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

Abstract

Poor adherence of children and adolescents to evidence-based psychosocial interventions remains a fundamental impediment to treatment effectiveness. To maintain client adherence, researchers and clinicians have employed a number of adherence-promoting strategies, from telephone calls and letters to providing transportation costs and child care to motivational enhancement therapies. However, the influence of adherence promoters on intervention outcomes has not been reported. 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.

The Effectiveness of Booster Sessions in CBT Treatment for Child and Adolescent Mood and Anxiety Disorders

“…). Data were drawn from an established data set developed and updated by the authors (REG, CSS) to evaluate evidence‐based mental health RCT interventions on children under the age of 18 years . We selected articles within the data set and confirmed through a separate electronic search of MEDLINE and PsycINFO databases all studies that met the following criteria: (1) used an experimental RCT design; (2) employed CBT; (3) were studies on children and adolescents (18 years of age and under) with any mood and anxiety disorders; (4) provided sufficient information to calculate pretest/posttest/follow‐up test effect sizes; (5) published findings between January 2000 and December 2010 in an English peer reviewed journal.…”

A systematic narrative review of the literature: adherence to pharmacological and nonpharmacological treatments among adolescents with mental disorders

“…). According to Schwalbe and Gearing (), the most common way of promoting treatment adherence among adolescents was to give them a phone call, but letters were also commonly used. Their analysis showed that children and adolescents benefited from these intensive adherence promotion efforts.…”

“…Adherence to treatment among adolescents can be improved by giving the adolescent and their family specific information about their illness, supporting them in dealing with treatment adherence issues, providing visual reminders to assist the adolescent in remembering to take their medication, ensuring family support, and building a strong relationship between the adolescent and the relevant healthcare personnel (Taddeo et al 2008). According to Schwalbe and Gearing (2012), the most common way of promoting treatment adherence among adolescents was to give them a phone call, but letters were also commonly used. Their analysis showed that children and adolescents benefited from these intensive adherence promotion efforts.…”

Revisión sistemática de programas de prevención familiar universal: Análisis en términos de eficacia, retención y adherencia

“…En cuanto a las recomendaciones futuras, cabe señalar que se observan diferencias a la hora de proporcionar información sobre la inclusión de elementos o factores que la bibliografía reconoce que mejoran o incrementan la adherencia y la retención como: la fidelidad al contenido, la utilización de manuales estandarizados, los incentivos o las meriendas, la formación de formadores, la eliminación de barreras logísticas, o los recordatorios y seguimientos de la participación (Al-Halabi-Diaz y Byrnes et al, 2010;Haevelmann et al, 2013;Kumpfer, 2008;Negreiros et al, 2019;Sexton y Turner, 2010;Orte et al, 2014). Por ello, es recomendable que aquellos programas que incluyan alguna de estas medidas reporten los datos necesarios sobre número de seguimientos o recordatorios telefónicos, número de ayudas a la asistencia, incentivos, formación de formadores, etc., para poder evaluar su impacto en los resultados de adherencia y participación (Schwalbe y Gearing, 2012).…”