Patient-Provider Therapeutic Alliance Contributes to Patient Activation in Community Mental Health Clinics
Patient-Provider Therapeutic Alliance Contributes to Patient Activation in Community Mental Health Clinics
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DOI：
10.1007/s10488-015-0655-8
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发表时间：
2017-07-01
影响因子：
2.6
通讯作者：
Alegria, Margarita
中科院分区：
文献类型：
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作者：
Allen, Michele L.;Le Cook, Benjamin;Alegria, Margarita
患者的激活通常被概念化为个人特征，有助于心理健康结果。本研究通过估计患者与提供者沟通和治疗联盟的两个因素（任务/目标和联系的协议）与患者激活的纵向关联来评估激活的关系因素。参与者是来自美国 13 个社区心理健康诊所的患者 (n = 264)。在多变量模型中，控制患者的个体和临床特征，治疗联盟的任务/目标因素成为患者激活评分更大变化的重要且独立的预测因子。提高患者的积极性可能需要解决患者与提供者之间的互动问题，例如就护理任务/目标达成合作协议。
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.