The moderating effect of adherence-promoting interventions with clients on evidence-based practices for children and adolescents with mental health problems.

This study examined the moderating effect of adherence-promoting strategies in a survey and meta-analysis of randomized clinical trials of cognitive behavioral treatments, interpersonal therapy, and psycho-education for children and adolescents with mental health problems (k = 33). Results indicated the type and intensity of adherence promoters' moderated study effect sizes according to client characteristics (age, gender, diagnosis). Preliminary findings suggest that males had higher effect sizes when more intensive adherence-promoting efforts were employed. Adherence-promoting efforts were associated with lower effect sizes for youths who were diagnosed with externalizing disorders. Results of this study suggest directions for future research to clarify clinical guidelines to maximize retention in evidence-based psychotherapy. PMID: 22239405 [PubMed - indexed for MEDLINE]
Source: The American journal of Orthopsychiatry - Category: Psychiatry Tags: Am J Orthopsychiatry Source Type: research