| Objectives: In recent years, there has been a significant increase in the use of distance-delivery
forms of psychotherapy. While distance-delivery options have become more accepted and widely
used, there remains a limited understanding of client preferences regarding these delivery
methods. In this current meta-analysis, we aimed to synthesize the literature directly comparing
client preferences for in-person versus distance-delivery formats. Methods: In total, 37
articles—comprising data from 20,124 participants—met all inclusion criteria and were included
in the meta-analysis. Results: Across 44 preference comparisons drawn from the 37 studies,
participants showed a strong overall preference for in-person psychotherapy, with approximately
75% favoring in-person delivery over distance-based modalities. Substantial heterogeneity in
preferences between studies was observed, and moderator analysis revealed systematic
patterns—preference for in-person services increased with age and rural residence, but decreased
with higher education, prior telehealth experience, publication year, and higher proportions of
female and white participants. Discussion: These findings underscore the need for mental health
systems to evaluate resource allocation and service delivery, ensuring that investments continue
for in-person services, aligning with client preferences and supporting patient-centered care.
Keywords: access to care, client preferences, psychotherapy, remote therapy, teletherapy |