A Meta-analysis of Wilderness Therapy Outcomes for Private Pay Clients.

Wilderness therapy is becoming a more widely used intervention for adolescents, but there have not been any meta-analyses focused solely on its clinical effectiveness for private pay clients. This study's objective was to conduct outcome-based meta-analyses of private-pay wilderness therapy programs...

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Publicado en:Journal of Child & Family Studies Vol. 25; no. 9; pp. 2659 - 2674
Autores principales: Bettmann, Joanna, Gillis, H., Speelman, Elizabeth, Parry, Kimber, Case, Jonathan
Formato: Artículo
Publicado: Springer Nature Sep2016
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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        au:
          Bettmann, Joanna
          Gillis, H.
          Speelman, Elizabeth
          Parry, Kimber
          Case, Jonathan
        affil:
          University of Utah , 395 South 1500 East, Room 101 Salt Lake City 84112 USA
          Georgia College , Milledgeville USA
      su:
        Adventure therapy
        Confidence intervals
        Medically uninsured persons
        Meta-analysis
        Systematic reviews
        Effect sizes (Statistics)
        Data analysis software
        Medical coding
        Descriptive statistics
      sug:
        subj:
          Adventure therapy
          Confidence intervals
          Medically uninsured persons
          Meta-analysis
          Systematic reviews
          Effect sizes (Statistics)
          Data analysis software
          Medical coding
          Descriptive statistics
      keyword:
        Adolescents
        Outdoor behavioral healthcare
        Private-pay
        Therapeutic outcomes
        Wilderness therapy
        Adolescents
        Outdoor behavioral healthcare
        Private-pay
        Therapeutic outcomes
        Wilderness therapy
      ab: Wilderness therapy is becoming a more widely used intervention for adolescents, but there have not been any meta-analyses focused solely on its clinical effectiveness for private pay clients. This study's objective was to conduct outcome-based meta-analyses of private-pay wilderness therapy programs, benchmark primary features of this approach, and educate the clinical community as to its effectiveness. The authors conducted a review of all available databases, as well as manual searches. Searches resulted in a meta-analysis based on 36 studies, totaling 2399 participants receiving wilderness therapy. Our meta-analyses found medium effect sizes for all six constructs assessed: self-esteem (g = 0.49), locus of control (g = 0.55), behavioral observations (g = 0.75), personal effectiveness (g = 0.46), clinical measures (g = 0.50) and interpersonal measures (g = 0.54). Subgroup analyses included age of participants, duration of program, open or closed model, presence of a mental health practitioner, and publication year.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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