Abstract:
More positive pre- or early therapy patient outcome expectation (OE) has consistently correlated with better treatment outcomes. Thus, it is important to identify factors that contribute to patients\' OE, which can inform therapist responsivity to such risk or facilitative markers. With growing research on OE correlates-centered primarily on patient characteristics/treatment factors and, to a lesser extent, therapist factors-a comprehensive synthesis is warranted to elucidate replicated and mixed associations and stimulate further research. Accordingly, we set a pragmatic cutoff of k ≥ 5 for meaningful empirical aggregation of participant factor-OE associations; otherwise, we conducted box counts.
We searched for articles published through March 2022 that included a clinical sample, a measure of patient\'s pre- or early treatment OE, and an explicit test of the factor-OE association.
Patient problem severity, problem chronicity, education, age, and quality of life were meta-analyzed. Greater severity correlated with lower/less optimistic OE (r = -0.13, p < .001) and higher QOL correlated with higher/more optimistic OE (r = 0.18, p < .001). Box counts revealed that few variables had consistent associations with OE.
Some factors can help forecast patient OE, though additional research is needed to enhance confidence and clinical meaning.
摘要:
■更积极的治疗前或早期患者预后预期(OE)一直与更好的治疗结局相关。因此,确定导致患者OE的因素很重要,这可以告知治疗师对这种风险或促进标记的反应。随着对OE相关性的研究越来越多,主要集中在患者特征/治疗因素上,在较小程度上,治疗师因素-有必要进行全面的综合,以阐明重复和混合的关联,并促进进一步的研究。因此,我们为参与者因子-OE关联的有意义的经验聚集设置了k≥5的语用截止值;否则,我们进行了箱数。
■我们搜索了2022年3月发表的文章,其中包括临床样本,衡量患者治疗前或早期OE的指标,以及对因子-OE关联的明确检验。
■患者问题严重程度,问题的慢性,教育,年龄,和生活质量进行荟萃分析。更严重程度与较低/较不乐观的OE相关(r=-0.13,p<.001),较高的QOL与较高/较乐观的OE相关(r=0.18,p<.001)。方框计数显示,很少有变量与OE有一致的关联。
■一些因素可以帮助预测患者OE,尽管需要更多的研究来增强信心和临床意义。