Interventions for improving adherence to psychological treatments for common mental disorders: a systematic review
Our systematic review aims to synthesise the evidence on interventions targeting improvement in patient adherence to psychological treatments for common mental disorders. A search was conducted on six electronic databases using search terms under the following concepts: common mental disorders, adhe...
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2024-01-01
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| Series: | Cambridge Prisms: Global Mental Health |
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| Online Access: | https://www.cambridge.org/core/product/identifier/S2054425124000943/type/journal_article |
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| author | Bijayalaxmi Biswal Yashi Gandhi Daisy R. Singla Richard Velleman Brian Zhou Luanna Fernandes Vikram Patel Matthew Prina Miriam Sequeira Ankur Garg Urvita Bhatia Abhijit Nadkarni |
| author_facet | Bijayalaxmi Biswal Yashi Gandhi Daisy R. Singla Richard Velleman Brian Zhou Luanna Fernandes Vikram Patel Matthew Prina Miriam Sequeira Ankur Garg Urvita Bhatia Abhijit Nadkarni |
| author_sort | Bijayalaxmi Biswal |
| collection | DOAJ |
| description | Our systematic review aims to synthesise the evidence on interventions targeting improvement in patient adherence to psychological treatments for common mental disorders. A search was conducted on six electronic databases using search terms under the following concepts: common mental disorders, adherence, psychological treatments and controlled trial study design. Due to the heterogeneity in intervention content and outcomes evaluated in the included studies, a narrative synthesis was conducted. Risk of bias was assessed using the Cochrane Risk of Bias Version 2 tool for randomised controlled trials and the Cochrane ROBINS-I tool for non-randomised controlled trials. The search yielded 23 distinct studies with a total sample size of 2,779 participants. All studies were conducted in high-income or upper-middle-income countries. Interventions to improve patient adherence to psychological treatments included reminders and between-session engagement (e.g., text messages), motivational interviewing, therapy orientation (e.g., expectation-setting) and overcoming structural barriers (e.g., case management). Interventions from 18 out of 23 studies were successful in improving at least one primary adherence outcome of interest (e.g., session attendance). Some studies also reported an improvement in secondary outcomes – six studies reported an improvement in at least one clinical outcome (e.g., depression), and three studies reported improvements in at least one measure of well-being or disability (e.g., days spent in in-patient treatment). By incorporating these interventions into psychological treatment services, therapists can better engage with and support their patients, potentially leading to improved mental health outcomes and overall well-being. |
| format | Article |
| id | doaj-art-2ae44b9aab884117814c901b1226dc84 |
| institution | OA Journals |
| issn | 2054-4251 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | Cambridge Prisms: Global Mental Health |
| spelling | doaj-art-2ae44b9aab884117814c901b1226dc842025-08-20T02:08:42ZengCambridge University PressCambridge Prisms: Global Mental Health2054-42512024-01-011110.1017/gmh.2024.94Interventions for improving adherence to psychological treatments for common mental disorders: a systematic reviewBijayalaxmi Biswal0https://orcid.org/0009-0007-0384-9455Yashi Gandhi1Daisy R. Singla2https://orcid.org/0000-0001-9865-7112Richard Velleman3Brian Zhou4Luanna Fernandes5Vikram Patel6https://orcid.org/0000-0003-1066-8584Matthew Prina7Miriam Sequeira8Ankur Garg9Urvita Bhatia10Abhijit Nadkarni11https://orcid.org/0000-0001-5832-5236Addictions and Related Research Group, Sangath, IndiaDepartment of Population, Addictions and Related Research Group, Sangath, IndiaAddictions and Related Research Group, Centre for Addiction and Mental Health, Toronto, ON, CanadaAddictions and Related Research Group, Sangath, India Department of Psychiatry, University of Toronto, Toronto, ON, CanadaAddictions and Related Research Group, Sangath, India Department of Anthropology, Harvard University, USAAddictions and Related Research Group, Sangath, IndiaDepartment of Global Health and Social Medicine, Harvard Medical School, Boston, Massachusetts, MAPopulation Health Sciences Institute, Faculty of Medical Sciences, Newcastle University, Newcastle Upon Tyne, UKAddictions and Related Research Group, Sangath, IndiaAddictions and Related Research Group, Sangath, IndiaDepartment of Population, Addictions and Related Research Group, Sangath, IndiaAddictions and Related Research Group, Sangath, India Department of Population Health, Centre for Global Mental Health, London School of Hygiene and Tropical Medicine, London, UKOur systematic review aims to synthesise the evidence on interventions targeting improvement in patient adherence to psychological treatments for common mental disorders. A search was conducted on six electronic databases using search terms under the following concepts: common mental disorders, adherence, psychological treatments and controlled trial study design. Due to the heterogeneity in intervention content and outcomes evaluated in the included studies, a narrative synthesis was conducted. Risk of bias was assessed using the Cochrane Risk of Bias Version 2 tool for randomised controlled trials and the Cochrane ROBINS-I tool for non-randomised controlled trials. The search yielded 23 distinct studies with a total sample size of 2,779 participants. All studies were conducted in high-income or upper-middle-income countries. Interventions to improve patient adherence to psychological treatments included reminders and between-session engagement (e.g., text messages), motivational interviewing, therapy orientation (e.g., expectation-setting) and overcoming structural barriers (e.g., case management). Interventions from 18 out of 23 studies were successful in improving at least one primary adherence outcome of interest (e.g., session attendance). Some studies also reported an improvement in secondary outcomes – six studies reported an improvement in at least one clinical outcome (e.g., depression), and three studies reported improvements in at least one measure of well-being or disability (e.g., days spent in in-patient treatment). By incorporating these interventions into psychological treatment services, therapists can better engage with and support their patients, potentially leading to improved mental health outcomes and overall well-being.https://www.cambridge.org/core/product/identifier/S2054425124000943/type/journal_articleadherencepsychotherapyinterventionsdepressionanxiety |
| spellingShingle | Bijayalaxmi Biswal Yashi Gandhi Daisy R. Singla Richard Velleman Brian Zhou Luanna Fernandes Vikram Patel Matthew Prina Miriam Sequeira Ankur Garg Urvita Bhatia Abhijit Nadkarni Interventions for improving adherence to psychological treatments for common mental disorders: a systematic review Cambridge Prisms: Global Mental Health adherence psychotherapy interventions depression anxiety |
| title | Interventions for improving adherence to psychological treatments for common mental disorders: a systematic review |
| title_full | Interventions for improving adherence to psychological treatments for common mental disorders: a systematic review |
| title_fullStr | Interventions for improving adherence to psychological treatments for common mental disorders: a systematic review |
| title_full_unstemmed | Interventions for improving adherence to psychological treatments for common mental disorders: a systematic review |
| title_short | Interventions for improving adherence to psychological treatments for common mental disorders: a systematic review |
| title_sort | interventions for improving adherence to psychological treatments for common mental disorders a systematic review |
| topic | adherence psychotherapy interventions depression anxiety |
| url | https://www.cambridge.org/core/product/identifier/S2054425124000943/type/journal_article |
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