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A prediction of initial appointment attendance and initial outcome expectations
Joshua K Swift1, Jason L Whipple, Patricia Sandberg
1Department of Psychology, University of Alaska Anchorage, 3211 Providence Drive SSB214, Anchorage, AK 99508, USA. joshua.keith.swift@gmail.com
Psychotherapy (Chicago, Ill.)
|August 15, 2012
Summary
Client expectations and hope are key to attending psychotherapy. Shorter wait times and prior therapy experience significantly increase appointment attendance, while high distress decreases it.
Area of Science:
- Psychology
- Clinical Psychology
- Health Psychology
Background:
- Client outcome expectations are crucial in psychotherapy.
- Early development of client expectations and their impact on initial attendance is understudied.
Purpose of the Study:
- To investigate the factors influencing initial psychotherapy appointment attendance.
- To examine the role of outcome expectations, hope, and distress in predicting attendance.
Main Methods:
- Adult clients (n=57) from training clinics completed questionnaires at referral.
- Measures included outcome expectations, generalized hope, and distress.
- Previous therapy experience and wait time were also recorded.
Main Results:
- A model including expectations, hope, distress, experience, and wait time predicted attendance status with 88.7% accuracy.
- Shorter wait times (OR=1.58) and previous therapy experience (OR=9.89) increased likelihood of attendance.
- Outcome expectations correlated positively with hope (r=0.59) and negatively with distress (r=-0.48).
Conclusions:
- Initial client expectations, hope, and distress are significant predictors of psychotherapy attendance.
- Clinical strategies should focus on managing wait times and leveraging prior therapy experience to improve attendance.
- Enhancing client expectations and hope may improve engagement in early psychotherapy stages.
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