A systematic review and meta-analysis of dropout rates from dialectical behaviour therapy in randomized controlled trials

Dixon, Lucas J.; Linardon, Jake

doi:10.1080/16506073.2019.1620324

Cited by 63 publications

(49 citation statements)

References 58 publications

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“…In this study, the dropout rates were quite similar in the DBT group (31.1%) and STEPPS group (33.3%), and there were no statistically significant differences between them, unlike in other studies where different dropout rates were found (Dixon & Linardon, 2019). Moreover, dropout rates were quite similar to those presented in the literature.…”

Section: Discussionsupporting

confidence: 79%

“…However, as mentioned above, DBT requires high specialization of the therapist, which is often not possible because of the time and money involved, and standard DBT (the group skills training modules, individual counselling, telephone crisis coaching, and a therapist consultation team) is more difficult to implement in the operating structure of different mental health services, such as public settings. In addition, in our study, dropout rates were similar in the DBT and STEPPS conditions, unlike in other studies where different dropout rates were found (Dixon & Linardon, 2019). Therefore, if a treatment is easier to administer to patients because it entails fewer resources and it is easier to train therapists, these are important factors to consider when making decisions (Bos et al, 2010).…”

Section: Discussioncontrasting

confidence: 53%

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Exploring the Effectiveness of Dialectical Behavior Therapy Versus Systems Training for Emotional Predictability and Problem Solving in a Sample of Patients With Borderline Personality Disorder

Botella

García‐Palacios

Miñana

et al. 2020

Journal of Personality Disorders

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Dialectical behavior therapy (DBT) and systems training for emotional predictability and problem solving (STEPPS) are two treatment protocols for people with borderline personality disorder (BPD) that have received important empirical support. However, their possible differential effectiveness has not yet been studied. The objective of this study is to explore the effectiveness of these two treatment programs. A nonrandomized clinical trial was carried out in which both treatments were applied for six months. The sample consisted of 72 patients diagnosed with BPD. The results indicate that both groups experienced a statistically significant reduction in BPD symptom, emotional regulation, impulsiveness, dissociative experiences, suicidal risk, depression, or anger. However, the DBT condition obtained statistically significant differences in BPD behavioral symptoms and fear of suicide. DBT and STEPPS treatment are effective treatments for participants with BPD, and DBT was more effective for the behavioral symptoms of BPD.

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Section: Discussionsupporting

confidence: 79%

Section: Discussioncontrasting

confidence: 53%

Exploring the Effectiveness of Dialectical Behavior Therapy Versus Systems Training for Emotional Predictability and Problem Solving in a Sample of Patients With Borderline Personality Disorder

Botella

García‐Palacios

Miñana

et al. 2020

Journal of Personality Disorders

View full text Add to dashboard Cite

show abstract

“…There may also be advantages to on-line group attendance in terms of reducing social anxiety which may contribute to premature drop out which is an acknowledged problem in all DBT programmes (Dixon & Linardon, 2020). What limited evaluations there have been regarding on-line skills group suggest that the advantages, outweigh the disadvantages and for many geographically isolated people it is the only way which people can access a full programme (Valentine et al, 2015).…”

Section: Discussionmentioning

confidence: 99%

The Impact of Social Distancing on People with Borderline Personality Disorder: The Views of Dialectical Behavioural Therapists

Lakeman

Crighton

2020

Issues in Mental Health Nursing

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Dialectical Behavioural Therapy (DBT) is an evidence-based treatment for borderline personality disorder and other problems associated with emotional dysregulation. It has traditionally been deployed as a face-to-face programme comprised of attendance at group skills training, individual therapy and phone coaching. Social distancing measures arising from the COVID-19 pandemic led to a cessation of therapeutic programmes in many places. This survey of DBT clinicians in a regional State mental health service in Australia explored the impact of the cessation of DBT programmes in the region and obstacles to engaging with people via online platforms. Clinicians have been able to engage in DBT informed care, but it was perceived that many people have experienced a clinical deterioration or have increased their use of crisis services, which is entirely appropriate, as group skills programmes have ceased. Movement to online platforms of delivery poses problems, as some people do not have the access to internet or privacy in their home environments to engage in online therapy. Ideally, clinicians need to be supported through education, supervision and coaching in the use of telehealth interventions. Social distancing requirements has enabled an opportunity to carefully consider how programmes can be adapted to enable the extension of these programmes to those who have traditionally been unable to access them.

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“…Refusal to complete TH interventions is primarily attributed to the interventions themselves [ 66 , 67 ]. It was noted that TH interventions with multiple components were fraught with complexities and technical difficulties that have resulted in decreased treatment sessions or even termination [ 18 , 32 ].…”

Section: Discussionmentioning

confidence: 99%

Chronic Obstructive Pulmonary Disease Patients’ Acceptance in E-Health Clinical Trials

Alghamdi

Rajah

Aldabayan

et al. 2021

IJERPH

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Introduction: Telehealth (TH) interventions with Chronic Obstructive Pulmonary Disease (COPD) management were introduced in the literature more than 20 years ago with different labeling, but there was no summary for the overall acceptance and dropout rates as well as associated variables. Objective: This review aims to summarize the acceptance and dropout rates used in TH interventions and identify to what extent clinical settings, sociodemographic factors, and intervention factors might impact the overall acceptance and completion rates of TH interventions. Methods: We conducted a systematic search up to April 2021 on CINAHL, PubMed, MEDLINE (Ovid), Cochrane, Web of Sciences, and Embase to retrieve randomized and non-randomized control trials that provide TH interventions alone or accompanied with other interventions to individuals with COPD. Results: Twenty-seven studies met the inclusion criteria. Overall, the unweighted average of acceptance and dropout rates for all included studies were 80% and 19%, respectively. A meta-analysis on the pooled difference between the acceptance rates and dropout rates (weighted by the sample size) revealed a significant difference in acceptance and dropout rates among all TH interventions 51% (95% CI 49% to 52; p < 0.001) and 63% (95% CI 60% to 67; p < 0.001), respectively. Analysis revealed that acceptance and dropout rates can be impacted by trial-related, sociodemographic, and intervention-related variables. The most common reasons for dropouts were technical difficulties (33%), followed by complicated system (31%). Conclusions: Current TH COPD interventions have a pooled acceptance rate of 51%, but this is accompanied by a high dropout rate of 63%. Acceptance and dropout levels in TH clinical trials can be affected by sociodemographic and intervention-related factors. This knowledge enlightens designs for well-accepted future TH clinical trials. PROSPERO registration number CRD4201707854.

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A systematic review and meta-analysis of dropout rates from dialectical behaviour therapy in randomized controlled trials

Cited by 63 publications

References 58 publications

Exploring the Effectiveness of Dialectical Behavior Therapy Versus Systems Training for Emotional Predictability and Problem Solving in a Sample of Patients With Borderline Personality Disorder

Exploring the Effectiveness of Dialectical Behavior Therapy Versus Systems Training for Emotional Predictability and Problem Solving in a Sample of Patients With Borderline Personality Disorder

The Impact of Social Distancing on People with Borderline Personality Disorder: The Views of Dialectical Behavioural Therapists

Chronic Obstructive Pulmonary Disease Patients’ Acceptance in E-Health Clinical Trials

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