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The Effects of Patient Preference on Clinical Outcome, Satisfaction and Adherence Within the Treatment of Anxiety and Depression: A Meta‐Analysis.
- Source :
- Clinical Psychology & Psychotherapy; May/Jun2024, Vol. 31 Issue 3, p1-18, 18p
- Publication Year :
- 2024
-
Abstract
- Background: Taking patient preference into consideration has received increased attention in the last decades. We conducted a meta‐analysis to estimate the effects of patient preference on clinical outcome, satisfaction and adherence regarding treatment of depression and anxiety. Methods: Pubmed, Embase, PsycINFO and Scopus were searched for (cluster) randomized controlled trials. Twenty‐six randomized controlled clinical trials were included, comprising 3670 participants, examining the effect of patient preference regarding treatment of anxiety and depression on clinical outcome, satisfaction and/or adherence. Results: No effect of patient preference was found on clinical outcome [d = 0.06, 95% CI = (−0.03, 0.15), p = 0.16, n = 23 studies]. A small effect of patient preference was found on treatment satisfaction [d = 0.33, 95% CI = (0.08, 0.59), p = 0.01, n = 6 studies] and on treatment adherence [OR = 1.55, 95% CI = (1.28, 1.87), p < 0.001, n = 22 studies]. Limitations: Patient preference is a heterogeneous concept, future studies should strive to equalize operationalization of preference. Subgroup analyses within this study should be interpreted with caution because the amount of studies per analysed subgroup was generally low. Most studies included in this meta‐analysis focused on patients with depression. The small number of studies (n = 6) on satisfaction, prevents us from drawing firm conclusions. Conclusions: While this meta‐analysis did not find a positive effect of considering patient preference on clinical outcome, it was associated with slightly better treatment satisfaction and adherence. Accommodating preference of patients with anxiety and depression can improve treatment. Trial Registration: PROSPERO: CRD42020172556 [ABSTRACT FROM AUTHOR]
- Subjects :
- ANXIETY treatment
PATIENT compliance
MEDICAL information storage & retrieval systems
TREATMENT effectiveness
META-analysis
SYSTEMATIC reviews
MEDLINE
ODDS ratio
PATIENT satisfaction
ONLINE information services
CONFIDENCE intervals
PATIENTS' attitudes
MENTAL depression
PSYCHOLOGY information storage & retrieval systems
Subjects
Details
- Language :
- English
- ISSN :
- 10633995
- Volume :
- 31
- Issue :
- 3
- Database :
- Complementary Index
- Journal :
- Clinical Psychology & Psychotherapy
- Publication Type :
- Academic Journal
- Accession number :
- 178071475
- Full Text :
- https://doi.org/10.1002/cpp.2985