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Adm Policy Ment Health. 2017 Jul;44(4):431-440. doi: 10.1007/s10488-015-0655-8.

Patient-Provider Therapeutic Alliance Contributes to Patient Activation in Community Mental Health Clinics.

Author information

1
Department of Family Medicine and Community Health, Program in Health Disparities Research, University of Minnesota, 717 Delaware St. SE, Suite 166, 55414, Minneapolis, MN, USA. miallen@umn.edu.
2
Center for Multicultural Mental Health Research, Cambridge Health Alliance, Somerville, USA.
3
Department of Psychiatry, Harvard Medical School, Boston, USA.
4
VA New Jersey Health Care System, Lyons, NJ, USA.
5
Boston Children's Hospital, Boston, USA.

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.

KEYWORDS:

Mental health; Patient activation; Professional-patient relations

PMID:
25964131
PMCID:
PMC5735851
DOI:
10.1007/s10488-015-0655-8
[Indexed for MEDLINE]
Free PMC Article

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