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Administration and Policy in Mental Health and Mental Health Services Research

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01.12.2016 | Original Report

The Relationship Between Race, Patient Activation, and Working Alliance: Implications for Patient Engagement in Mental Health Care

verfasst von: Johanne Eliacin, Jessica M. Coffing, Marianne S. Matthias, Diana J. Burgess, Matthew J. Bair, Angela L. Rollins

Erschienen in: Administration and Policy in Mental Health and Mental Health Services Research | Ausgabe 1/2018

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Abstract

This study explored the relationship between race and two key aspects of patient engagement—patient activation and working alliance—among a sample of African-American and White veterans (N = 152) seeking medication management for mental health conditions. After adjusting for demographics, race was significantly associated with patient activation, working alliance, and medication adherence scores. Patient activation was also associated with working alliance. These results provide support for the consideration of race and ethnicity in facilitating patient engagement and patient activation in mental healthcare. Minority patients may benefit from targeted efforts to improve their active engagement in mental healthcare.

Alegria, M., Carson, N., Flores, M., Li, X., Shi, P., Lessios, A.S., & Shrout, P.E. (2014). Activation, self-management, engagement, and retention in behavioral health care: A randomized clinical trial of the DECIDE intervention. JAMA Psychiatry, 71(5), 557–565. doi:10.1001/jamapsychiatry.2013.4519.CrossRefPubMedPubMedCentral

Alegria, M., Chatterji, P., Wells, K., Cao, Z., Chen, C.N., Takeuchi, D., & Meng, X.L. (2008). Disparity in depression treatment among racial and ethnic minority populations in the United States. Psychiatric Services, 59(11), 1264–1272. doi:10.1176/appi.ps.59.11.1264.CrossRefPubMedPubMedCentral

Alegria, M., Roter, D.L., Valentine, A., Chen, C.N., Li, X., Lin, J., & Shrout, P.E. (2013). Patient-clinician ethnic concordance and communication in mental health intake visits. Patient Education and Counselling, 93(2), 188–196. doi:10.1016/j.pec.2013.07.001.CrossRef

Atdjian, S., & Vega, W.A. (2005). Disparities in mental health treatment in U.S. racial and ethnic minority groups: Implications for psychiatrists. Psychiatric Services, 56(12), 12. doi:10.1176/appi.ps.0.1600.CrossRef

Bordin, E. (1979). The generalizability of the psychoanalytic concept of working alliance. Psychotherapy, 16, 252–260. doi:10.1037/h0085885.CrossRef

Castonguay, L.G., Constantino, M.J., & Holtforth, M.G. (2006). The working alliance: Where are we and where should we go? Psychotherapy, 43(3), 271–279. doi:10.1037/0033-3204.43.3.271.CrossRefPubMed

Center for Advancing Health. (2010). A new definition of patient engagement: What is engagement and why is it important? Washington, DC: Center for Advancing Health. Retrieved from http://www.cfah.org/engagement/.

Chubak, J., Anderson, M.L., Saunders, K.W., Hubbard, R.A., Tuzzio, L., Liss, D.T., & Reid, R.J. (2012). Predictors of 1-year change in patient activation in older adults with diabetes mellitus and heart disease. Journal of the American Geriatrics Society, 60(7), 1316–1321. doi:10.1111/j.1532-5415.2012.04008.x.CrossRefPubMed

Constantine, M.G. (2007). Racial microaggressions againt African-American clients in cross-racial counseling relationships. Journal of Counseling Psychology, 54(1), 1–16. doi:10.1037/0022-0167.54.1.1.CrossRef

Cook, T.B., Reeves, G.M., Teufel, J., & Postolache, T.T. (2015). Persistence of racial disparities in prescription of first-generation antipsychotics in the USA. Pharmacoepidemiology and Drug Safety, 24(11), 1197–1206. doi:10.1002/pds.3819.CrossRefPubMed

Cooper, L.A., Roter, D.L., Carson, K.A., Beach, M.C., Sabin, J.A., Greenwald, A.G., & Inui, T.S. (2012). The associations of clinicians’ implicit attitudes about race with medical visit communication and patient ratings of interpersonal care. American Journal of Public Health, 102(5), 979–987. doi:10.2105/ajph.2011.300558.CrossRefPubMedPubMedCentral

Davis, T.A., Ancis, J.R., & Ashby, J.S. (2015). Therapist effects, working alliance, and African American women substance users. Cultural Diversity and Ethnic Minority Psychology, 21(1), 126–135. doi:10.1037/a0036944.CrossRefPubMed

Deen, D., Lu, W.H., Rothstein, D., Santana, L., & Gold, M.R. (2011). Asking questions: The effect of a brief intervention in community health centers on patient activation. Patient Education and Counseling, 84(2), 257–260. doi:10.1016/j.pec.2010.07.026.CrossRefPubMed

DHHS. (2001). Mental Health, culture, race and ethnicity—a supplement to mental health: A report of the surgeon general. Rockville: US Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Centre for Mental Health Services.

Dixon, L.B., Holoshitz, Y., & Nossel, I. (2016). Treatment engagement of individuals experiencing mental illness: Review and update. World Psychiatry, 15(1), 13–20. doi:10.1002/wps.20306.CrossRefPubMedPubMedCentral

Eliacin, J., Rollins, A.L., Salyers, M.S., Burgess, D.J., & Matthias, M.S. (2016a). Engaging African-American veterans in mental health care: Patients’ perspectives. Journal of Nervous and Mental Disease, 204(4), 254–260. doi:10.1097/NMD.0000000000000479.CrossRefPubMed

Eliacin, J., Rollins, A.L., Burgess, D.J., Salyers, M.P., & Matthias, M.S. (2016b). Patient activation and visit preparation in African American veterans receiving mental health care. Cultural Diversity and Ethnic Minority Psychology, 22(4), 580–587. doi:10.1037/cdp0000086.CrossRefPubMed

Fialko, L., Garety, P.A., Kuipers, E., Dunn, G., Bebbington, P.E., Fowler, D., & Freeman, D. (2008). A large-scale validation study of the Medication Adherence Rating Scale (MARS). Schizophrenia Research, 100(1), 53–59. doi:10.1016/j.schres.2007.10.029.CrossRefPubMed

Fogarty, C.T., Sharma, S., Chetty, V.K., & Culpepper, L. (2008). Mental health conditions are associated with increased health care utilization among urban family medicine patients. The Journal of American Board and Family Medicine, 21(5), 398–407. doi:10.3122/jabfm.2008.05.070082.CrossRef

Fortuna, L.R., Alegria, M., & Gao, S. (2010). Retention in depression treatment among ethnic and racial minority groups in the United States. Depression and Anxiety, 27(5), 485–494. doi:10.1002/da.20685.CrossRefPubMedPubMedCentral

Goldsmith, L., Lewis, S.W., Dunn, G., Bentall, R.P. (2015). Psychological treatments for early psychosis can be beneficial or harmful, depending on the therapeutic alliance: An instrumental variable analysis. Psychological Medicine, 45(1), 2365–2373. doi:10.1017/S003329171500032X.CrossRefPubMedPubMedCentral

Gordon, H.S., Street, R.L. Jr., Sharf, B.F., & Souchek, J. (2006). Racial differences in doctors’ information-giving and patients’ participation. Cancer, 107(6), 1313–1320. doi:10.1002/cncr.22122.CrossRefPubMed

Haslett, W.R., McHugo, G.J., Bond, G.R., & Drake, R.E. (2014). Use of software for tablet computers to promote engagement with supported employment: Results from an RCT. Psychiatric Services, 65(7), 954–956. doi:10.1176/appi.ps.201300275.CrossRefPubMed

Hibbard, J.H., Stockard, J., Mahoney, E.R., & Tusler, M. (2004). Development of the patient activation measure (PAM): Conceptualizing and measuring activation in patients and consumers. Health Services Research, 39(4p1), 1005–1026. doi:10.1111/j.1475-6773.2004.00269.x.CrossRefPubMedPubMedCentral

Hibbard, J.H., Mahoney, E.R., Stockard, J., & Tusler, M. (2005). Development and testing of a short form of the patient activation measure. Health Services Research, 40(6p1), 1918–1930. doi:10.1111/j.1475-6773.2005.00438.x.CrossRefPubMedPubMedCentral

Hibbard, J.H., Greene, J., Becker, E.R., Roblin, D., Painter, M.W., Perez, D.J., & Tusler, M. (2008). Racial/ethnic disparities and consumer activation in health. Health Affairs, 27(5), 1442–1453. doi:10.1377/hlthaff.27.5.1442.CrossRefPubMed

Horvath, A.O., & Symonds, B.D. (1991). Relation between working alliance and outcomes in psychotherapy: A meta-analysis. Journal of Counseling Psychology, 38(2), 139–149. doi:10.1037/0022-0167.38.2.139.CrossRef

Kimerling, R., Pavao, J., & Wong, A. (2016). Patient activation and mental health care experiences among women veterans. Administration and Policy in Mental Health and Mental Services Research, 43(4), 506–513. doi:10.1007/s10488-015-0653-x.CrossRef

Kotwicki, R.J., Balzer, A.M., & Harvey, P.D. (2016). Measuring and facilitating client engagement with financial incentives: Implications for improving clinical outcomes in a mental health setting. Community Mental Health Journal. doi:10.1007/s10597-016-0053-z.PubMed

Lubetkin, E.I., Zabor, E.C., Brennessel, D., Kemeny, M.M., & Hay, J.L. (2014). Beyond demographics: differences in patient activation across new immigrant, diverse language subgroups. Journal of Community Health, 39(1), 40–49. doi:10.1007/s10900-013-9738-1.CrossRefPubMedPubMedCentral

Maranda, M.J., Deen, D., Elshafey, S., Herrera, M., & Gold, M.R. (2014). Response to a patient activation intervention among Spanish-speaking patients at a community health center in New York City. Journal of Health Care for the Poor and Underserved, 25(2), 591–604. doi:10.1353/hpu.2014.0110.CrossRefPubMed

Matthias, M.S., Fukui, S., Kukla, M., Eliacin, J., Bonfils, K., Firmin, R., Oles, S., Adam, E.L., Collins, L.A., & Salyers, M.P. (2014). Consumer and relationship factors associated with shared decision-making in mental health consultations. Psychiatric Services. doi:10.1176/appi.ps.201300563.PubMed

McCabe, R., Bullenkamp, J., Hansson, L., Lauber, C., Martinez-Leal, R., Rössler, W., Salize, H.J., Svensson, B., Torres-Gonzalez, F., van den Brink, R., Wiersma, D., & Priebe, S. (2012). The therapeutic relationship and adherence to antipsychotic medication in schizophrenia. PLoS ONE, 7(4), e36080. doi:10.1371/journal.pone.0036080.CrossRefPubMedPubMedCentral

McGinnis, K.A., Fine, M.J., Sharma, R.K., Skanderson, M., Wagner, J. H., Rodriguez-Barradas, M.C., & Justice, A.C. (2003). Understanding racial disparities in HIV using data from the veterans aging cohort 3-site study and VA administrative data. American Journal of Public Health, 93(10), 1728–1733. doi:10.2105/AJPH.93.10.1728.CrossRefPubMedPubMedCentral

McGuire, T.G., & Miranda, J. (2008). New evidence regarding racial and ethnic disparities in mental health: Policy implications. Health Affairs, 27(2), 393–403. doi:10.1377/hlthaff.27.2.393.CrossRefPubMedPubMedCentral

Montes, J.M., Maurino, J., de Dios, C., & Medina, E. (2013). Suboptimal treatment adherene in bipolar disorder: Impact on clinical outcomes and functioning. Patient Preference and Adherence, 7, 89–94. DOI:10.2147/PPA.S39290.PubMedPubMedCentral

Munder, T., Wilmers, F., Leonhart, R., Linster, H.W., & Barth, J. (2010). Working Alliance Inventory-Short Revised (WAI-SR): Psychometric properties in outpatients and inpatients. Clinical Psychology & Psychotherapy, 17(3), 231–239. doi:10.1002/cpp.658.

Patel, S.R., & Bakken, S. (2010). Preferences for participation in decision making among ethnically diverse patients with anxiety and depression. Community Mental Health Journal, 46(5), 466–473. doi:10.1007/s10597-010-9323-3.CrossRefPubMedPubMedCentral

Sharf, J., Primavera, L.H., Diener, M.J. (2010). Dropout and therapeutic alliance: A meta-analysis of adult individual psychotherapy. Psychotherapy, 47(4), 637–645. doi:10.1037/a0021175.CrossRefPubMed

Street, R.L. Jr., Gordon, H., & Haidet, P. (2007). Physicians’ communication and perceptions of patients: Is it how they look, how they talk, or is it just the doctor? Social Science & Medicine, 65(3), 586–598. doi:10.1016/j.socscimed.2007.03.036.CrossRef

Thompson, K., Kulkarni, J., & Sergejew, A.A. (2000). Reliability and validity of a new medication adherence rating scale (MARS) for the psychoses. Schizophrenia Research, 42(3), 241–247.CrossRefPubMed

Thompson, L., & McCabe, R. (2012). The effect of clinician-patient alliance and communication on treatment adherence in mental health care: A systematic review. BioMed Central psychiatry, 12, 87. doi:10.1186/1471-244x-12-87.CrossRefPubMedPubMedCentral

Williams, D.R., & Mohammed, S.A. (2013). Racism and Health I: Pathways and scientific evidence. American Behavioral Scientist, 57(8), 1152–1173. doi:10.1177/0002764213487340.CrossRef

Titel: The Relationship Between Race, Patient Activation, and Working Alliance: Implications for Patient Engagement in Mental Health Care
verfasst von: Johanne Eliacin
Jessica M. Coffing
Marianne S. Matthias
Diana J. Burgess
Matthew J. Bair
Angela L. Rollins
Publikationsdatum: 01.12.2016
Verlag: Springer US
Erschienen in: Administration and Policy in Mental Health and Mental Health Services Research / Ausgabe 1/2018
Print ISSN: 0894-587X
Elektronische ISSN: 1573-3289
DOI: https://doi.org/10.1007/s10488-016-0779-5

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