What is the role of pre-assessment questionnaires in psychotherapy?

Soutter, Andrew; Garelick, Antony

doi:10.1080/02668739900700211

Cited by 3 publications

(3 citation statements)

References 7 publications

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“…Other methods to reduce TR have focused on appointment letters, patient choice, and getting patients to either plan or imagine attending at assessment. Appointment reminder letters significantly reduce TR (Rusius, 1995), whereas preassessment questionnaires increase TR (Soutter & Garelick, 1999). Patient choice appears to reduce TR.…”

Section: Narrative Overview Of Strategies To Promote Psychotherapy At...mentioning

confidence: 94%

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

Oldham¹,

Kellett²,

Miles³

et al. 2012

Journal of Consulting and Clinical Psychology

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Objective: Rates of non-attendance for psychotherapy hinder the effective delivery of evidencebased treatments. Although many strategies have been developed to increase attendance, the effectiveness of these strategies has not been quantified. The aim of 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 (1) concerned attendance at individual or group psychotherapy by adults, (2) used a randomised controlled trial design to test an attendance strategy, and (3) used an objective measure of attendance. Computerised literature searches and hand searching resulted in a total of 31 RCTs that involved 33 independent tests of strategies for reducing treatment refusal and premature termination (N = 4,422). Effect sizes from individual studies were meta-analysed 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 than samples that had 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. META-ANALYSIS OF PSYCHOTHERAPY ATTENDANCE 3Interventions to Increase Attendance at Psychotherapy:A Meta-Analysis of Randomised Controlled Trials A substantial proportion of clinical time is wasted because of patient non-attendance at scheduled adult psychotherapy appointments (Pekarik, 1985). The financial costs of nonattendance are marked (Hicks & Hickman, 1995; Kleine, Stone, Hicks & Pritchard, 2003), with patients not receiving help (Joshi, Maisami & Coyle, 1986) and therapists losing confidence as a result (Sledge, Moras, Hartley & Levine, 1990). Service efficiency is impaired when nonattendance rates are high (Rusius, 1995). Garfield (1994) noted that some patients fail to attend at assessment and essentially reject treatment. Hampton-Robb, Qualls, and Compton (2003) estimated that such treatment refusal (TR) occurs for 40% of referrals, on average. Premature termination (PT) occurs when patients fail to complete agreed treatment contracts (i.e., they 'drop-out' of therapy). A meta-analysis of 123 studies reported a PT rate of 46.8% (Wierzbicki & Pekarik, 1993) across treatment modalities. High PT rates are troubling in light of evidence that PT is associated with poor clinical outcome (Barret...

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Section: Narrative Overview Of Strategies To Promote Psychotherapy At...mentioning

confidence: 94%

“…Appointment reminder letters significantly reduce TR (Rusius, 1995), whereas pre-assessment questionnaires increase TR (Soutter & Garelick, 1999). Patient choice appears to reduce TR.…”

Section: Narrative Overview Of Strategies To Promote Psychotherapy Atmentioning

confidence: 94%

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

Oldham¹,

Kellett²,

Miles³

et al. 2012

Journal of Consulting and Clinical Psychology

View full text Add to dashboard Cite

show abstract

“…There was no significant difference noted between a group of NHS patients which was asked to complete a pre-assessment questionnaire and that which was not, in the percentage assessed and found suitable for therapy or entering therapy. There is therefore no evidence that the questionnaire refines the assessment procedure in respect of suitability or motivation, once a patient is seen (Soutter and Garelick 1999).…”

Section: Introductionmentioning

confidence: 99%

Predictors of Engagement in Psychodynamic Psychotherapy Deriving From Pre‐assessment Questionnaires

Parissis¹,

Ward²

2006

Psychoanalytic Psychotherapy

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Interventions to Increase Initial Appointment Attendance in Mental Health Services: A Systematic Review

Schauman

Aschan

Arias³

et al. 2013

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OBJECTIVE Although nonattendance at initial appointments in mental health services is a substantial problem, the phenomenon is poorly understood. This review synthesized findings of randomized controlled trials (RCTs) of interventions to increase initial appointment attendance and determined whether theories or models contributed to intervention design. METHODS Six electronic databases were systematically searched, and reference lists of identified studies were also examined. Studies included were RCTs (including "quasi-randomized" controlled trials) that compared standard practice with an intervention to increase attendance at initial appointments in a sample of adults who had a scheduled initial appointment in a mental health or substance abuse service setting. RESULTS Of 144 potentially relevant studies, 21 met inclusion criteria. These studies were reported in 20 different research papers. Of these, 16 studies (N=3,673 participants) were included in the analyses (five were excluded because they reported only nonattendance at the initial appointment). Separate analyses were conducted for each intervention type (opt-in systems, telephone reminders and prompts, orientation and reminder letters, accelerated intake, preappointment completion of psychodynamic questionnaires, and "other"). Narrative synthesis was used for analysis because the high level of heterogeneity between studies precluded a meta-analysis. The results were mixed for all types of intervention. Some isolated high-quality studies of opt-in systems, orientation and reminder letters, and more novel interventions demonstrated a beneficial effect. CONCLUSIONS The synthesized findings indicated that orientation and reminder letters may have a small beneficial effect. Consistent evidence for the efficacy of other types of common interventions is lacking. More novel interventions, such as asking clients to formulate plans to deal with obstacles to attendance and giving clients a choice of therapist style, showed some promise, but studies require replication.

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What is the role of pre-assessment questionnaires in psychotherapy?

Cited by 3 publications

References 7 publications

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

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

Predictors of Engagement in Psychodynamic Psychotherapy Deriving From Pre‐assessment Questionnaires

Interventions to Increase Initial Appointment Attendance in Mental Health Services: A Systematic Review

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