Patient preference in psychological treatment and associations with self-reported outcome: national cross-sectional survey in England and Wales.
Patient preference in psychological treatment and associations with self-reported outcome: national cross-sectional survey in England and Wales.
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DOI：
10.1186/s12888-015-0702-8
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发表时间：
2016-01-15
期刊：
影响因子：
4.4
通讯作者：
Crawford MJ
中科院分区：
文献类型：
--
作者：
Williams R;Farquharson L;Palmer L;Bassett P;Clarke J;Clark DM;Crawford MJ
心理治疗的提供者被鼓励为患者提供治疗选择，但关于人们有什么偏好或满足这些偏好对治疗结果的影响的信息很少。对英格兰和威尔士184个NHS服务机构接受心理治疗的人进行了横断面调查。14，587名受访者被问及治疗偏好以及他们的服务满足这些偏好的程度。他们还被要求评估治疗在多大程度上帮助他们科普困难。大多数患者（12，549 - 86.0%，95%CI：85.5-86.6）表示偏好至少一种治疗方式。其中，4，600人（36.7%，95%CI：35.8-37.5）至少有一个偏好未得到满足。虽然大多数患者报告说，他们对预约时间，地点和治疗类型的偏好得到了满足，但在4，253名对性别有偏好的患者中，只有1，769人（40.5%）得到了满足。表达偏好未得到满足的人比表达偏好得到满足的人报告的结果更差（比值比：预约时间= 0.29，地点= 0.32，治疗类型= 0.16，治疗师性别= 0.32，治疗语言= 0.40）。大多数参与这项调查的患者对他们的治疗有偏好。那些报告偏好没有得到满足的人不太可能说治疗帮助他们解决了问题。积极评估和满足患者的偏好可能会改善心理治疗的结果。
Providers of psychological therapies are encouraged to offer patients choice about their treatment, but there is very little information about what preferences people have or the impact that meeting these has on treatment outcomes. Cross-sectional survey of people receiving psychological treatment from 184 NHS services in England and Wales. 14,587 respondents were asked about treatment preferences and the extent to which these were met by their service. They were also asked to rate the extent to which therapy helped them cope with their difficulties. Most patients (12,549–86.0 %, 95 % CI: 85.5–86.6) expressed a preference for at least one aspect of their treatment. Of these, 4,600 (36.7 %, 95 % CI: 35.8–37.5) had at least one preference that was not met. While most patients reported that their preference for appointment times, venue and type of treatment were met, only 1,769 (40.5 %) of the 4,253 that had a preference for gender had it met. People who expressed a preference that was not met reported poorer outcomes than those with a preference that was met (Odds Ratios: appointment times = 0.29, venue = 0.32, treatment type = 0.16, therapist gender = 0.32, language in which treatment was delivered = 0.40). Most patients who took part in this survey had preferences about their treatment. People who reported preferences that were not met were less likely to state that treatment had helped them with their problems. Routinely assessing and meeting patient preferences may improve the outcomes of psychological treatment.