Cargando…

Social return on investment of face-to-face versus online lifestyle coaching to improve mental wellbeing

BACKGROUND: The percentage of people in Wales experiencing severe mental health issues more than doubled during the COVID-19 pandemic. Additionally, hundreds of people in Wales wait more than a year for help with their mental health. The EmotionMind Dynamic (EMD) programme is a six-session programme...

Descripción completa

Detalles Bibliográficos
Autores principales: Makanjuola, Abraham, Lynch, Mary, Hartfiel, Ned, Cuthbert, Andrew, Wheeler, Hayley T, Edwards, Rhiannon T
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier Ltd. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9691048/
https://www.ncbi.nlm.nih.gov/pubmed/36930005
http://dx.doi.org/10.1016/S0140-6736(22)02269-3
_version_ 1784836947469926400
author Makanjuola, Abraham
Lynch, Mary
Hartfiel, Ned
Cuthbert, Andrew
Wheeler, Hayley T
Edwards, Rhiannon T
author_facet Makanjuola, Abraham
Lynch, Mary
Hartfiel, Ned
Cuthbert, Andrew
Wheeler, Hayley T
Edwards, Rhiannon T
author_sort Makanjuola, Abraham
collection PubMed
description BACKGROUND: The percentage of people in Wales experiencing severe mental health issues more than doubled during the COVID-19 pandemic. Additionally, hundreds of people in Wales wait more than a year for help with their mental health. The EmotionMind Dynamic (EMD) programme is a six-session programme over 3 months involving self-reflective introspection, self-analysis, problem solving, goal setting, and action taking. Furthermore, this programme challenges negative self-perception and increases self-awareness, self-confidence, and self-esteem. We aimed to estimate the social return on investment of EMD lifestyle coaching, both face-to-face and online formats, by comparing the costs of running the programme with the social value generated from clients as measured by improvement in self-confidence and mental wellbeing. METHODS: We included 15 clients from previous face-to-face EMD coaching and 17 clients from a new online version of EMD. For face-to-face clients, quantitative data were collected retrospectively with a one-time only questionnaire. For new online clients, quantitative data were collected from baseline and follow-up questionnaires. Qualitative data were collected after intervention from interviews with both groups. Outcomes from questionnaires for both groups included changes in mental wellbeing measured with the Short Warwick Edinburgh Mental Wellbeing Scale (SWEMWBS) and self-efficacy assessed with the General Self-Efficacy Scale (GSES). FINDINGS: For every £1 invested, lifestyle coaching generated social values ranging from £4·12 to £7·08 for face-to-face clients compared with £2·37 to £3·35 for online participants. Quantitative and qualitative data from questionnaires and interviews indicated that many clients had improved mental wellbeing and self-efficacy. All 15 face-to-face clients and 11 (65%) of 17 online clients reported an increase of 5 points or more on the SWEMWBS questionnaire. Similarly, all 15 face-to-face clients and ten (59%) of 17 online clients reported an increase of 5 points or more on the GSES questionnaire. INTERPRETATION: The results showed that both face-to-face and online formats of the EMD lifestyle coaching generated a positive social return on investment ratios. With continued long waiting lists for people with mental health challenges, face-to-face and online lifestyle coaching might become more essential across statutory, private, and third sectors to meet the growing demand for mental health support. FUNDING: Accelerate: the Welsh Health Innovation and Technology Accelerator.
format Online
Article
Text
id pubmed-9691048
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Elsevier Ltd.
record_format MEDLINE/PubMed
spelling pubmed-96910482022-11-25 Social return on investment of face-to-face versus online lifestyle coaching to improve mental wellbeing Makanjuola, Abraham Lynch, Mary Hartfiel, Ned Cuthbert, Andrew Wheeler, Hayley T Edwards, Rhiannon T Lancet Meeting Abstracts BACKGROUND: The percentage of people in Wales experiencing severe mental health issues more than doubled during the COVID-19 pandemic. Additionally, hundreds of people in Wales wait more than a year for help with their mental health. The EmotionMind Dynamic (EMD) programme is a six-session programme over 3 months involving self-reflective introspection, self-analysis, problem solving, goal setting, and action taking. Furthermore, this programme challenges negative self-perception and increases self-awareness, self-confidence, and self-esteem. We aimed to estimate the social return on investment of EMD lifestyle coaching, both face-to-face and online formats, by comparing the costs of running the programme with the social value generated from clients as measured by improvement in self-confidence and mental wellbeing. METHODS: We included 15 clients from previous face-to-face EMD coaching and 17 clients from a new online version of EMD. For face-to-face clients, quantitative data were collected retrospectively with a one-time only questionnaire. For new online clients, quantitative data were collected from baseline and follow-up questionnaires. Qualitative data were collected after intervention from interviews with both groups. Outcomes from questionnaires for both groups included changes in mental wellbeing measured with the Short Warwick Edinburgh Mental Wellbeing Scale (SWEMWBS) and self-efficacy assessed with the General Self-Efficacy Scale (GSES). FINDINGS: For every £1 invested, lifestyle coaching generated social values ranging from £4·12 to £7·08 for face-to-face clients compared with £2·37 to £3·35 for online participants. Quantitative and qualitative data from questionnaires and interviews indicated that many clients had improved mental wellbeing and self-efficacy. All 15 face-to-face clients and 11 (65%) of 17 online clients reported an increase of 5 points or more on the SWEMWBS questionnaire. Similarly, all 15 face-to-face clients and ten (59%) of 17 online clients reported an increase of 5 points or more on the GSES questionnaire. INTERPRETATION: The results showed that both face-to-face and online formats of the EMD lifestyle coaching generated a positive social return on investment ratios. With continued long waiting lists for people with mental health challenges, face-to-face and online lifestyle coaching might become more essential across statutory, private, and third sectors to meet the growing demand for mental health support. FUNDING: Accelerate: the Welsh Health Innovation and Technology Accelerator. Elsevier Ltd. 2022-11 2022-11-24 /pmc/articles/PMC9691048/ /pubmed/36930005 http://dx.doi.org/10.1016/S0140-6736(22)02269-3 Text en Copyright © 2022 Elsevier Ltd. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Meeting Abstracts
Makanjuola, Abraham
Lynch, Mary
Hartfiel, Ned
Cuthbert, Andrew
Wheeler, Hayley T
Edwards, Rhiannon T
Social return on investment of face-to-face versus online lifestyle coaching to improve mental wellbeing
title Social return on investment of face-to-face versus online lifestyle coaching to improve mental wellbeing
title_full Social return on investment of face-to-face versus online lifestyle coaching to improve mental wellbeing
title_fullStr Social return on investment of face-to-face versus online lifestyle coaching to improve mental wellbeing
title_full_unstemmed Social return on investment of face-to-face versus online lifestyle coaching to improve mental wellbeing
title_short Social return on investment of face-to-face versus online lifestyle coaching to improve mental wellbeing
title_sort social return on investment of face-to-face versus online lifestyle coaching to improve mental wellbeing
topic Meeting Abstracts
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9691048/
https://www.ncbi.nlm.nih.gov/pubmed/36930005
http://dx.doi.org/10.1016/S0140-6736(22)02269-3
work_keys_str_mv AT makanjuolaabraham socialreturnoninvestmentoffacetofaceversusonlinelifestylecoachingtoimprovementalwellbeing
AT lynchmary socialreturnoninvestmentoffacetofaceversusonlinelifestylecoachingtoimprovementalwellbeing
AT hartfielned socialreturnoninvestmentoffacetofaceversusonlinelifestylecoachingtoimprovementalwellbeing
AT cuthbertandrew socialreturnoninvestmentoffacetofaceversusonlinelifestylecoachingtoimprovementalwellbeing
AT wheelerhayleyt socialreturnoninvestmentoffacetofaceversusonlinelifestylecoachingtoimprovementalwellbeing
AT edwardsrhiannont socialreturnoninvestmentoffacetofaceversusonlinelifestylecoachingtoimprovementalwellbeing