The effect of choice interventions on retention-related, behavioural and mood outcomes: a systematic review with meta-analysis

Carlisle, Sophie; Ayling, Kieran; Buchanan, Heather; Vedhara, Kavita

doi:10.1080/17437199.2021.1962386

Cited by 13 publications

(6 citation statements)

References 103 publications

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“…It is noteworthy that others have similarly reported that when given a choice of positive mood interventions, self-selection is no more effective than random assignment (Silberman, 2007). Indeed, in a recent systematic review and meta-analysis comparing choice-based interventions to matched nonchoice interventions (across a range of contexts) the authors found that while providing participants choice reduced attrition and increased satisfaction with the intervention, there was only weak (nonsignificant evidence) that this influenced mood-related outcomes (Carlisle et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

Optimizing mood prior to influenza vaccination in older adults: A three-arm randomized controlled trial.

Ayling,

Brown,

Carlisle

et al. 2024

Health Psychology

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Objective: This trial explored the psychological and immunological effects of two brief interventions, targeting improving positive mood, administered to older adults immediately prior to influenza vaccination. The primary aim was to examine whether the interventions resulted in greater positive mood compared to usual care, and if so, which was superior. Secondary outcomes included antibody responses to vaccination and feasibility of collecting clinical outcome data (e.g., respiratory infections). Method: Six hundred and fifty-four older adults (65-85 years) participated in a three-arm, parallel, randomized controlled trial between September 2019 and May 2020. Immediately prior to receiving an adjuvanted trivalent influenza vaccine (Fluad, Seqirus UK Ltd), participants viewed one of two brief (15-min) video-based positive mood interventions (one fixed content, one allowing participant choice) or received usual care. State affect was measured Kieran Ayling https://orcid.

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Section: Discussionmentioning

confidence: 99%

Optimizing mood prior to influenza vaccination in older adults: A three-arm randomized controlled trial.

Ayling,

Brown,

Carlisle

et al. 2024

Health Psychology

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“…This might include study designs that allow participants their choice of intervention. Choice-based interventions have been shown improve participant retention, adherence, satisfaction and behaviour change 39. Of individuals assessed for eligibility, 61% declined to participate.…”

Section: Discussionmentioning

confidence: 99%

“…Choice-based interventions have been shown improve participant retention, adherence, satisfaction and behaviour change. [39] Of individuals assessed for eligibility 61% declined to participate. The underlying reasons for declining participation in this trial are unable to be elucidated, however in other respiratory populations undertaking exercise/activity related studies, a preference for receiving a specific treatment arm is commonly cited.…”

Section: Future Research Considerationsmentioning

confidence: 99%

Web-based physical activity promotion in young people with CF: a randomised controlled trial

Cox

Eldridge

Rawlings

et al. 2022

Thorax

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BackgroundPhysical activity levels are known to decline following hospitalisation for people with cystic fibrosis (pwCF). However, optimal physical activity promotion strategies are unclear. This study investigated the effect of a web-based application (ActivOnline) in promoting physical activity in young pwCF.MethodsMulticentre randomised controlled trial with assessor blinding and qualitative evaluation. People with CF (12–35 years) admitted to hospital for a respiratory cause were eligible and randomised to the 12-week ActivOnline intervention (AO) or usual care (UC). The primary outcome was change in device-based time spent in moderate-to-vigorous physical activity (MVPA) from baseline to post-intervention. Follow-up was at 6 months from hospital discharge when qualitative evaluation was undertaken.Results107 participants were randomised to AO (n=52) or UC (n=55). Sixty-three participants (59%) contributed to the intention-to-treat analysis. Mean (SD) age was 21 (6) years (n=46, <18 years). At baseline, physical activity levels were high in both groups (AO 102 (52) vs UC 127 (73) min/day). There was no statistically significant difference in MVPA between groups at either timepoint (post-intervention mean difference (95% CI) −14 mins (−45 to 16)). Uptake of the intervention was low with only 40% (n=21) of participants accessing the web application.ConclusionA web-based application, including individualised goal setting, real-time feedback and motivation for behavioural change, was no better than usual care at promoting physical activity in young pwCF following hospital discharge. High levels of baseline physical activity levels in both groups, and limited engagement with the intervention, suggest alternative strategies may be necessary to identify and support young pwCF who would benefit from enhanced physical activity.Trial registration numberACTRN12617001009303, 13 July 13 2017.

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“…Bad effects: the proportion of participants who reported experiencing bad effects or lasting bad effects from the intervention (as described in the study by Carlisle et al [ 35 ]) and the proportion of participants whose PHQ-8 scores increased above the minimally clinically important difference for the PHQ-8 (≥5 points [ 46 ]), assessed at t 1 and t 2…”

Section: Methodsmentioning

confidence: 99%

“…The Unmind app deliberately includes interventions that use different therapeutic modalities, giving the user free choice over which modality feels the most relevant and appealing to them. This is important, as a recent meta-analysis suggests that giving users autonomy and choice over intervention parameters leads to greater adherence and better clinical outcomes [ 35 ]. Thus, this study aimed to evaluate the feasibility and acceptability of the 3 interventions independently (using an efficient multiarm design) without directly comparing them.…”

Section: Introductionmentioning

confidence: 99%

Feasibility and Preliminary Efficacy of Digital Interventions for Depressive Symptoms in Working Adults: Multiarm Randomized Controlled Trial

Taylor¹,

Male²,

Economides³

et al. 2023

JMIR Form Res

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Background Depressive symptoms are highly prevalent and have broad-ranging negative implications. Digital interventions are increasingly available in the workplace context, but supporting evidence is limited. Objective This study aimed to evaluate the feasibility, acceptability, and preliminary efficacy of 3 digital interventions for depressive symptoms in a sample of UK-based working adults experiencing mild to moderate symptoms. Methods This was a parallel, multiarm, pilot randomized controlled trial. Participants were allocated to 1 of 3 digital interventions or a waitlist control group and had 3 weeks to complete 6 to 8 short self-guided sessions. The 3 interventions are available on the Unmind mental health app for working adults and draw on behavioral activation, cognitive behavioral therapy, and acceptance and commitment therapy. Web-based assessments were conducted at baseline, postintervention (week 3), and at 1-month follow-up (week 7). Participants were recruited via Prolific, a web-based recruitment platform, and the study was conducted entirely on the web. Feasibility and acceptability were assessed using objective engagement data and self-reported feedback. Efficacy outcomes were assessed using validated self-report measures of mental health and functioning and linear mixed models with intention-to-treat principles. Results In total, 2003 individuals were screened for participation, of which 20.22% (405/2003) were randomized. A total of 92% (373/405) of the participants were retained in the study, 97.4% (295/303) initiated their allocated intervention, and 66.3% (201/303) completed all sessions. Moreover, 80.6% (229/284) of the participants rated the quality of their allocated intervention as excellent or good, and 79.6% (226/284) of the participants were satisfied or very satisfied with their intervention. All active groups showed improvements in well-being, functioning, and depressive and anxiety symptoms compared with the control group, which were maintained at 4 weeks. Hedges g effect sizes for depressive symptoms ranged from −0.53 (95% CI −0.25 to −0.81) to −0.74 (95% CI −0.45 to −1.03). Conclusions All interventions were feasible and acceptable, and the preliminary efficacy findings indicated that their use may improve depressive symptoms, well-being, and functioning. The predefined criteria for a definitive trial were met. Trial Registration International Standard Randomised Controlled Trial Number (ISRCTN) ISRCTN13067492; https://www.isrctn.com/ISRCTN13067492

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The effect of choice interventions on retention-related, behavioural and mood outcomes: a systematic review with meta-analysis

Cited by 13 publications

References 103 publications

Optimizing mood prior to influenza vaccination in older adults: A three-arm randomized controlled trial.

Optimizing mood prior to influenza vaccination in older adults: A three-arm randomized controlled trial.

Web-based physical activity promotion in young people with CF: a randomised controlled trial

Feasibility and Preliminary Efficacy of Digital Interventions for Depressive Symptoms in Working Adults: Multiarm Randomized Controlled Trial

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