Investigating adherence promoters in evidence-based mental health interventions with children and adolescents
Abstract
The effectiveness of Evidence-Based Practice (EBP) interventions in child and adolescent mental health is undermined by poor client adherence to treatment protocols. To counter this trend, adherence promoters, supplemental interventions to facilitate client adherence to treatment protocols, have evolved to increase adherence. This study investigates patterns of adherence promoting interventions employed in conjunction with RCT of interventions for child and adolescent mental health problems. An 85 question survey on adherence promoters was sent to 85 researchers who published randomized controlled trials on three psychosocial interventions (Cognitive Behavioral Therapies (CBT), Interpersonal Therapy (IPT), and Psychoeducational (PE)) in the area of child and adolescent mental health, between January 2000 and March 31, 2008. Forty-six (54%) researchers completed the survey. Most researchers reported using multiple adherence promoting interventions throughout the duration of their studies. The intensity of adherence promoting efforts was increased for interventions targeting disruptive behavior disorders and for family based interventions. On average, respondents reported using little more than one promoter per session and devoting approximately 12 min per session on all adherence promoters. Clinical researchers expend considerable resources in active efforts to promote adherence to treatment among research participants. Findings of this study support best practice literature on adherence promotion and open new avenues for research into the adherence to evidence-based interventions for child and adolescent mental health problems.
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The high dropout rate among adolescents seeking help for mental health problems indicates that effective treatment protocols are not sufficient in themselves.
“The high dropout rate among adolescents seeking help for mental health problems (de Haan et al., 2013; Warnick et al., 2014; Gearing et al., 2012) indicates that effective treatment protocols are not sufficient in themselves.”
From “And I Can Remind Myself That I Am All Of This”: adolescents’ experiences of group-based acceptance and commitment therapy (2024) · cites this paper as Gearing et al., 2012
Motivation, engagement, and adherence are key factors in preventing drop-out, especially for children and adolescents.
“which are key factors in preventing drop-out, especially for children and adolescents (Gearing et al., 2012; Warnick et al., 2014).”
From “And I Can Remind Myself That I Am All Of This”: adolescents’ experiences of group-based acceptance and commitment therapy (2024) · cites this paper as Gearing et al., 2012
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Feasibility of a secondary school-based Mental Health Intervention: Reprezents’ On The LevelPreprint
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- Authors
- Gearing, R. E., Schwalbe, C. S., Dweck, P., & Berkowitz, J.
- Affiliations
- Columbia University (US)
- Corresponding author
- Gearing, Robin E.
- Venue
- Community Mental Health Journal
- Published
- 2011-03-11
- Volume
- 48
- Issue
- 1
- Pages
- 63-70
- ISSN
- 0010-3853 (ISSN-L)
- 1573-2789
- OpenAlex
- W1969523586
- Cited by
- 23
- References
- 27
- Citations by year
- 2024: 3 · 2022: 2 · 2020: 4 · 2018: 2 · 2016: 4 · 2014: 2 · 2013: 4 · 2012: 2
- FWCI
- 2.75
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Community Mental Health Journal (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Keywords
- medication adherence, child and adolescent mental health, evidence-based practice, psychosocial interventions, cognitive behavioral therapy, interpersonal psychotherapy, psychoeducation, disruptive behavior disorders, family intervention, randomized controlled trials
- MeSH terms
- Adolescent, Adolescent Behavior, Behavior Therapy, Mental Disorders, Child, Child Behavior, Female, Health Promotion, Humans, Male, Mental Health, Patient Compliance, Surveys and Questionnaires, Randomized Controlled Trials as Topic, Evidence-Based Practice
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