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The effectiveness of strength-based, solution-focused brief therapy in medical settings: a systematic review and meta-analysis of randomized controlled trials

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Abstract

This meta-analysis synthesized randomized controlled trials of solution focused brief therapy (SFBT) in medical settings for patients’ health-related psychosocial (e.g., depression, psychosocial adjustment to illness), behavioral (e.g., physical activity, nutrition score), and functional health (e.g., BMI, individual strength) outcomes. Medical setting is defined in this study as any healthcare setting that primarily focuses on patients’ physical wellbeing. A comprehensive search strategy across five electronic databases, four academic journals, three professional websites, and reference lists of included articles resulted in a final sample of nine studies for meta-analytic synthesis. Combining outcomes indicated an overall significant effect of SFBT for health-related psychosocial outcomes (d = 0.34, p < .05.) and a nearly significant outcome for health-related behavioral outcomes (d = 0.28, p = .06), but not for functional health outcomes. Results indicated SFBT being an effective intervention for psychosocial outcomes and a promising approach for behavioral outcomes in medical settings.

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References

Those studies marked with an asterisk* were included in the meta-analysis results

  • Baldwin, P., King, G., Evans, J., McDougall, S., Tucker, M. A., & Servais, M. (2013). Solution-focused coaching in pediatric rehabilitation: An integrated model for practice. Physical & Occupational Therapy in Pediatrics, 33, 467–483.

    Article  Google Scholar 

  • Bayliss, E. A., Balasubramianian, B. A., Gill, J. M., & Stange, K. C. (2014). Perspective in primary care: Implementing patient-centered care coordination for individuals with multiple chronic medical conditions. Annals of Family Medicine, 12, 500–503.

    Article  PubMed  PubMed Central  Google Scholar 

  • Berg, I. K. (1994). Family based services: A solution-focused approach. New York: Norton.

    Google Scholar 

  • Blount, A. (2003). Integrated primary care: Organizing the evidence. Families, Systems & Health, 21, 121–134.

    Article  Google Scholar 

  • Bond, C., Woods, K., Humphrey, N., Symes, W., & Green, L. (2013). Practitioner review: The effectiveness of solution focused brief therapy with children and families: A systematic and critical evaluation of the literature from 1990–2010. Journal of Child Psychology and Psychiatry, 54, 707–723.

    Article  PubMed  Google Scholar 

  • Burns, K. (2016). Focus on solutions: A health professional’s guide, revised (2nd ed.). London: Solution Books.

    Google Scholar 

  • Cape, J., Whittington, C., Buszewicz, W., & Underwood, L. (2010). Brief psychological therapies for anxiety and depression in primary care: Meta-analysis and meta-regression. BMC Medicine, 8, 38. doi:10.1186/1741-7015-8-38

    Article  PubMed  PubMed Central  Google Scholar 

  • Center for Disease Control and Prevention. (2013). Prevention strategies for seasonal influenza in healthcare settings. Retrieved from http://www.cdc.gov/flu/professionals/infectioncontrol/healthcaresettings.htm

  • *Cockburn, J. T., Thomas, F. N., & Cockburn, O. J. (1997). Solution-focused therapy and psychosocial adjustment to orthopedic rehabilitation in a work hardening program. Journal of Occupational Rehabilitation, 7, 97–106.

    Article  Google Scholar 

  • Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). New York: Academic Press.

    Google Scholar 

  • Cooper, H., Hedges, L. V., & Valentine, J. C. (2009). The handbook of research synthesis and meta-analysis (2nd ed.). Russell Sage Foundation: New York.

    Google Scholar 

  • Cooper, H. (2016). Research synthesis and meta-analysis: A step-by-step approach. New York: SAGE Publication.

    Google Scholar 

  • Corcoran, J. (2012). Review of outcomes with children and adolescents with externalizing behavior problems. In C. Franklin, T. Trepper, W. Gingerich, & E. E. McCollum (Eds.), Solution-focused brief therapy: A handbook of evidence-based practice (pp. 121–129). New York: Oxford University Press.

    Google Scholar 

  • Cunningham, P. J. (2009). Beyond parity: Primary are physicians’ perspectives on access to mental health care. Health Affairs, 28, 490–501.

    Article  Google Scholar 

  • Davidson, A. (2015). Social determinants of health: A comparative approach. New York: Oxford University Press.

    Google Scholar 

  • de Shazer, S. (1994). Words were originally magic. New York: Norton.

    Google Scholar 

  • Devine, E. C. (1997). Issues and challenges in coding interventions for meta-analysis of prevention research. In W. J. Bukoski (Ed.), Meta-analysis of drug abuse, NIDA report no. 170 (pp. 130–146). Rockville, MD: National Institute on Drug Abuse.

    Google Scholar 

  • Dutton, D. G., & Karakanta, C. (2013). Depression as a risk marker for aggression: A critical review. Aggression and Violent Behavior, 18, 310–319.

    Article  Google Scholar 

  • Eisenberg, N., Cumberland, A., Spinrad, T. L., Fabes, S. A., Shepard, S. A., Reiser, M., et al. (2001). The relations of regulation and emotionality to children’s externalizing and internalizing problem behavior. Child Development, 72, 1112–1134.

    Article  CAS  PubMed  Google Scholar 

  • Ellis, P. D. (2010). The essential guide to effect sizes: Statistical power, meta-analysis, and the interpretation of research results. New York: Cambridge University Press.

    Book  Google Scholar 

  • Falke, S. I., & D’Arrigo-Patrick, E. (2015). Medical family therapists in action: Embracing multiple roles. Journal of Marital and Family Therapy, 41, 428–442.

    Article  PubMed  Google Scholar 

  • *Flodmark, C.-E., Ohlsson, T., Ryden, O., & Sveger, T. (1993). Prevention of progression to severe obesity in a group of obese schoolchildren treated with family therapy. Pediatrics, 91, 880–884.

    CAS  PubMed  Google Scholar 

  • Flatt, S., & Curtis, S. (2013). Offering expert knowledge within a not-knowing solution-focused paradigm: A contradiction in terms or a helpful response to (some) real life conundrums? International Journal of Solution-Focused Practices, 1, 28–30.

    Article  Google Scholar 

  • Franklin, C., Trepper, T. S., McCollum, E. E., & Gingerich, W. J. (2012). Solution-focused brief therapy: A handbook of evidence-based practice. New York: Oxford University Press.

    Google Scholar 

  • Franklin, C. (2015). An update on strength-based, solution-focused brief therapy. Health and Social Work, 40, 73–76.

    Article  PubMed  Google Scholar 

  • Gingerich, W. J., & Peterson, L. T. (2013). Effectiveness of solution-focused brief therapy: A systematic qualitative review of controlled outcome studies. Research on Social Work Practice, 23, 266–283.

    Article  Google Scholar 

  • Glass, G. V. (1976). Primary, secondary, and meta-analysis of research. Educational Researcher, 5, 3–8.

    Article  Google Scholar 

  • Gong, H., & Xu, W. (2015). A meta-analysis on the effectiveness of solution-focused brief therapy. Studies of Psychology and Behavior, 13, 799–803.

    Google Scholar 

  • Haibach, J. P., Beehler, G. P., Dollar, K. M., & Finnell, D. S. (2014). Moving toward integrated behavioral intervention for treating multimorbidity among chronic pain, depression, and substance-use disorders in primary care. Medical Care, 52, 322–327.

    Article  PubMed  Google Scholar 

  • Higgins, J. P. T., & Green, S. (Eds.). (2011). Cochrane handbook for systematic reviews of interventions version 5.1.0 [updated March 2011]. The Cochrane Collaboration. Available from http://www.cochrane-handbook.org.

  • Hunter, C. L., Goodie, J. L., Oordt, M. S., & Dobmeyer, A. C. (2016). Integrated behavioral health in primary care: Step-by-step guidance for assessment and intervention (2nd ed.). Washington DC: American Psychological Association.

    Google Scholar 

  • Kim, J. S. (2008). Examining the effectiveness of solution-focused brief therapy: A meta-analysis. Research on Social Work Practice, 18, 107–116.

    Article  Google Scholar 

  • Kim, J. S. (2014). Solution-focused brief therapy: A multicultural approach. Thousand Oaks, CA: Sage Publications.

    Book  Google Scholar 

  • Kim, J. S., & Franklin, C. (2009). Solution-focused brief therapy in schools: A review of the literature. Children and Youth Services Review, 31, 464–470.

    Article  Google Scholar 

  • Kim, J. S., & Franklin, C. (2015). The importance of positive emotions in solution-focused brief therapy. Best Practices in Mental Health, 11, 25–41.

    Google Scholar 

  • Kim, J. S., Franklin, C., Zhang, Y., Liu, X., Qu, Y., & Chen, H. (2015). Solution-focused brief therapy in China: A meta-analysis. Journal of Ethnic & Cultural Diversity in Social Work, 24, 187–201.

    Article  Google Scholar 

  • *Kokkvoll, A., Grimsgaard, S., Ødegaard, R., Flægstad, T., & Njølstad, I. (2013). Single versus multiple-family intervention in childhood overweight—Finnmark Activity School: A randomised trial. Archives of Disease in Childhood. doi:10.1136/archdischild-2012-303571

    PubMed  PubMed Central  Google Scholar 

  • Lee, M. Y. (2013). Solution-focused brief therapy. Encyclopedia of Social Work. doi:10.1093/acrefore/9780199975839.013.1039

    Google Scholar 

  • *McCallum, Z., Wake, M., Gerner, B., Baur, L. A., Gibbons, K., Gold, L., et al. (2007). Outcome data from the LEAP (live, eat and play) trial: A randomized controlled trial of a primary care intervention for childhood overweight/mild obesity. International Journal of Obesity, 31, 630–636.

    Article  CAS  PubMed  Google Scholar 

  • McCollum, E. E., Stith, S. M., & Thomsen, C. J. (2012). Solution-focused brief therapy and medication adherence with schizophrenia patients. In C. Franklin, T. S. Trepper, W. Gingerich, & E. E. McCollum (Eds.), Solution-focused brief therapy: A handbook of evidence-based practice (pp. 196–202). New York: Oxford University Press.

    Google Scholar 

  • Nieuwsma, J. A., Trivedi, R. B., McDuffie, J., Kronish, I., Benjamin, D., & Williams, J. W. (2012). Brief psychotherapy for depression: A systematic review and meta-analysis. International Journal of Psychiatry Medicine, 43, 129–151.

    Article  Google Scholar 

  • Olfson, M., Blanco, C., Wang, S., & Greenhill, L. (2013). Trends in office-based treatment of adults with stimulants in the United States. Journal of Clinical Psychiatry, 74, 43–50.

    Article  PubMed  Google Scholar 

  • Olfson, M., Blanco, C., Wang, S., Laje, G., & Correll, C. U. (2014). National trends in the mental health care of children, adolescents, and adults by office-based physicians. JAMA Psychiatry, 71, 81–90.

    Article  PubMed  Google Scholar 

  • Petticrew, M., & Roberts, H. (Eds.). (2006). How to appraise the studies: an introduction to assessing study quality. In Systematic reviews in the social sciences: A practical guide (pp. 125–163). Malden, MA: Blackwell Publishing.

  • Rothstein, H. R., Sutton, A. J., & Borenstein, M. (Eds.). (2006). Publication bias in meta-analysis: Prevention, assessment and adjustments. West Sussex: Wiley.

    Google Scholar 

  • Siegel, J. D., Rhinehart, E., Jackson, M., & Chiarello, L. (2007). Guideline for isolation precautions: Preventing transmission of infectious agents in health care settings. American Journal of Infection Control, 35, S65–S164.

    Article  PubMed  Google Scholar 

  • Smith, S., & Kirkpatrick, P. (2013). Use of solution-focused brief therapy to enhance therapeutic communication in patients with COPD. Primary Health Care, 23, 27–32.

    Article  Google Scholar 

  • Schmit, E. L., Schmit, M. K., & Lenz, A. S. (2016). Meta-analysis of solution-focused brief therapy for treating symptoms of internalizing disorders. Counseling Outcome Research and Evaluation, 7(1), 21–39.

    Article  Google Scholar 

  • SFBTA. (2013). Solution focused therapy treatment manual for working with individuals 2nd version. Retrieved from http://www.sfbta.org/researchDownloads.html

  • Smock, S. A., Trepper, T. S., Wetchler, J. L., McCollum, E. E., Ray, R., & Pierce, K. (2008). Solution-focused group therapy for level 1 substance abusers. Journal of marital and family therapy, 34, 107–120.

    Article  PubMed  Google Scholar 

  • *Valve, P., Lehtinen-Jacks, S., Eriksson, T., Lehtinen, M., Lindfors, P., Saha, M. T., et al. (2013). LINDA: A solution-focused low-intensity intervention aimed at improving health behaviors of young females: A cluster-randomized controlled trial. BMC Public Health, 13, 1.

    Article  Google Scholar 

  • Vedhara, K., Wang, E. C., Fox, J. D., & Irwin, M. (2013). The measurement of stress-related immune dysfunction in humans: An introduction to psychoneuroimmunology. Assessment in Behavioral Medicine, 4, 441.

    Google Scholar 

  • Vevea, J. L., & Woods, C. M. (2005). Publication bias in research synthesis: Sensitivity analysis using a priori weight functions. Psychological Methods, 10(4), 428–443.

    Article  PubMed  Google Scholar 

  • *Vogelaar, L., van’t Spijker, A., Vogelaar, T., van Busschbach, J. J., Visser, M. S., Kuipers, E. J., et al. (2011). Solution focused therapy: A promising new tool in the management of fatigue in Crohn’s disease patients: Psychological interventions for the management of fatigue in Crohn’s disease. Journal of Crohn’s and Colitis, 5, 585–591.

    Article  PubMed  Google Scholar 

  • *Vogelaar, L., Van’t Spijker, A., Timman, R., van Tilburg, A. J., Bac, D., Vogelaar, T., et al. (2014). Fatigue management in patients with IBD: A randomised controlled trial. Gut, 63, 911–918.

    Article  PubMed  Google Scholar 

  • *Wake, M., Bau, L. A., Gerner, B., Gibbons, K., Gold, L., Gunn, J., et al. (2009). Outcomes and costs of primary care surveillance and intervention for overweight or obese children: The LEAP 2 randomised controlled trail. British Medical Journal, 339, b3308.

    Article  PubMed  PubMed Central  Google Scholar 

  • *Wiechman, S. A., Carrougher, G. J., Esselman, P. C., Klein, M. B., Martinez, E. M., Engrav, L. H., et al. (2015). An expanded delivery model for outpatient burn rehabilitation. Journal of Burn Care & Research, 36, 14–22.

    Article  Google Scholar 

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Correspondence to Anao Zhang.

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Anao Zhang, Cynthia Franklin, Jennifer Currin-McCulloch, Sunyoung Park, and Johnny Kim declare that they have no conflicts of interest.

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This paper was a systematic review and meta-analysis and did not involve any human and/or animal subject during the study. Thus, its ethics approval did not apply.

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Zhang, A., Franklin, C., Currin-McCulloch, J. et al. The effectiveness of strength-based, solution-focused brief therapy in medical settings: a systematic review and meta-analysis of randomized controlled trials. J Behav Med 41, 139–151 (2018). https://doi.org/10.1007/s10865-017-9888-1

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