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The impact of accommodating client preference in psychotherapy: A meta-analysis
Joshua K Swift1, Jennifer L Callahan2, Mick Cooper3
1Department of Psychology, Idaho State University, Pocatello, Idaho.
Journal of Clinical Psychology
|August 10, 2018
Summary
Accommodating client preferences in psychotherapy leads to better treatment outcomes and fewer dropouts. This meta-analysis confirms preference accommodation significantly improves therapeutic results for diverse clients.
Area of Science:
- Psychology
- Clinical Psychology
- Psychotherapy Research
Background:
- Client preferences are crucial in psychotherapy, influencing treatment engagement and effectiveness.
- Evidence suggests accommodating these preferences enhances therapeutic outcomes.
- This meta-analysis quantifies the impact of preference accommodation in psychotherapy.
Observation:
- Data from 53 studies and over 16,000 clients were analyzed.
- Preference accommodation was compared against non-preferred treatments or conditions.
- Key outcome measures included treatment dropout rates and overall treatment success.
Findings:
- Preference accommodation significantly reduced treatment dropouts (OR = 1.79).
- It was associated with more positive treatment outcomes (d = 0.28).
- Moderators included study design, measurement timing/type, and client diagnosis.
Implications:
- Client preference accommodation is a vital factor in optimizing psychotherapy effectiveness.
- Clinicians should actively explore and incorporate client preferences into treatment planning.
- Further research can refine understanding of preference accommodation across different client populations and diagnoses.
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