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Does forming implementation intentions help people with mental health problems to achieve goals? A meta‐analysis of experimental studies with clinical and analogue samples
Abstract
Objective: People struggle to act on the goals that they set themselves, and this gap between intention and action is likely to be exacerbated by mental health problems. Evidence suggests that forming specific if‐then plans (or ‘implementation intentions’) can promote goal attainment and a number of studies have applied such techniques in clinical contexts. However, to date, the extent to which planning can help people with mental health problems has not been systematically examined. Method: The present review used meta‐analysis to investigate the effect of if‐then planning on goal attainment among people with a DSM ‐ IV / ICD ‐10 diagnosis (i.e., clinical samples) or scores above a relevant cut‐off on clinical measures (i.e., analogue samples). In total, 29 experimental studies, from 18 records, met the inclusion criteria. Results: Excluding one outlying (very large) effect, forming implementation intentions had a large‐sized effect on goal attainment ( d + = 0.99, k = 28, N = 1,636). Implementation intentions proved effective across different mental health problems and goals, and in studies with different methodological approaches. Conclusions: Taken together, the findings suggest that forming implementation intentions can be a useful strategy for helping people with mental health problems to achieve various goals and might be usefully integrated into existing treatment approaches. However, further studies are needed addressing a wider range of mental health problems. Practitioner points: This meta‐analysis suggests that prompting people with mental health problems to form if‐then plans (known as ‘implementation intentions’) specifying when, where, and how they will achieve their goals can be beneficial. The findings proved robust across a range of methodologies, samples, and focal goals, suggesting that forming implementation intentions can help people with a range of mental health problems to achieve a range of different goals. We provide guidance to researchers and practitioners in how to promote the formation of implementation intentions.
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“However, a closer examination reveals greater alignment: when averaging only the eight3 effect sizes based on child samples from their study, the estimate is considerably lower (d = 0.57).”
From The effectiveness of implementation intentions in children: A systematic review and meta‐analysis (2026) · cites this paper as Toli et al., 2016
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“At first glance, our effect estimate appears considerably lower than the large effect (d = 0.99) reported by Toli et al. for implementation intentions in populations with mental health problems.”
From The effectiveness of implementation intentions in children: A systematic review and meta‐analysis (2026) · cites this paper as Toli et al., 2016
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The Handbook of Behavior Change
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Metadata
- Authors
- Toli, A., Webb, T. L., & Hardy, G. E.
- Affiliations
- University of Sheffield (GB)
- Corresponding author
- Webb, Thomas L.
- Venue
- British Journal of Clinical Psychology
- Publisher
- Wiley
- Published
- 2015-05-12
- Volume
- 55
- Issue
- 1
- Pages
- 69-90
- ISSN
- 0144-6657 (ISSN-L)
- 2044-8260
- OpenAlex
- W1538005095
- Cited by
- 137
- References
- 124
- Citations by year
- 2026: 5 · 2025: 7 · 2024: 5 · 2023: 14 · 2022: 7 · 2021: 12 · 2020: 59 · 2019: 8 · 2018: 6 · 2017: 8 · 2016: 4 · 2015: 1
- FWCI
- 0.88
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- British Journal of Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- White Rose Research Online (University of Leeds, The University of Sheffield, University of York) (acceptedVersion)
- Topics
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
- Keywords
- implementation intentions, if-then planning, goal achievement, mental illness, intention-behavior gap, goal setting, clinical samples, treatment integration
- MeSH terms
- Achievement, Mental Disorders, Goals, Humans, Mental Health, Intention
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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