한국보건사회연구원 전자도서관

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한국보건사회연구원 전자도서관

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기사

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

개인저자
Alegria, Margarita. et al
수록페이지
247-256 p.
발행일자
2008.03.11
출판사
Lippincott
초록
[영문]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.