The Relationship Between Homework Compliance and Therapy Outcomes: An Updated Meta-Analysis
Submitted on Friday, 5 February 2010
No Comment
No Comment
Abstract The current study was an updated meta-analysis of manuscripts since the year 2000 examining the effects of homework compliance
on treatment outcome. A total of 23 studies encompassing 2,183 subjects were included. Results indicated a significant relationship
between homework compliance and treatment outcome suggesting a small to medium effect (r = .26; 95% CI = .19–.33). Moderator analyses were conducted to determine the differential effect size of homework on treatment
outcome by target symptoms (e.g., depression; anxiety), source of homework rating (e.g., client; therapist), timing of homework
rating (e.g., retroactive vs. contemporaneous), and type of homework rating (e.g., Likert; total homeworks completed). Results
indicated that effect sizes were robust across target symptoms, but differed by source of homework rating, timing of homework
rating, and type of homework rating. Specifically, studies utilizing combined client and therapist ratings of compliance had
significantly higher mean effect size relative to those using therapist only assessments and those using objective assessments.
Further, studies that rated the percentage of homeworks completed had a significantly lower mean effect size compared to studies
using Likert ratings, and retroactive assessments had higher effect size than contemporaneous assessments.
- Content Type Journal Article
- Category Original Article
- DOI 10.1007/s10608-010-9297-z
- Authors
- Brent T. Mausbach, University of California San Diego Department of Psychiatry (0680) 9500 Gilman Drive La Jolla CA 92093-0680 USA
- Raeanne Moore, University of California San Diego Department of Psychiatry (0680) 9500 Gilman Drive La Jolla CA 92093-0680 USA
- Scott Roesch, San Diego State University Department of Psychology San Diego CA USA
- Veronica Cardenas, University of California San Diego Department of Psychiatry (0680) 9500 Gilman Drive La Jolla CA 92093-0680 USA
- Thomas L. Patterson, University of California San Diego Department of Psychiatry (0680) 9500 Gilman Drive La Jolla CA 92093-0680 USA
- Journal Cognitive Therapy and Research
- Online ISSN 1573-2819
- Print ISSN 0147-5916
Leave your response!