Five major domains are highlighted: intervention characteristics, outer setting, inner setting, characteristics of the individuals involved and the process of implementation.
This qualitative study: Highlighted intervention features that were perceived as beneficial across the phases of behavioural change; Identified options for further intervention development; Was limited by the small study size and primary focus on successful participants.
30 The first review published in 2003 also highlighted group interventions as more effective, especially if the interventions emphasised education and skills training, such as relaxation.
Specifically, systematic reviews have highlighted that interventions focused on mediating variables and how they work are still scarce [ 5, 13, 15, 16].
A theoretical paper [ 83] highlighted that clinical interventions should sometimes indulge patients' resistances; the discharge of poorly motivated patients can be necessary to maintain a therapeutic milieu focused on recovery and to avoid poor compliance [ 83, 89].
A recent systematic review [ 11] highlighted that communication intervention in the group of physicians yield significant improvements in the communication behaviour.
Instead, on rare occasions an intervention appeared to intensify stigmatizing attitudes (e.g., restrictions placed on others) or language (e.g., "dangerous"), or accentuate the differences between participants and those experiencing MHDs (e.g., autism) who were the "others" highlighted by the intervention [ 33, 43, 48, 57].
The high acceptability of our intervention is further supported by the associated qualitative study [ 40] where the preferred intensity aspect of the intervention is highlighted as one of the key contributing factors regarding intervention adherence.
OCD-specific interventions are highlighted in bold type.
Within these limits, other design considerations produced only modest differences in study population criteria between groups or differences in the application of the interventions, as highlighted below.
