Client preferences affect treatment satisfaction, completion, and clinical outcome: a meta-analysis.

摘要: We conducted a meta-analysis on the effects of client preferences treatment satisfaction, completion, and clinical outcome. Our search literature resulted in 34 empirical articles describing 32 unique trials that either randomized some clients to an active choice condition (shared decision making or treatment) assessed preferences. Clients who were involved shared making, chose condition, otherwise received their preferred evidenced higher satisfaction (ESd=.34; p<.001), increased completion rates (ESOR=1.37; ESd=.17; superior outcome (ESd=.15; p<.0001), compared not did choose receive treatment. Although effect sizes are modest magnitude, they generally consistent across several potential moderating variables including study design (preference versus choice), psychoeducation (informed uninformed), setting (inpatient outpatient), diagnosis (mental health other), unit randomization (client provider). findings highlight benefit assessing preferences, providing choices when two more efficacious options available, involving treatment-related decisions available.