Predictors of compliance with psychological interventions offered in the community
Background. This study sought to evaluate the acceptance of two brief psychological interventions for depressed individuals, contacted through a community survey, and to look for predictors of adherence at the patient level. Method. The authors used data from the Outcomes of Depression International...
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Veröffentlicht in: | Psychological medicine 2007-05, Vol.37 (5), p.717-725 |
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creator | AYUSO-MATEOS, J. L. PEREDA, A. DUNN, G. VAZQUEZ-BARQUERO, J. L. CASEY, P. LEHTINEN, V. DALGARD, O. WILKINSON, G. DOWRICK, C. |
description | Background. This study sought to evaluate the acceptance of two brief psychological interventions for depressed individuals, contacted through a community survey, and to look for predictors of adherence at the patient level. Method. The authors used data from the Outcomes of Depression International Network (ODIN) study, which included a randomized controlled trial in which depressed individuals from five European countries, and nine geographical areas were assigned to one of three groups: individual problem-solving treatment, group psychoeducation, or control group. In this analysis, we included all of the individuals who had been assigned to one of the psychological interventions. Compliance with intervention was defined in two different ways. Multiple logistic regression was used to see which variables might predict an individual's compliance with psychological treatment. Results. Psychological intervention was offered to 236 subjects. Treatment was completed by 128 subjects and not by 108 (compliance definition A). Three variables were found to have an effect on compliance A: the presence of a confidant, the use of antidepressant medication during the previous 6 months, and the previous use of any social or health services. On the other hand, 164 subjects had agreed to at least start the treatment, and 72 had not (compliance definition B). The three factors associated with compliance B were presence of a confidant, previous use of services, and the ‘desire for change’ score. Conclusions. Social support and previous use of services are the main predictors of compliance with a psychological treatment in depressed individuals from the community. Implications for clinical practice and community programs are discussed. |
doi_str_mv | 10.1017/S0033291706009317 |
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L. ; PEREDA, A. ; DUNN, G. ; VAZQUEZ-BARQUERO, J. L. ; CASEY, P. ; LEHTINEN, V. ; DALGARD, O. ; WILKINSON, G. ; DOWRICK, C.</creator><creatorcontrib>AYUSO-MATEOS, J. L. ; PEREDA, A. ; DUNN, G. ; VAZQUEZ-BARQUERO, J. L. ; CASEY, P. ; LEHTINEN, V. ; DALGARD, O. ; WILKINSON, G. ; DOWRICK, C.</creatorcontrib><description>Background. This study sought to evaluate the acceptance of two brief psychological interventions for depressed individuals, contacted through a community survey, and to look for predictors of adherence at the patient level. Method. The authors used data from the Outcomes of Depression International Network (ODIN) study, which included a randomized controlled trial in which depressed individuals from five European countries, and nine geographical areas were assigned to one of three groups: individual problem-solving treatment, group psychoeducation, or control group. In this analysis, we included all of the individuals who had been assigned to one of the psychological interventions. Compliance with intervention was defined in two different ways. Multiple logistic regression was used to see which variables might predict an individual's compliance with psychological treatment. Results. Psychological intervention was offered to 236 subjects. Treatment was completed by 128 subjects and not by 108 (compliance definition A). Three variables were found to have an effect on compliance A: the presence of a confidant, the use of antidepressant medication during the previous 6 months, and the previous use of any social or health services. On the other hand, 164 subjects had agreed to at least start the treatment, and 72 had not (compliance definition B). The three factors associated with compliance B were presence of a confidant, previous use of services, and the ‘desire for change’ score. Conclusions. Social support and previous use of services are the main predictors of compliance with a psychological treatment in depressed individuals from the community. Implications for clinical practice and community programs are discussed.</description><identifier>ISSN: 0033-2917</identifier><identifier>EISSN: 1469-8978</identifier><identifier>DOI: 10.1017/S0033291706009317</identifier><identifier>PMID: 17094818</identifier><identifier>CODEN: PSMDCO</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Adult ; Antidepressive Agents - therapeutic use ; Biological and medical sciences ; Canada - epidemiology ; Community ; Community Mental Health Services - utilization ; Compliance ; Depression ; Depressive Disorder, Major - drug therapy ; Depressive Disorder, Major - epidemiology ; Depressive Disorder, Major - therapy ; Double-Blind Method ; Female ; Humans ; Interventions ; Male ; Medical sciences ; Middle Aged ; Original Article ; Patient Compliance - statistics & numerical data ; Patient Education as Topic - statistics & numerical data ; Predictors ; Prevalence ; Problem Solving ; Program Evaluation ; Prospective Studies ; Psychology ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Psychotherapy ; Psychotherapy - methods ; Psychotherapy - statistics & numerical data ; Quality of Life - psychology ; Social Support ; Support groups ; Time Factors ; Treatment ; Treatment Outcome</subject><ispartof>Psychological medicine, 2007-05, Vol.37 (5), p.717-725</ispartof><rights>2006 Cambridge University Press</rights><rights>2007 INIST-CNRS</rights><rights>Copyright Cambridge University Press, Publishing Division May 2007</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c500t-5740416f4610928fe9f4d8e7486c604bac531a86d5ce47d355c506260ca7dac93</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.cambridge.org/core/product/identifier/S0033291706009317/type/journal_article$$EHTML$$P50$$Gcambridge$$H</linktohtml><link.rule.ids>164,314,780,784,12846,27924,27925,30999,31000,55628</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18690690$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17094818$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>AYUSO-MATEOS, J. L.</creatorcontrib><creatorcontrib>PEREDA, A.</creatorcontrib><creatorcontrib>DUNN, G.</creatorcontrib><creatorcontrib>VAZQUEZ-BARQUERO, J. L.</creatorcontrib><creatorcontrib>CASEY, P.</creatorcontrib><creatorcontrib>LEHTINEN, V.</creatorcontrib><creatorcontrib>DALGARD, O.</creatorcontrib><creatorcontrib>WILKINSON, G.</creatorcontrib><creatorcontrib>DOWRICK, C.</creatorcontrib><title>Predictors of compliance with psychological interventions offered in the community</title><title>Psychological medicine</title><addtitle>Psychol. Med</addtitle><description>Background. This study sought to evaluate the acceptance of two brief psychological interventions for depressed individuals, contacted through a community survey, and to look for predictors of adherence at the patient level. Method. The authors used data from the Outcomes of Depression International Network (ODIN) study, which included a randomized controlled trial in which depressed individuals from five European countries, and nine geographical areas were assigned to one of three groups: individual problem-solving treatment, group psychoeducation, or control group. In this analysis, we included all of the individuals who had been assigned to one of the psychological interventions. Compliance with intervention was defined in two different ways. Multiple logistic regression was used to see which variables might predict an individual's compliance with psychological treatment. Results. Psychological intervention was offered to 236 subjects. Treatment was completed by 128 subjects and not by 108 (compliance definition A). Three variables were found to have an effect on compliance A: the presence of a confidant, the use of antidepressant medication during the previous 6 months, and the previous use of any social or health services. On the other hand, 164 subjects had agreed to at least start the treatment, and 72 had not (compliance definition B). The three factors associated with compliance B were presence of a confidant, previous use of services, and the ‘desire for change’ score. Conclusions. Social support and previous use of services are the main predictors of compliance with a psychological treatment in depressed individuals from the community. Implications for clinical practice and community programs are discussed.</description><subject>Adult</subject><subject>Antidepressive Agents - therapeutic use</subject><subject>Biological and medical sciences</subject><subject>Canada - epidemiology</subject><subject>Community</subject><subject>Community Mental Health Services - utilization</subject><subject>Compliance</subject><subject>Depression</subject><subject>Depressive Disorder, Major - drug therapy</subject><subject>Depressive Disorder, Major - epidemiology</subject><subject>Depressive Disorder, Major - therapy</subject><subject>Double-Blind Method</subject><subject>Female</subject><subject>Humans</subject><subject>Interventions</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Original Article</subject><subject>Patient Compliance - statistics & numerical data</subject><subject>Patient Education as Topic - statistics & numerical data</subject><subject>Predictors</subject><subject>Prevalence</subject><subject>Problem Solving</subject><subject>Program Evaluation</subject><subject>Prospective Studies</subject><subject>Psychology</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Psychotherapy</subject><subject>Psychotherapy - methods</subject><subject>Psychotherapy - statistics & numerical data</subject><subject>Quality of Life - psychology</subject><subject>Social Support</subject><subject>Support groups</subject><subject>Time Factors</subject><subject>Treatment</subject><subject>Treatment Outcome</subject><issn>0033-2917</issn><issn>1469-8978</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkV1rFDEUhoNY7Fr9Ad7IIOjd6Mnk-1JKu1Za_FgV8SZkM5lu6sxkTWbU_ffNsIMLihQCB3Ke93AOD0JPMLzEgMWrFQAhlcICOIAiWNxDC0y5KqUS8j5aTO1y6h-jhyndAGCCafUAHeeEohLLBfr4Prra2yHEVISmsKHbtt701hW__LAptmlnN6EN196atvD94OJP1w8-9BPeuBzOv8WwcVO0G3s_7B6ho8a0yT2e6wn6fH726fRNeflueXH6-rK0DGAomaBAMW8ox6Aq2TjV0Fo6QSW3HOjaWEawkbxm1lFRE8ZyjlccrBG1sYqcoBf7udsYfowuDbrzybq2Nb0LY9ICCANW3Q0yURHKGbkTxIoowmiVwWd_gTdhjH2-VldAaVZR8QzhPWRjSCm6Rm-j70zcaQx68qf_8ZczT-fB47pz9SExC8vA8xkwKStpYnbl04GTXEF-mSv3nE-D-_2nb-J3zQURTPPlB706f3v15dvyq15lnszLmm4dfX3tDif9f91bihe_2A</recordid><startdate>20070501</startdate><enddate>20070501</enddate><creator>AYUSO-MATEOS, J. L.</creator><creator>PEREDA, A.</creator><creator>DUNN, G.</creator><creator>VAZQUEZ-BARQUERO, J. L.</creator><creator>CASEY, P.</creator><creator>LEHTINEN, V.</creator><creator>DALGARD, O.</creator><creator>WILKINSON, G.</creator><creator>DOWRICK, C.</creator><general>Cambridge University Press</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7QP</scope><scope>7QR</scope><scope>7RV</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HEHIP</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2S</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20070501</creationdate><title>Predictors of compliance with psychological interventions offered in the community</title><author>AYUSO-MATEOS, J. L. ; PEREDA, A. ; DUNN, G. ; VAZQUEZ-BARQUERO, J. L. ; CASEY, P. ; LEHTINEN, V. ; DALGARD, O. ; WILKINSON, G. ; DOWRICK, C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c500t-5740416f4610928fe9f4d8e7486c604bac531a86d5ce47d355c506260ca7dac93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adult</topic><topic>Antidepressive Agents - therapeutic use</topic><topic>Biological and medical sciences</topic><topic>Canada - epidemiology</topic><topic>Community</topic><topic>Community Mental Health Services - utilization</topic><topic>Compliance</topic><topic>Depression</topic><topic>Depressive Disorder, Major - drug therapy</topic><topic>Depressive Disorder, Major - epidemiology</topic><topic>Depressive Disorder, Major - therapy</topic><topic>Double-Blind Method</topic><topic>Female</topic><topic>Humans</topic><topic>Interventions</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Original Article</topic><topic>Patient Compliance - statistics & numerical data</topic><topic>Patient Education as Topic - statistics & numerical data</topic><topic>Predictors</topic><topic>Prevalence</topic><topic>Problem Solving</topic><topic>Program Evaluation</topic><topic>Prospective Studies</topic><topic>Psychology</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Psychotherapy</topic><topic>Psychotherapy - methods</topic><topic>Psychotherapy - statistics & numerical data</topic><topic>Quality of Life - psychology</topic><topic>Social Support</topic><topic>Support groups</topic><topic>Time Factors</topic><topic>Treatment</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>AYUSO-MATEOS, J. L.</creatorcontrib><creatorcontrib>PEREDA, A.</creatorcontrib><creatorcontrib>DUNN, G.</creatorcontrib><creatorcontrib>VAZQUEZ-BARQUERO, J. L.</creatorcontrib><creatorcontrib>CASEY, P.</creatorcontrib><creatorcontrib>LEHTINEN, V.</creatorcontrib><creatorcontrib>DALGARD, O.</creatorcontrib><creatorcontrib>WILKINSON, G.</creatorcontrib><creatorcontrib>DOWRICK, C.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection【Remote access available】</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Chemoreception Abstracts</collection><collection>ProQuest Nursing and Allied Health Journals</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>Sociology Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology Journals</collection><collection>ProQuest Research Library</collection><collection>Sociology Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Psychological medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>AYUSO-MATEOS, J. L.</au><au>PEREDA, A.</au><au>DUNN, G.</au><au>VAZQUEZ-BARQUERO, J. L.</au><au>CASEY, P.</au><au>LEHTINEN, V.</au><au>DALGARD, O.</au><au>WILKINSON, G.</au><au>DOWRICK, C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Predictors of compliance with psychological interventions offered in the community</atitle><jtitle>Psychological medicine</jtitle><addtitle>Psychol. Med</addtitle><date>2007-05-01</date><risdate>2007</risdate><volume>37</volume><issue>5</issue><spage>717</spage><epage>725</epage><pages>717-725</pages><issn>0033-2917</issn><eissn>1469-8978</eissn><coden>PSMDCO</coden><abstract>Background. This study sought to evaluate the acceptance of two brief psychological interventions for depressed individuals, contacted through a community survey, and to look for predictors of adherence at the patient level. Method. The authors used data from the Outcomes of Depression International Network (ODIN) study, which included a randomized controlled trial in which depressed individuals from five European countries, and nine geographical areas were assigned to one of three groups: individual problem-solving treatment, group psychoeducation, or control group. In this analysis, we included all of the individuals who had been assigned to one of the psychological interventions. Compliance with intervention was defined in two different ways. Multiple logistic regression was used to see which variables might predict an individual's compliance with psychological treatment. Results. Psychological intervention was offered to 236 subjects. Treatment was completed by 128 subjects and not by 108 (compliance definition A). Three variables were found to have an effect on compliance A: the presence of a confidant, the use of antidepressant medication during the previous 6 months, and the previous use of any social or health services. On the other hand, 164 subjects had agreed to at least start the treatment, and 72 had not (compliance definition B). The three factors associated with compliance B were presence of a confidant, previous use of services, and the ‘desire for change’ score. Conclusions. Social support and previous use of services are the main predictors of compliance with a psychological treatment in depressed individuals from the community. Implications for clinical practice and community programs are discussed.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>17094818</pmid><doi>10.1017/S0033291706009317</doi><tpages>9</tpages></addata></record> |
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subjects | Adult Antidepressive Agents - therapeutic use Biological and medical sciences Canada - epidemiology Community Community Mental Health Services - utilization Compliance Depression Depressive Disorder, Major - drug therapy Depressive Disorder, Major - epidemiology Depressive Disorder, Major - therapy Double-Blind Method Female Humans Interventions Male Medical sciences Middle Aged Original Article Patient Compliance - statistics & numerical data Patient Education as Topic - statistics & numerical data Predictors Prevalence Problem Solving Program Evaluation Prospective Studies Psychology Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Psychotherapy Psychotherapy - methods Psychotherapy - statistics & numerical data Quality of Life - psychology Social Support Support groups Time Factors Treatment Treatment Outcome |
title | Predictors of compliance with psychological interventions offered in the community |
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