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Technological adjuncts to increase adherence to therapy: a review.

Bonnie A Clough¹, Leanne M Casey

¹Griffith Health Institute, Griffith University, Brisbane, Queensland, Australia. b.clough@griffith.edu.au

Clinical Psychology Review

|April 19, 2011

Summary

Technology can improve therapy adherence by addressing dropout, engagement, and aftercare. Tools like mobile phone reminders and computer-based exercises support clients throughout treatment.

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Area of Science:

Psychology
Health Informatics
Behavioral Science

Background:

Client adherence to therapy is crucial for successful treatment outcomes.
Technological interventions offer potential solutions to improve adherence.
Existing research has not comprehensively reviewed technological adjuncts for therapy adherence.

Purpose of the Study:

To identify and review technological adjuncts that enhance client adherence to therapy.
To examine adherence across three key areas: dropout/non-attendance, engagement, and aftercare.
To analyze reviewed adjuncts through the lens of established adherence theories.

Main Methods:

Conducted systematic database searches for studies published between 1990 and 2010.
Focused on technological adjuncts that supplement, rather than replace, therapist contact.
Included adjuncts delivered via mobile phone and computer for reminders, exercises, and monitoring.

Main Results:

Identified various technological adjuncts, including mobile phone reminders and computer-based exercises.
Found evidence suggesting these adjuncts can positively impact client engagement and reduce non-attendance.
Reviewed adjuncts in the context of Self-Determination Theory, Transtheoretical Model, and Theory of Planned Behaviour.

Conclusions:

Technological adjuncts show promise in improving therapy adherence across different stages of treatment.
Further research is needed to explore the limitations and optimize the application of these technologies.
Integrating technology can support clients and enhance therapeutic alliance when designed appropriately.