Preferences
Abstract
Client preferences are recognized as a key component to evidence-based practice; however, research has yet to confirm the actual influence preferences have on treatment outcome. In this meta-analysis, we summarize results from 35 studies that have examined the preference effect with adult clients. Overall, clients who were matched to their preferred therapy conditions were less likely to drop out of therapy prematurely (OR=.59, p<.001) and showed greater improvements in treatment outcomes (d=.31, p<.001). Type of preference (role, therapist, or treatment type) was not found to moderate the preference effect, but study design was found to be a significant moderator, with randomized controlled trials showing the largest differences between preference-matched clients and nonmatched clients. These results underscore the centrality of incorporating patient preferences when making treatment decisions. Clinical examples and therapeutic practices are provided.
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Individuals are more likely to remain in treatment when they have a say in the choice of treatment.
“given that individuals are more likely to remain in treatment when they have a say in the choice of treatment (Swift et al., 2011)”
From Virtual Reality exposure therapy in the treatment of public speaking anxiety and social anxiety disorder (2024) · cites this paper as Swift et al., 2011
Patients' preferences may contribute to the effectiveness of an intervention.
“As it is well known that patients' preferences may contribute to the effectiveness of an intervention (Swift et al., 2011)”
From Adding mindfulness-based cognitive therapy to maintenance antidepressant medication for prevention of relapse/recurrence in major depressive disorder: Randomised controlled trial (2015) · cites this paper as Swift et al., 2011
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Becker, M., Cunningham, C. E., Christensen, B. K., Furimsky, I., Rimas, H. L., Wilson, F. E., Jeffs, L., Madsen, V., Bieling, P., Chen, Y., et al. (2017) · Early Intervention in Psychiatry · doi:10.1111/eip.12470 · Cited by 10 · see citing works
Do young people prefer older psychotherapists?
Kessler, E., Rahn, S., & Klapproth, F. (2019) · European Journal of Ageing · doi:10.1007/s10433-019-00519-9 · Cited by 10 · see citing works
Cunningham, C., Hutchings, T., Henderson, J., Rimas, H. L., & Chen, Y. (2016) · Patient Preference and Adherence · doi:10.2147/ppa.s105605 · Cited by 9 · see citing works
Enhancing Information Pertaining to Client Characteristics to Facilitate Evidence‐Based Practice
Callahan, J. L., Heath, C., Aubuchon-Endsley, N. L., Collins, F. L., & Herbert, G. L. (2013) · Journal of Clinical Psychology · doi:10.1002/jclp.21995 · Cited by 9 · see citing works
Attrition in Randomized and Preference Trials of Behavioural Treatments for Insomnia
Sidani, S., Bootzin, R. R., Epstein, D. R., Miranda, J., & Cousins, J. C. (2015) · Canadian Journal of Nursing Research · doi:10.1177/084456211504700103 · Cited by 9 · see citing works
Sandell, R., Svensson, M., Nilsson, T., Johansson, H., Viborg, G., & Perrin, S. G. (2015) · Trials · doi:10.1186/s13063-015-0656-7 · Cited by 9 · see citing works
The Contribution of Treatment Allocation Method to Outcomes in Intervention Research
Sidani, S., Epstein, D. R., Bootzin, R. R., Miranda, J., & Cousins, J. C. (2015) · Canadian Journal of Nursing Research · doi:10.1177/084456211504700205 · Cited by 8 · see citing works
Awareness of and attitudes toward CBT, DBT, and ACT in an acute psychiatric sample
Kuckertz, J. M., Silverman, A. L., Bullis, J. R., Björgvinsson, Þ., & Beard, C. (2019) · Journal of Clinical Psychology · doi:10.1002/jclp.22908 · Cited by 8 · see citing works
Xie, P., Li, H.-Q., Peng, W.-L., & Yang, H. (2024) · Patient Preference and Adherence · doi:10.2147/ppa.s444800 · Cited by 8 · see citing works
Cooper-Norcross Tercih Envanteri Türkçe Uyarlaması : Bir Geçerlik ve Güvenirlik Çalışması
Özer, Ö., & Yalçın, İ. (2020) · Anadolu Journal Of Educational Sciences International · doi:10.18039/ajesi.790673 · Cited by 8 · see citing works
Assessing Patient Preferences: Examination of the German Cooper-Norcross Inventory of Preferences
Heinze, P. E., Weck, F., & Kühne, F. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.795776 · Cited by 8 · see citing works
Stewart, B. J. R., Turnbull, D. A., Mikocka‐Walus, A. A., Harley, H. A. J., & Andrews, J. M. (2013) · Journal of Clinical Psychology in Medical Settings · doi:10.1007/s10880-012-9339-7 · Cited by 7 · see citing works
- Authors
- Swift, J. K., Callahan, J. L., & Vollmer, B. M.
- Affiliations
- University of Alaska Anchorage (US)
- University of North Texas (US)
- University of Denver (US)
- Corresponding author
- Swift, Joshua K.
- Venue
- Journal of Clinical Psychology
- Publisher
- Wiley
- Published
- 2010-11-30
- Volume
- 67
- Issue
- 2
- Pages
- 155-165
- ISSN
- 0021-9762 (ISSN-L)
- 1097-4679
- OpenAlex
- W4249508580
- Cited by
- 170
- References
- 12
- Citations by year
- 2026: 9 · 2025: 9 · 2024: 8 · 2023: 10 · 2022: 10 · 2021: 10 · 2020: 19 · 2019: 15 · 2018: 15 · 2017: 6 · 2016: 12 · 2015: 19 · 2014: 8 · 2013: 11 · 2012: 6
- FWCI
- 7.04
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Social Psychology › Counseling Practices and Supervision
- Keywords
- consumer preferences, preference effects, treatment outcomes, treatment discontinuation, preference matching, evidence-based practice, randomized controlled trials, adult clients
- MeSH terms
- Adult, Mental Disorders, Female, Humans, Middle Aged, Psychotherapy, Treatment Outcome, Patient Selection, Patient Preference
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