Cited by 84Psychotherapy Techniques and ApplicationsMental Health Treatment and AccessMedication Adherence and Compliance

Interventions to increase attendance at psychotherapy: A meta-analysis of randomized controlled trials.

Oldham, Mary, Kellett, Stephen, Miles, Eleanor, Sheeran, Paschal·2012·Journal of Consulting and Clinical Psychology

Abstract

OBJECTIVE: Rates of nonattendance for psychotherapy hinder the effective delivery of evidence-based treatments. Although many strategies have been developed to increase attendance, the effectiveness of these strategies has not been quantified. Our aim in the present study was to undertake a meta-analysis of rigorously controlled studies to quantify the effects of interventions to promote psychotherapy attendance. METHOD: The inclusion criteria were that studies (a) concerned attendance at individual or group psychotherapy by adults, (b) used a randomized controlled trial design to test an attendance strategy, and (c) used an objective measure of attendance. Computerized literature searches and hand searching resulted in a total of 31 randomized controlled trials that involved 33 independent tests of strategies for reducing treatment refusal and premature termination (N = 4,422). Effect sizes from individual studies were meta-analyzed, and moderator analyses were conducted. RESULTS: Interventions had a small-to-medium effect on attendance across studies (d+= .38). Interventions to reduce treatment refusal and premature termination were similarly effective (d+= .37 and .39, respectively). Choice of appointment time or therapist, motivational interventions, preparation for psychotherapy, informational interventions, attendance reminders, and case management were the most effective strategies. Diagnosis also moderated effect sizes; samples with a single diagnosis benefited more from attendance interventions compared to samples with a variety of diagnoses. CONCLUSIONS: Interventions to increase attendance at adult psychotherapy are moderately effective. However, relatively few studies met the strict study inclusion criteria. Further methodologically sound and theoretically informed interventions geared at increasing attendance are required.

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  • The d-value of .63 compares favorably to the effect sizes observed in a meta-analysis of interventions to promote psychotherapy attendance (d = .39).

    “This d -value compares favorably to the effect sizes observed in a meta-analysis of interventions to promote psychotherapy attendance ( d = .39; Oldham et al., 2012).”

    From Sustaining Attendance at a Mental Health Service: A Randomized Controlled Trial (2018) · cites this paper as Oldham et al., 2012

    The Results (p. 11) report a weighted mean effect size of d = .38 for interventions promoting adult psychotherapy attendance, not .39. The abstract (p. 3) gives d = .39 specifically for interventions to reduce premature termination. The cited meta-analysis supports the comparison in substance, but not the stated overall effect size. (LLM, conf=0.88)

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Research works printed but not linked: 4

  1. *Ersner-Hershfield, S., Abramowitz, S. I., & Baren, J. (1979). Incentive effects of choosing a therapist. Journal of Clinical Psychology, 35 , 404-406. doi :10.1002/10974679(197904)35:2<404::AID-JCLP2270350235>3.0.CO;2-0 · DOI
  2. Hedges, L., & Olkin, I. (1985). Statistical methods for meta-analysis . New York: Academic Press.
  3. Rainer, J.P., & Campbell, L.F. (2001). Premature termination in psychotherapy: Identification and intervention. Journal of Psychotherapy in Independent Practice, 2, 19-41.
  4. Reis, B. F., & Brown, L. G. (1999). Reducing psychotherapy dropouts: Maximising perspective convergence in the psychotherapy dyad . Psychotherapy, 36 , 123-136. doi:10.1037/00333204.36.2.123 · DOI

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Authors
Oldham, M., Kellett, S., Miles, E., & Sheeran, P.
Affiliations
University of Sheffield (GB)
Venue
Journal of Consulting and Clinical Psychology
Published
2012
Volume
80
Issue
5
Pages
928-939
ISSN
  • 0022-006X (ISSN-L)
  • 1939-2117
OpenAlex
W2167781526
Cited by
84
References
86
Citations by year
2026: 2 · 2025: 3 · 2024: 7 · 2023: 7 · 2022: 5 · 2021: 7 · 2020: 7 · 2019: 5 · 2018: 10 · 2017: 5 · 2016: 4 · 2015: 8 · 2014: 8 · 2013: 6
FWCI
1.02
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Consulting and Clinical Psychology (publishedVersion)
  • PubMed (publishedVersion)
  • White Rose Research Online (University of Leeds, The University of Sheffield, University of York) (acceptedVersion)
Funders
Sheffield Improving Access to Psychological Therapies
Topics
  • Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
Keywords
treatment refusal, early termination, attendance interventions, motivational interventions, appointment scheduling, information interventions, case management, adult psychotherapy
MeSH terms
Adult, Appointments and Schedules, Humans, Patient Compliance, Psychotherapy, Randomized Controlled Trials as Topic

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