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The effect of choice interventions on retention-related, behavioural and mood outcomes: a systematic review with meta-analysis

Carlisle, Sophie; Ayling, Kieran; Jia, Ru; Buchanan, Heather; Vedhara, Kavita

The effect of choice interventions on retention-related, behavioural and mood outcomes: a systematic review with meta-analysis Thumbnail


Authors

Sophie Carlisle

Ru Jia

Kavita Vedhara



Abstract

The provision of choice within interventions has been associated with increased motivation, engagement and interest, as well as improved clinical outcomes. Existing reviews are limited by their wide inclusion criteria or by not assessing behaviour change and mood outcomes. This review examines whether participant-driven choice-based interventions specifically are more likely to be enjoyed and accepted by participants compared to no-choice interventions, and whether this impacts on intervention outcomes in terms of behaviour change or mood. Forty-four randomised controlled trials were identified for inclusion. Random effects meta-analyses were performed for retention-related outcomes (drop-out, adherence and satisfaction), and aggregate behaviour change and mood outcomes. Choice-based interventions resulted in significantly less participant drop-out and increased adherence compared to interventions not offering choice. Results for the behaviour change and mood analyses were mixed. This meta-analytic review demonstrates that choice-based interventions may enhance participant retention and adherence, thus researchers and clinicians alike should consider the provision of choice when designing research and interventions. The evidence for the role of choice in behaviour change and mood is less convincing, and there is a need for more, higher quality research in this area.

Citation

Carlisle, S., Ayling, K., Jia, R., Buchanan, H., & Vedhara, K. (2022). The effect of choice interventions on retention-related, behavioural and mood outcomes: a systematic review with meta-analysis. Health Psychology Review, 16(2), 220-256. https://doi.org/10.1080/17437199.2021.1962386

Journal Article Type Article
Acceptance Date Jul 27, 2021
Online Publication Date Sep 16, 2021
Publication Date 2022
Deposit Date Sep 22, 2021
Publicly Available Date Mar 28, 2024
Journal Health Psychology Review
Print ISSN 1743-7199
Electronic ISSN 1743-7202
Publisher Informa UK Limited
Peer Reviewed Peer Reviewed
Volume 16
Issue 2
Pages 220-256
DOI https://doi.org/10.1080/17437199.2021.1962386
Keywords Psychiatry and Mental health; Clinical Psychology; choice; mood; behaviour; change; retention; systematic review; meta-analysis
Public URL https://nottingham-repository.worktribe.com/output/6293261
Publisher URL https://www.tandfonline.com/doi/full/10.1080/17437199.2021.1962386?src=

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