Interventions for improving adherence to psychological treatments for common mental disorders: a systematic review.

Autor:	Biswal B; Addictions and Related Research Group, Sangath, India., Gandhi Y; Department of Population, Addictions and Related Research Group, Sangath, India., Singla DR; Addictions and Related Research Group, Centre for Addiction and Mental Health, Toronto, ON, Canada., Velleman R; Addictions and Related Research Group, Sangath, India.; Department of Psychiatry, University of Toronto, Toronto, ON, Canada., Zhou B; Addictions and Related Research Group, Sangath, India.; Department of Anthropology, Harvard University, USA., Fernandes L; Addictions and Related Research Group, Sangath, India., Patel V; Department of Global Health and Social Medicine, Harvard Medical School, Boston, Massachusetts, MA., Prina M; Population Health Sciences Institute, Faculty of Medical Sciences, Newcastle University, Newcastle Upon Tyne, UK., Sequeira M; Addictions and Related Research Group, Sangath, India., Garg A; Addictions and Related Research Group, Sangath, India., Bhatia U; Department of Population, Addictions and Related Research Group, Sangath, India., Nadkarni A; Addictions and Related Research Group, Sangath, India.; Department of Population Health, Centre for Global Mental Health, London School of Hygiene and Tropical Medicine, London, UK.
Jazyk:	angličtina
Zdroj:	Global mental health (Cambridge, England) [Glob Ment Health (Camb)] 2024 Oct 17; Vol. 11, pp. e83. Date of Electronic Publication: 2024 Oct 17 (Print Publication: 2024).
DOI:	10.1017/gmh.2024.94
Abstrakt:	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. Competing Interests: The authors declare that they have no conflict of interest. (© The Author(s) 2024.)
Databáze:	MEDLINE
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