controlled Trial
Andrews, B., Klein, B., Huy, N. V., Corboy, D., McLaren, S., & Watson, S. (2023) · Journal of Medical Internet Research · doi:10.2196/45135 · Cited by 32
A SMARTTT approach to Treating Tobacco use disorder in persons with HIV (SMARTTT): Rationale and design for a hybrid type 1 effectiveness-implementation study
Edelman, E. J., Dziura, J. D., Deng, Y., Bold, K. W., Murphy, S. M., Porter, E., Sigel, K. M., Yager, J. E., Ledgerwood, D. M., & Bernstein, S. L. (2021) · Contemporary Clinical Trials · doi:10.1016/j.cct.2021.106379 · Cited by 29
A randomised controlled trial of clinician supported vs self-help delivery of online cognitive behaviour therapy for Bulimia Nervosa
Barakat, S., Burton, A. L., Cunich, M. M., Hay, P., Hazelton, J. L., Kim, M., Lymer, S. J., Madden, S., Maloney, D., Miskovic‐Wheatley, J., et al. (2023) · Psychiatry Research · doi:10.1016/j.psychres.2023.115534 · Cited by 29
The Starting Treatment for Ethanol in Primary care Trials (STEP Trials): Protocol for Three Parallel Multi-Site Stepped Care Effectiveness Studies for Unhealthy Alcohol Use in HIV-Positive Patients
Edelman, E. J., Maisto, S. A., Hansen, N. B., Cutter, C. J., Dziura, J. D., Fiellin, L. E., O’Connor, P. G., Bedimo, R. G., Gibert, C. L., Marconi, V. C., et al. (2016) · Contemporary Clinical Trials · doi:10.1016/j.cct.2016.11.008 · Cited by 28
Internet-Administered Cognitive Behavioral Therapy for Common Mental Health Difficulties in Parents of Children Treated for Cancer: Intervention Development and Description Study
Woodford, J., Farrand, P. A., Hagström, J., Hedenmalm, L., & von Essén, L. (2021) · JMIR Formative Research · doi:10.2196/22709 · Cited by 29
A meta‐analytic review of the effectiveness of psychological treatment of functional/dissociative seizures on non‐seizure outcomes in adults
Gaskell, C., Power, N., Nováková, B., Simmonds‐Buckley, M., Reuber, M., Kellett, S., & Rawlings, G. H. (2023) · Epilepsia · doi:10.1111/epi.17626 · Cited by 32
Effectiveness of a stepped-care programme of internet-based psychological interventions for healthcare workers with psychological distress: Study protocol for the RESPOND healthcare workers randomised controlled trial
Mediavilla, R., McGreevy, K. R., Félez-Nóbrega, M., Monistrol-Mula, A., Bravo‐Ortiz, M. F., Bayón, C., Vega, B. R., Nicaise, P., Delaire, A., Sijbrandij, M., et al. (2022) · Digital Health · doi:10.1177/20552076221129084 · Cited by 27
On campus physical activity programming for post-secondary student mental health: Examining effectiveness and acceptability
deJonge, M. L., Jain, S., Faulkner, G., & Sabiston, C. M. (2021) · Mental health and physical activity · doi:10.1016/j.mhpa.2021.100391 · Cited by 36
A retrospective examination of care pathways in individuals with treatment-resistant depression
Day, E., Shah, R., Taylor, R., Marwood, L., Nortey, K., Harvey, J., McAllister-Williams, H., Geddes, J. R., Alvaro Barrera, P., Young, A. H., et al. (2021) · BJPsych Open · doi:10.1192/bjo.2021.59 · Cited by 26
Collaborative community mental health and aged care services with peer support to prevent late-life depression: study protocol for a non-randomised controlled trial
Liu, T., Leung, D. K. Y., Lu, S., Kwok, W.-W., Sze, L., Tse, S. S.-K., Ng, S., Wong, P. W. C., LOU, V. W. Q., Tang, J. Y. ‐., et al. (2022) · Trials · doi:10.1186/s13063-022-06122-1 · Cited by 25
Smooth Sailing: A Pilot Study of an Online, School-Based, Mental Health Service for Depression and Anxiety
O’Dea, B., KING, C. A., Subotic-Kerry, M., Achilles, M. R., Cockayne, N. L., & Christensen, H. M. (2019) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2019.00574 · Cited by 27
Integrated stepped alcohol treatment for patients with HIV and liver disease: A randomized trial
Edelman, E. J., Maisto, S. A., Hansen, N. B., Cutter, C. J., Dziura, J., Deng, Y., Fiellin, L. E., O’Connor, P. G., Bedimo, R., Gibert, C. L., et al. (2019) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2019.08.007 · Cited by 23
Predictors of adherence to a publicly available self-guided digital mental health intervention
Woolley, M. G., Klimczak, K. S., Davis, C. H., & Levin, M. E. (2024) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2024.2341807 · Cited by 25
The future of psychotherapy research: stop the waste and focus on issues that matter
Cuijpers, P. J. (2015) · Epidemiology and Psychiatric Sciences · doi:10.1017/s2045796015000785 · Cited by 23
Self-citation
Cut points on the Patient Health Questionnaire (PHQ-9) that predict response to cognitive–behavioral treatments for depression
Schueller, S. M., Kwasny, M., Dear, B. F., Titov, N., & Mohr, D. C. (2015) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2015.05.009 · Cited by 26
Mental Health Utilization Patterns During a Stepped, Collaborative Care Effectiveness Trial for PTSD and Depression in the Military Health System
Belsher, B. E., Jaycox, L. H., Freed, M. C., Evatt, D. P., Liu, X., Novak, L. A., Zatzick, D., Bray, R. M., & Engel, C. C. (2016) · Medical Care · doi:10.1097/mlr.0000000000000545 · Cited by 23
School Counselors’ Perspectives of a Web-Based Stepped Care Mental Health Service for Schools: Cross-Sectional Online Survey
O’Dea, B., KING, C. A., Subotic-Kerry, M., O’Moore, K., & Christensen, H. M. (2017) · JMIR Mental Health · doi:10.2196/mental.8369 · Cited by 23
Evidence on Technology-Based Psychological Interventions in Diagnosed Depression: Systematic Review
Köhnen, M., Dreier, M., Seeralan, T., Kriston, L., Härter, M., Baumeister, H., & Liebherz, S. (2021) · JMIR Mental Health · doi:10.2196/21700 · Cited by 23
Efficacy and effectiveness of therapist-guided internet versus face-to-face cognitive behavioural therapy for depression via counterfactual inference using naturalistic registers and machine learning in Finland: a retrospective cohort study
Rosenström, T. H., Saarni, S. E., Saarni, S. I., Tammilehto, J., & Stenberg, J. (2025) · The Lancet Psychiatry · doi:10.1016/s2215-0366(24)00404-8 · Cited by 23
An integrated approach to meet the needs of high-vulnerable families: a qualitative study on integrated care from a professional perspective
Nooteboom, L. A., van den Driesschen, S. I., Kuiper, C. H. Z., Vermeiren, R. R. J. M., & Mulder, E. A. (2020) · Child and Adolescent Psychiatry and Mental Health · doi:10.1186/s13034-020-00321-x · Cited by 23
Relationship Between Diabetes, Stress, and Self-Management to Inform Chronic Disease Product Development: Retrospective Cross-Sectional Study
Yu, J., Xu, T., James, R. A., Lu, W., & Hoffman, J. E. (2020) · JMIR Diabetes · doi:10.2196/20888 · Cited by 24
Integrated cognitive behavioral therapy for chronic pain
Taguchi, K., Numata, N., Takanashi, R., Takemura, R., Yoshida, T., Kutsuzawa, K., Yoshimura, K., & Shimizu, E. (2021) · Medicine · doi:10.1097/md.0000000000023859 · Cited by 29
“Not shifting, but sharing”: stakeholders' perspectives on mental health task-shifting in Indonesia
Efendi, F., Aurizki, G. E., Yusuf, A., & McKenna, L. (2022) · BMC Nursing · doi:10.1186/s12912-022-00945-8 · Cited by 29
The cost-utility of stepped-care algorithms according to depression guideline recommendations – Results of a state-transition model analysis
Meeuwissen, J. A. C., Feenstra, T., Smit, F., Blankers, M., Spijker, J., Bockting, C., van Balkom, A. J. L. M., & Buskens, E. (2018) · Journal of Affective Disorders · doi:10.1016/j.jad.2018.08.024 · Cited by 22
Using machine learning to forecast symptom changes among subclinical depression patients receiving stepped care or usual care
Scodari, B. T., Chacko, S. M., Matsumura, R., & Jacobson, N. C. (2023) · Journal of Affective Disorders · doi:10.1016/j.jad.2023.08.004 · Cited by 21
Translating Cognitive Vulnerability Theory Into Improved Adolescent Depression Screening: A Receiver Operating Characteristic Approach
Cohen, J. R., So, F. K., Hankin, B. L., & Young, J. F. (2018) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2017.1416617 · Cited by 21
Using stepped-care approaches within internet-based interventions for youth anxiety: Three case studies
March, S., Donovan, C. L., Baldwin, S., Ford, M., & Spence, S. H. (2019) · Internet Interventions · doi:10.1016/j.invent.2019.100281 · Cited by 23
Feasibility of an online well-being intervention for people with spinal cord injury: a pilot study
Verwer, J. H., van Leeuwen, C. M. C., Bolier, L., & Post, M. W. M. (2015) · Spinal Cord · doi:10.1038/sc.2015.165 · Cited by 19
Enhancing the Return to Work of Cancer Survivors: Development and Feasibility of the Nurse-Led eHealth Intervention Cancer@Work
Tamminga, S. J., van Hezel, S., de Boer, A. G. E. M., & Frings‐Dresen, M. H. W. (2016) · JMIR Research Protocols · doi:10.2196/resprot.5565 · Cited by 19
A randomized controlled trial of an online single session intervention for body image in individuals with recurrent binge eating
Messer, M., Fuller‐Tyszkiewicz, M., Liu, C., Anderson, C., & Linardon, J. (2024) · International Journal of Eating Disorders · doi:10.1002/eat.24213 · Cited by 18
Nonoperative Management Prior to Hip Arthroscopy for Femoroacetabular Impingement Syndrome: An Investigation Into the Utilization and Content of Physical Therapy
Young, J. L., Wright, A. A., & Rhon, D. I. (2019) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2019.8581 · Cited by 18
Are claims of non-inferiority of Internet and computer-based cognitive-behavioural therapy compared with in-person cognitive-behavioural therapy for adults with anxiety disorders supported by the evidence from head-to-head randomised controlled trials? A systematic review
O’Kearney, R., Kim, S., Dawson, R. L., & Calear, A. L. (2019) · Australian & New Zealand Journal of Psychiatry · doi:10.1177/0004867419864433 · Cited by 18
Understanding men’s psychological reactions and experience following a cardiac event: a qualitative study from the MindTheHeart project
Jbilou, J., Grenier, J., Chomienne, M., Talbot, F., Tulloch, H. E., D’Antono, B., & Greenman, P. S. (2019) · BMJ Open · doi:10.1136/bmjopen-2019-029560 · Cited by 18
Effects of Integrated Care Approaches to Address Co-occurring Depression and Diabetes: A Systematic Review and Meta-analysis
Cooper, Z., O’Shields, J., Ali, M. K., Chwastiak, L., & Johnson, L. C. M. (2024) · Diabetes Care · doi:10.2337/dc24-1334 · Cited by 24

Authors: van Straten, A., Hill, J., Richards, D. A., & Cuijpers, P.
Affiliations: University of Exeter (GB)
Amsterdam Public Health (NL)
ORCID: Richards, D. A.
Cuijpers, P.
Venue: Psychological Medicine
Publisher: Cambridge University Press (CUP)
Published: 2014-03-26
Volume: 45
Issue: 2
Pages: 231-246
ISSN: 0033-2917 (ISSN-L)
1469-8978
DOI: 10.1017/s0033291714000701
OpenAlex: W1979026663
Cited by: 288
References: 58
Citations by year: 2026: 20 · 2025: 22 · 2024: 22 · 2023: 31 · 2022: 33 · 2021: 35 · 2020: 26 · 2019: 37 · 2018: 20 · 2017: 21 · 2016: 10 · 2015: 9 · 2014: 2
FWCI: 2.00
Type: journal article
Language: en
Open access: green
hdl.handle.net
Licence: www.cambridge.org/core/terms (unspecified)
Locations: Psychological Medicine (publishedVersion)
PubMed (publishedVersion)
VU Research Portal (publishedVersion)
Open Research Exeter (University of Exeter) (submittedVersion)
Multilingual Matters (Channel View Publications) (submittedVersion)
Data Archiving and Networked Services (DANS) (submittedVersion)
Funders: National Institute for Health and Care Research (NF-SI-0514-10037, NF-SI-0611-10203)
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Keywords: stepped care, depression, depression treatment, treatment intensity, cost-effectiveness, care organization
MeSH terms: Complementary Therapies, Cost-Benefit Analysis, Depression, Humans, Psychotherapy, Self Care, Randomized Controlled Trials as Topic

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review

Stepped care treatment delivery for depression: a systematic review and meta-analysis

Abstract

Overview

Integrity signals

Verification

Claims the paper makes

Claims other papers make about this one

Self-check

Citations

Cites

Cited by

Related

Metadata

Record

About these checks