Multidisciplinary Interventions

Several studies have evaluated multidisciplinary interventions for depression following SCI consisting of various combinations of behavioural and/or physical interventions in both externally guided and self-managed interventions.

Discussion

One RCT, examined the effectiveness of a multidisciplinary telehealth consultation and mobile application monitoring on those post SCI. The study found no significant improvement on psychosocial outcomes compared to the control group (Kryger et al. (2019)). Two pre-post trials examined the use of teleconsultations among those post SCI. Dhakal et al. (2022) found significant improvement in symptoms of depression post intervention, while Khong et al. (2022) found no effect.

Conclusion

There is level 1b evidence that multidisciplinary telehealth consultations do not reduce symptoms of depression post SCI.