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.
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.
Berg, I. K. (1994). Family based services: A solution-focused approach. New York: Norton.
Blount, A. (2003). Integrated primary care: Organizing the evidence. Families, Systems & Health, 21, 121–134.
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.
Burns, K. (2016). Focus on solutions: A health professional’s guide, revised (2nd ed.). London: Solution Books.
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
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.
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). New York: Academic Press.
Cooper, H., Hedges, L. V., & Valentine, J. C. (2009). The handbook of research synthesis and meta-analysis (2nd ed.). Russell Sage Foundation: New York.
Cooper, H. (2016). Research synthesis and meta-analysis: A step-by-step approach. New York: SAGE Publication.
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.
Cunningham, P. J. (2009). Beyond parity: Primary are physicians’ perspectives on access to mental health care. Health Affairs, 28, 490–501.
Davidson, A. (2015). Social determinants of health: A comparative approach. New York: Oxford University Press.
de Shazer, S. (1994). Words were originally magic. New York: Norton.
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.
Dutton, D. G., & Karakanta, C. (2013). Depression as a risk marker for aggression: A critical review. Aggression and Violent Behavior, 18, 310–319.
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.
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.
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.
*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.
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.
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.
Franklin, C. (2015). An update on strength-based, solution-focused brief therapy. Health and Social Work, 40, 73–76.
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.
Glass, G. V. (1976). Primary, secondary, and meta-analysis of research. Educational Researcher, 5, 3–8.
Gong, H., & Xu, W. (2015). A meta-analysis on the effectiveness of solution-focused brief therapy. Studies of Psychology and Behavior, 13, 799–803.
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.
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.
Kim, J. S. (2008). Examining the effectiveness of solution-focused brief therapy: A meta-analysis. Research on Social Work Practice, 18, 107–116.
Kim, J. S. (2014). Solution-focused brief therapy: A multicultural approach. Thousand Oaks, CA: Sage Publications.
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.
Kim, J. S., & Franklin, C. (2015). The importance of positive emotions in solution-focused brief therapy. Best Practices in Mental Health, 11, 25–41.
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.
*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
Lee, M. Y. (2013). Solution-focused brief therapy. Encyclopedia of Social Work. doi:10.1093/acrefore/9780199975839.013.1039
*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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
*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.
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.
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.
*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.
*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.
*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.
*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.
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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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DOI: https://doi.org/10.1007/s10865-017-9888-1