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dc.contributor.authorWindle, Een_US
dc.contributor.authorTee, Hen_US
dc.contributor.authorSabitova, Aen_US
dc.contributor.authorJovanovic, Nen_US
dc.contributor.authorPriebe, Sen_US
dc.contributor.authorCarr, Cen_US
dc.date.accessioned2019-12-17T11:45:20Z
dc.date.available2019-09-25en_US
dc.date.issued2019-12-04en_US
dc.identifier.urihttps://qmro.qmul.ac.uk/xmlui/handle/123456789/62054
dc.description.abstractImportance: Receiving a preferred treatment has previously been associated with lower dropout rates and better clinical outcomes, but this scenario has not been investigated specifically for psychosocial interventions for patients with a mental health diagnosis. Objective: To assess the association of patient treatment preference with dropout and clinical outcomes in adult psychosocial mental health interventions via a systematic review and meta-analysis. Data Sources: The Cochrane Library, Embase, PubMed, PsychINFO, Scopus, Web of Science, Nice HDAS (Healthcare Databases Advanced Search), Google Scholar, BASE (Bielefeld Academic Search Engine), Semantic Scholar, and OpenGrey were searched from inception to July 20, 2018, and updated on June 10, 2019. Study Selection: Studies were eligible if they (1) were a randomized clinical trial; (2) involved participants older than 18 years; (3) involved participants with mental health diagnoses; (4) reported data from a group of participants who received their preferred treatment and a group who received their nonpreferred treatment or who were not given a choice; and (5) offered at least 1 psychosocial intervention. Data Extraction and Synthesis: Two researchers extracted study data for attendance, dropout, and clinical outcomes independently. Both assessed the risk of bias according to the Cochrane tool. Data were pooled using random-effects meta-analyses. Main Outcomes and Measures: The following 7 outcomes were examined: attendance, dropout, therapeutic alliance, depression and anxiety outcomes, global outcomes, treatment satisfaction, and remission. Results: A total of 7341 articles were identified, with 34 eligible for inclusion. Twenty-nine articles were included in the meta-analyses comprising 5294 participants. Receiving a preferred psychosocial mental health treatment had a medium positive association with dropout rates (relative risk, 0.62; 0.48-0.80; P < .001; I2 = 44.6%) and therapeutic alliance (Cohen d = 0.48; 0.15-0.82; P = .01; I2 = 20.4%). There was no evidence of a significant association with other outcomes. Conclusions and Relevance: This is the first review, to our knowledge, examining the association of receiving a preferred psychosocial mental health treatment with both engagement and outcomes for patients with a mental health diagnosis. Patients with mental health diagnoses who received their preferred treatment demonstrated a lower dropout rate from treatment and higher therapeutic alliance scores. These findings underline the need to accommodate patient preference in mental health services to maximize treatment uptake and reduce financial costs of premature dropout and disengagement.en_US
dc.languageengen_US
dc.language.isoenen_US
dc.relation.ispartofJAMA Psychiatryen_US
dc.titleAssociation of Patient Treatment Preference With Dropout and Clinical Outcomes in Adult Psychosocial Mental Health Interventions: A Systematic Review and Meta-analysis.en_US
dc.typeArticle
dc.identifier.doi10.1001/jamapsychiatry.2019.3750en_US
pubs.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/31799994en_US
pubs.notesNot knownen_US
pubs.publication-statusPublished onlineen_US
rioxxterms.funderDefault funderen_US
rioxxterms.identifier.projectDefault projecten_US


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