The role of patient activation in psychiatric visits

Michelle P. Salyers, Marianne S. Matthias, Crystal L. Spann, Jennifer M. Lydick, Angela L. Rollins, Richard M. Frankel

Research output: Contribution to journalArticle

43 Scopus citations

Abstract

Objective: This study identified ways that consumers of mental health services are active participants in psychiatric treatment. Methods: Four providers (three psychiatrists and one nurse practitioner) were recruited, and ten consumers with severe mental illness were recruited per provider (40 total). Consumers completed questionnaires on patient activation, illness self-management, and medication attitudes on the day of a psychiatric visit. The visit was audiotaped, transcribed, and thematically analyzed. Providers gave information on diagnosis, substance use disorder, and medication adherence. Results: Consumer-rated patient activation was positively related to illness self-management and negatively related to substance use disorder. Transcripts of the psychiatric visit showed that consumers were active in partnership building, seeking and displaying competence, and directing treatment; however, the relationship was weak between consumer-reported activation and observed activation behaviors. Conclusions: Consumers were found to be active participants in treatment in a variety of ways, but similar to other populations, the relationship between observed patient activation and consumer-reported desire for involvement was not direct.

Original languageEnglish (US)
Pages (from-to)1535-1539
Number of pages5
JournalPsychiatric Services
Volume60
Issue number11
DOIs
StatePublished - Nov 2009

ASJC Scopus subject areas

  • Psychiatry and Mental health

Fingerprint Dive into the research topics of 'The role of patient activation in psychiatric visits'. Together they form a unique fingerprint.

  • Cite this