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.
Original language | English (US) |
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Pages (from-to) | 431-440 |
Number of pages | 10 |
Journal | Administration and Policy in Mental Health and Mental Health Services Research |
Volume | 44 |
Issue number | 4 |
DOIs | |
State | Published - Jul 1 2017 |
Bibliographical note
Publisher Copyright:© 2015, Springer Science+Business Media New York.
Keywords
- Mental health
- Patient activation
- Professional-patient relations