Evaluation of a Patient Activation and Empowerment Intervention in Mental Health Care

Dados Bibliográficos

ID9102680
AutoresMargarita Alegria (0000-0003-2241-707X, Cambridge Health Alliance), Antonio Polo, Antonio J Polo (0000-0003-3453-9963, DePaul University), Shan Gao (0000-0001-7424-476X, Cambridge Health Alliance), Luz Santana (0000-0003-0184-884X), Dan Rothstein, Aida L Jiménez (0000-0002-9389-6218, Cambridge Health Alliance), Aida Jimenez, Mary Lyons Hunter (Harvard University), Frances Mendieta (Cambridge Health Alliance), Vanessa M Oddo (0000-0002-8893-0637, Cambridge Health Alliance), Vanessa Oddo, Sharon‐Lise T Normand (0000-0001-7027-4769, Harvard University), Sharon-Lise Normand
Ano2008
Volume46
Fascículo3
Páginas247-256
Data de publicação2008-03-01
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoMedical Care (JOURNAL)
Identificadores do periódicoISSN: 0025-7079 • E-ISSN: 1537-1948
EditoraOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/mlr.0b013e318158af52
PMID18388839
PMCIDPMC3580315
OpenAlexW1971963695
IdiomaEN
Citações recebidas34
Referências citadas37

BACKGROUND: Evidence suggests that minority populations have lower levels of attendance and retention in mental health care than non-Latino whites. Patient activation and empowerment interventions may be effective in increasing minority patients' attendance and retention. OBJECTIVES: This study developed and evaluated a patient self-reported activation and empowerment strategy in mental health care. RESEARCH DESIGN: The Right Question Project-Mental Health (RQP-MH) trainings consisted of 3 individual sessions using a pre/post test comparison group design with patients from 2 community mental health clinics. The RQP-MH intervention taught participants to identify questions that would help them consider their role, process and reasons behind a decision; and empowerment strategies to better manage their care. SUBJECTS: A total of 231 participated, completing at least the pretest interview (n = 141 intervention site, 90 comparison site). MEASURES: Four main outcomes were linked to the intervention: changes in self-reported patient activation; changes in self-reported patient empowerment; treatment attendance; and retention in treatment. RESULTS: Findings show that intervention participants were over twice as likely to be retained in treatment and over 3 times more likely than comparison participants to have scheduled at least 1 visit during the 6-month follow-up period. Similarly, intervention participants demonstrated 29% more attendance to scheduled visits than comparison patients. There was no evidence of an effect on self-reported patient empowerment, only on self-reported patient activation. CONCLUSIONS: Results demonstrate the intervention's potential to increase self-reported patient activation, retention, and attendance in mental health care for minority populations. By facilitating patient-provider communication, the RQP-MH intervention may help minorities effectively participate in mental health care

Empowerment · Health care · Intervention (counseling) · Mental health · Mental health care · Patient Empowerment · Political science · Psychiatry · Digital Mental Health Interventions · Medicine · Mental Health and Patient Involvement · Mental Health Treatment and Access · Nursing · Psychology