Catherine M Reich1, Samantha M Hack2,3, Elizabeth A Klingaman2,3, Clayton H Brown2,3, Li Juan Fang2,3, Lisa B Dixon4,5, Danielle R Jahn6, Julie A Kreyenbuhl2,3. 1. a Department of Psychology , University of Minnesota Duluth , Duluth , MN , USA. 2. b VA Capitol Healthcare Network (VISN 5), Mental Illness Research, Education and Clinical Center (MIRECC) , Baltimore , MD , USA. 3. c Department of Psychiatry , University of Maryland School of Medicine , Baltimore , MD , USA. 4. d New York State Psychiatric Institute , New York , NY , USA. 5. e Department of Psychiatry , Columbia University , New York , NY , USA. 6. f Primary Care Institute , Gainesville , FL , USA.
Abstract
OBJECTIVE: The study was designed to explore patterns of prescriber communication behaviors as they relate to consumer satisfaction among a serious mental illness sample. METHODS: Recordings from 175 antipsychotic medication-monitoring appointments between veterans with psychiatric disorders and their prescribers were coded using the Roter Interaction Analysis System (RIAS) for communication behavioral patterns. RESULTS: The frequency of prescriber communication behaviors (i.e., facilitation, rapport, procedural, psychosocial, biomedical, and total utterances) did not reliably predict consumer satisfaction. The ratio of prescriber to consumer utterances did predict consumer satisfaction. CONCLUSIONS: Consistent with client-centered care theory, antipsychotic medication consumers were more satisfied with their encounters when their prescriber did not dominate the conversation. PRACTICE IMPLICATIONS: Therefore, one potential recommendation from these findings could be for medication prescribers to spend more of their time listening to, rather than speaking with, their SMI consumers.
OBJECTIVE: The study was designed to explore patterns of prescriber communication behaviors as they relate to consumer satisfaction among a serious mental illness sample. METHODS: Recordings from 175 antipsychotic medication-monitoring appointments between veterans with psychiatric disorders and their prescribers were coded using the Roter Interaction Analysis System (RIAS) for communication behavioral patterns. RESULTS: The frequency of prescriber communication behaviors (i.e., facilitation, rapport, procedural, psychosocial, biomedical, and total utterances) did not reliably predict consumer satisfaction. The ratio of prescriber to consumer utterances did predict consumer satisfaction. CONCLUSIONS: Consistent with client-centered care theory, antipsychotic medication consumers were more satisfied with their encounters when their prescriber did not dominate the conversation. PRACTICE IMPLICATIONS: Therefore, one potential recommendation from these findings could be for medication prescribers to spend more of their time listening to, rather than speaking with, their SMI consumers.
Authors: Elizabeth A Klingaman; Deborah R Medoff; Stephanie G Park; Clayton H Brown; Lijuan Fang; Lisa B Dixon; Samantha M Hack; Stephanie L Tapscott; Mary Brighid Walsh; Julie A Kreyenbuhl Journal: Psychiatr Rehabil J Date: 2015-02-09
Authors: Sadaaki Fukui; Michelle P Salyers; Marianne S Matthias; Linda Collins; John Thompson; Melinda Coffman; William C Torrey Journal: Community Ment Health J Date: 2013-01-09
Authors: Amy L Drapalski; Alicia Lucksted; Paul B Perrin; Jennifer M Aakre; Clayton H Brown; Bruce R DeForge; Jennifer E Boyd Journal: Psychiatr Serv Date: 2013-03-01 Impact factor: 3.084