对客户偏好对治疗满意度,完成和临床结果的影响的元分析:十年更新
Charles B Bennett1, Emma K Toevs2, Abby Angus2
1VA Pittsburgh Healthcare System, United States of America; University of Pittsburgh, United States of America.
Clinical psychology review
|August 28, 2025
概括
患者对治疗的偏好和积极选择对心理和医疗状况的满意度,完成和结果产生了小但显著的积极影响. 抑郁症患者特别受益于优选的治疗方法,提高治疗完成率.
科学领域:
- 心理学与行为医学
- 临床心理学
- 医疗服务研究
背景情况:
- 患者的偏好和积极选择显著影响治疗结果.
- 之前的元分析已经确定了患者偏好与治疗满意度,完成和临床结果之间的联系.
- 这一领域的研究在过去十年中得到了扩大,需要更新证据的综合.
研究的目的:
- 提供关于患者偏好或积极选择影响的先前分析的10年更新.
- 检查心理和医疗状况对治疗满意度,完成和临床结果的影响.
- 评估这些影响在不同条件和调节者之间的一致性.
主要方法:
- 进行了系统的文献搜索,以确定过去10年发表的新随机对照试验.
- 将新研究与先前的元分析数据整合在一起,总共产生了60项研究.
- 计算治疗满意度,完成和临床结果的整体效果大小.
主要成果:
- 对于治疗满意度 (ESd = 0. 26),完成 (ESOR = 1. 30; ESd = 0. 14) 和临床结果 (ESd = 0. 14) 发现了小而具有统计意义的积极影响.
- 除了正在治疗的疾病外,效果在所有调节者中普遍一致.
- 患有抑郁症的人在接受他们喜欢的治疗或积极选择时,治疗完成率更高.
结论:
- 评估患者的偏好和整合共享决策可能会提高治疗的参与度和有效性.
- 患者偏好的好处延伸到更广泛的心理和医疗状况.
- 在最近的研究中,知情选择常常是心理教育所促进的.
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