Patient-Provider Therapeutic Alliance Contributes to Patient Activation in Community Mental Health Clinics.
Adm Policy Ment Health
; 44(4): 431-440, 2017 Jul.
Article
en En
| MEDLINE
| ID: mdl-25964131
ABSTRACT
Patient activation, often conceptualized as an individual trait, contributes to mental health outcomes. This study assessed the relational contributors to activation by estimating the longitudinal association of patient-provider communication and two factors of therapeutic alliance (agreement on tasks/goals and bond), with patient activation. Participants were patients (n = 264) from 13 community-based mental health clinics across the United States. In multivariate models, controlling for patients' individual and clinical characteristics, the task/goal factor of therapeutic alliance emerged as a significant and independent predictor of greater change in patient activation scores. Improving patient activation may require addressing patient-provider interactions such as coming to collaborative agreement on the tasks/goals of care.
Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Participación del Paciente
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Relaciones Médico-Paciente
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Centros Comunitarios de Salud Mental
Tipo de estudio:
Observational_studies
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Prognostic_studies
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Risk_factors_studies
Límite:
Adolescent
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Adult
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Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Año:
2017
Tipo del documento:
Article