Service utilisation ‐ referral to mental health team ‐ long term (7 to 12 months post intervention)Â · adults with common mental disorders
Primary‐level worker‐led collaborative care may leads to lower service utilisation ‐ referral to mental health team ‐ long term (7… compared with usual care (low certainty).
1 finding from 1 review
Recovery from CMD ‐ intermediate term (1 to 6 months post intervention) Recovery defined by GDS ≤ 11a; HDRS < 7b; HDRS < 8c; PHQ‐9 < 6d; PHQ‐9 < 5 or 50% reduction from baselinee (RR > 1 denotes greater likelihood of recovery) · adults with common mental disorders
Primary‐level worker‐led collaborative care may leads to higher recovery from CMD ‐ intermediate term (1 to 6 months post… compared with usual care (low certainty).
1 finding from 1 review
Schizophrenia symptoms severity (immediately post intervention) · people with severe mental disorders
1 finding from 1 review
Caregiver burden · people with severe mental disorders
Lay health worker‐ showed no clear difference in caregiver burden symptom severity ‐ immediately post intervention… compared with specialist‐led care (low certainty).
1 finding from 1 review
Functional impairment · people with severe mental disorders
1 finding from 1 review
Service utilisation ‐ hospitalisation during intervention (RR > 1 denotes greater risk)Â · people with severe mental disorders
It is very uncertain whether lay health worker‐ changes service utilisation ‐ hospitalisation during intervention (RR > 1… compared with specialist‐led care (very low certainty).
1 finding from 1 review
Adverse events ‐ death from suicide during intervention (RR > 1 denotes greater risk)Â · people with severe mental disorders
It is very uncertain whether lay health worker‐ changes adverse events ‐ death from suicide during intervention (RR > 1… compared with specialist‐led care (very low certainty).
1 finding from 1 review
Clinical recovery from severe mental disorder (immediately post intervention) Defined by BPRS decreased by ≥ 80% (RR > 1 denotes greater likelihood of recovery) · people with severe mental disorders
It is very uncertain whether primary health professional‐led or collaborative care changes clinical recovery from severe mental disorder (immediately post… compared with specialist‐led care (very low certainty).
1 finding from 1 review
Relapse of severe mental disorder (immediately post intervention) Defined by re‐appearance of symptoms or worsening of symptoms necessitating adjustment of medicationa; Li 2002; based on 1 item scoring ≥ 5 or 2 items scoring ≥ 4 in items 4, 7, 11,... · people with severe mental disorders
It is very uncertain whether primary health professional‐led or collaborative care changes relapse of severe mental disorder (immediately post intervention)… compared with specialist‐led care (very low certainty).
1 finding from 1 review
Schizophrenia symptoms severity (immediately post intervention) · people with severe mental disorders
1 finding from 1 review
Prevalence of CMD ‐ intermediate term (1 to 6 months post intervention) Diagnosis defined by presence of ICD‐10 diagnosis on CIS‐Rg; prevalence defined by [Total number ‐ number recovered (recovery defined by HDRS < 8)]c (RR < 1 denotes lower prev... · adults with common mental disorders
Primary‐level worker‐led collaborative care showed no clear difference in prevalence of CMD ‐ intermediate term (1 to 6 months post… compared with usual care (low certainty).
1 finding from 1 review
Depression symptom severity (immediately post intervention) · people with severe mental disorders
1 finding from 1 review
Quality of life immediately after the intervention · people with severe mental disorders
1 finding from 1 review
Functional impairment · people with severe mental disorders
1 finding from 1 review
Hospital admission/re‐admission · people with severe mental disorders
It is very uncertain whether primary health professional‐led or collaborative care changes service utilisation ‐ hospital re‐admission (during intervention)… compared with specialist‐led care (very low certainty).
1 finding from 1 review
Behavioural symptoms (change from baseline at 26 weeks measured using the NPI) · people with dementia and their carers
1 finding from 1 review
Mental distress · people with dementia and their carers
1 finding from 1 review
Quality of life (patient) (1 to 6 months post intervention) DEMQOL (higher score = better quality of life) · people with dementia and their carers
1 finding from 1 review
Uptake of HPV vaccineb · healthcare workers and parents
2 findings from 1 review
Intervention not reported
Combination of patient reminder or recall with outreach intervention · children, adolescents, and adults with a need for routine immunizations, excluding travel immunizations
The intervention leads to higher combination of patient reminder or recall with outreach intervention (high certainty).
1 finding from 1 review