Patient preference as a predictor of outcomes in a pilot trial of person-centered counselling versus low-intensity cognitive behavioral therapy for persistent sub-threshold and mild depression

TY - JOUR

T1 - Patient preference as a predictor of outcomes in a pilot trial of person-centered counselling versus low-intensity cognitive behavioral therapy for persistent sub-threshold and mild depression

AU - Cooper, Michael

N1 - 3*

PY - 2017/6/26

Y1 - 2017/6/26

N2 - The aim of this analysis was to explore whether pre-treatment intervention preferences were related to outcomes for patients with persistent sub-threshold and mild depression who received one of two treatment types. Thirty-six patients took part in a two-arm, parallel group, pilot randomized controlled trial that compared short term (3 month and 6 month) outcomes of person-centered counselling (PCC) compared with low intensity, CBT-based guided self-help (LICBT). Patient preferences for the two interventions were assessed at baseline assessment, and analyzed as two independent linear variables (pro-PCC, pro-LICBT). Eight out of 30 interactions between baseline treatment preferences and treatment type were found to be significant at the p < 0.05 level. All were in the predicted direction, with patients who showed a stronger preference for a treatment achieving better outcomes in that treatment compared with the alternative. However, pro-LICBT was a stronger predictor of outcomes than pro-PCC. The findings provide preliminary support that treatment preferences should be taken into account when providing interventions for patients with persistent sub-threshold and mild depression. It is recommended that further research analyzes preferences for different treatment types as independent variables, and examines preferences for format of treatment (e.g., guided self-help vs. face-to-face). © 2017 Informa UK Limited. The attached document (embargoed until 26/06/2018) is an author produced version of a paper published in counselling Psychology Quarterly, uploaded in accordance with the publisher’s self- archiving policy. The final published version (version of record) is available online at http://dx.doi.org/10.1080/09515070.2017.1329708). Some minor differences between this version and the final published version may remain. We suggest you refer to the final published version should you wish to cite from it.

AB - The aim of this analysis was to explore whether pre-treatment intervention preferences were related to outcomes for patients with persistent sub-threshold and mild depression who received one of two treatment types. Thirty-six patients took part in a two-arm, parallel group, pilot randomized controlled trial that compared short term (3 month and 6 month) outcomes of person-centered counselling (PCC) compared with low intensity, CBT-based guided self-help (LICBT). Patient preferences for the two interventions were assessed at baseline assessment, and analyzed as two independent linear variables (pro-PCC, pro-LICBT). Eight out of 30 interactions between baseline treatment preferences and treatment type were found to be significant at the p < 0.05 level. All were in the predicted direction, with patients who showed a stronger preference for a treatment achieving better outcomes in that treatment compared with the alternative. However, pro-LICBT was a stronger predictor of outcomes than pro-PCC. The findings provide preliminary support that treatment preferences should be taken into account when providing interventions for patients with persistent sub-threshold and mild depression. It is recommended that further research analyzes preferences for different treatment types as independent variables, and examines preferences for format of treatment (e.g., guided self-help vs. face-to-face). © 2017 Informa UK Limited. The attached document (embargoed until 26/06/2018) is an author produced version of a paper published in counselling Psychology Quarterly, uploaded in accordance with the publisher’s self- archiving policy. The final published version (version of record) is available online at http://dx.doi.org/10.1080/09515070.2017.1329708). Some minor differences between this version and the final published version may remain. We suggest you refer to the final published version should you wish to cite from it.

KW - Aptitude-treatment interaction research, Cognitive Behavior Therapy, Depression, Experiential/Existential/Humanistic Psychotherapy, Treatment preferences, Guided self-help

U2 - 10.1080/09515070.2017.1329708

DO - 10.1080/09515070.2017.1329708

M3 - Article

SN - 0951-5072

JO - Counselling Psychology Quarterly

JF - Counselling Psychology Quarterly

ER -