ORBi: van Os J. - Evidence that the Two-Way Communication Checklist identifies patient-doctor needs discordance resulting in better 6-month outcome.

Reference : Evidence that the Two-Way Communication Checklist identifies patient-doctor needs discor...


	Document type :	Scientific journals : Article
	Discipline(s) :	Human health sciences : Psychiatry
	To cite this reference:	http://hdl.handle.net/2268/79215

Title :	Evidence that the Two-Way Communication Checklist identifies patient-doctor needs discordance resulting in better 6-month outcome.
Language :	English
Author, co-author :	van Os, J. [> > > >]
	Triffaux, Jean-Marc [Université de Liège - ULg > Département des sciences cliniques > Département des sciences cliniques >]
Publication date :	2008
Journal title :	Acta Psychiatrica Scandinavica
Publisher :	Blackwell Munksgaard
Volume :	118
Issue/season :	4
Pages :	322-6
Peer reviewed :	Yes (verified by ORBi)
Audience :	International
ISSN :	0001-690X
e-ISSN :	1600-0447
City :	Copenhagen
Country :	Denmark
Keywords :	[en] Adult ; Antipsychotic Agents/therapeutic use ; Belgium ; Communication ; Female ; Follow-Up Studies ; Humans ; Male ; Needs Assessment/statistics & numerical data ; Netherlands ; Outcome Assessment (Health Care) ; Patient Participation ; Physician-Patient Relations ; Schizophrenia/drug therapy/therapy ; Schizophrenic Psychology ; Treatment Outcome
Abstract :	[en] OBJECTIVE: To assess an intervention aimed at reducing patient-professional carer needs discordance. METHOD: In a group of 460 patients with schizophrenia, the Two-Way Communication Checklist (2-COM), an instrument to rate needs, was completed at baseline, 2 months and 6 months by both the patient and the professional carer, allowing for the quantification of patient-carer needs discordance. RESULTS: Reduction in patient-reported 2-COM needs in the group with low baseline needs discordance was much greater at 2 and 6 months (2 months: beta = -0.65, P < 0.001; 6 months: beta = -1.00, P < 0.001) than in the group with high baseline discordance (2 months: beta = -0.35, P < 0.001; 6 months: beta = -0.49, P < 0.001). Reduction in needs discordance between baseline and 2 months (beta = -0.07, P = 0.004) as well between 2 and 6 months (beta = -0.05, P = 0.020) was associated with greater levels of CGI clinical improvement. CONCLUSION: The fact that patient-carer needs discordance impacts negatively, and its reduction positively, on 6-month outcome suggests that systematic inventory of patient-carer views on needs is necessary.
Permalink :	http://hdl.handle.net/2268/79215
DOI :	10.1111/j.1600-0447.2008.01228.x

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