Hostname: page-component-7c8c6479df-ws8qp Total loading time: 0 Render date: 2024-03-28T16:26:40.853Z Has data issue: false hasContentIssue false

Improving the accuracy of patients' expectations of the psychiatric out-patient consultation

Published online by Cambridge University Press:  02 January 2018

B. C. Douglas
Affiliation:
University College London, Department of Psychiatry and Behavioural Sciences, Wolfson Building, 48 Riding House Street, London W1N 8AA
L. M. Noble*
Affiliation:
University College London, Department of Psychiatry and Behavioural Sciences, Wolfson Building, 48 Riding House Street, London W1N 8AA
S. P. Newman
Affiliation:
University College London, Department of Psychiatry and Behavioural Sciences, Wolfson Building, 48 Riding House Street, London W1N 8AA
*
Correspondence
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.
Aims and method

To investigate the impact of a video to improve the accuracy of patients' expectations of their first out-patient appointment. An intervention study was conducted in which patients watched a video before their appointment. The video provided information about the content of the consultation, the psychiatrist's role and types of treatments.

Results

The intervention increased the accuracy of patients' expectations but had no impact on satisfaction or anxiety. The video was popular as a means of preparing patients for the consultation.

Clinical implications

This could be offered routinely to patients attending services for the first time.

Type
Original Papers
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © 1999 The Royal College of Psychiatrists

References

Baekeland, F. & Lundwall, L. (1975) Dropping out of treatment: a critical review. Psychological Bulletin, 82, 738 783.CrossRefGoogle ScholarPubMed
Balogh, R., Simpson, A. & Bond, S. (1995) Involving clients in clinical audits of mental health services. International Journal of Quality in Health Care, 7, 343 353.CrossRefGoogle ScholarPubMed
Barker, D. A., Shergill, S. S., Higginson, I., et al (1996) Characteristics of clients with schizophrenia who express uncertainty or uncertainty about continuing treatment with depot neuroleptic medication. Archives of Psychiatric Nursing, 11, 238 248.Google Scholar
Bunn, M. H., O'Connor, A. M., Tansey, M. S., et al (1997) Characteristics of clients with schizophrenia who express uncertainty about continuing treatment with depot neuroleptic medication. Archives of Psychiatric Nursing, 11, 238 248.CrossRefGoogle ScholarPubMed
Clinton, D. N. (1996) Why do eating disorder patients drop out? Psychotherapy and Psychosomatics, 65, 29 35.CrossRefGoogle ScholarPubMed
Deane, F., Spicer, J. & Leathem, J. (1992) Effects of videotaped preparatory information on expectations, anxiety and psychotherapy outcome. Journal of Consulting and Clinical Psychology, 60, 980 984.CrossRefGoogle ScholarPubMed
Elbeck, M. & Fecteau, G. (1990) Improving the validity of measures of patient satisfaction with psychiatric care and treatment. Hospital and Community Psychiatry, 41, 998 1001.Google ScholarPubMed
Hagan, L., Beck, N., Kunce, J., et al (1983) Facilitating psychiatric patient follow-up: a study of transfer attrition. Journal of Clinical Psychology, 39, 494 498.3.0.CO;2-T>CrossRefGoogle ScholarPubMed
Hansson, L. & Berglund, M. (1987) Factors influencing treatment outcome and patient satisfaction in a short-term psychiatric ward: a path analysis study of the importance of patient involvement in treatment planning. European Archives of Psychiatry and Neurological Sciences, 236, 269 275.CrossRefGoogle Scholar
Jones, L. & Lodge, A. (1991) A survey of patients' views of outpatient clinic facilities. Health Bulletin Edinburgh, 49, 320 328.Google ScholarPubMed
Larsen, D., Attkisson, C., Hargreaves, W., et al (1979) Assessment of client/patient satisfaction: development of a general scale. Evaluation and Program Planning, 2, 197 207.CrossRefGoogle ScholarPubMed
Michaels, R. & Sevitt, M. (1978) The patient and the first psychiatric interview. British Journal of Psychiatry, 132, 288 292.CrossRefGoogle Scholar
Silverman, W. H. & Beech, R. P. (1979) Are dropouts, dropouts? Journal of Community Psychology, 7, 236 242.3.0.CO;2-B>CrossRefGoogle ScholarPubMed
Skuse, D. (1975) Attitudes to the psychiatric out-patient clinic. British Medical Journal, 3, 469 471.CrossRefGoogle Scholar
Spector, K. (1988) Increasing take-up rate of clinical psychology services. Clinical Psychology Forum, 13, 11 13.CrossRefGoogle Scholar
Spielberger, C., Gorbuch, R., Luchene, R., et al (1983) Manual for the State–Trait Anxiety Inventory (revised edition). Palo Alto, CA: Consulting Psychologists Press.Google Scholar
Tinsley, H., Bowman, S. & Ray, S. (1988) Manipulation of expectancies about counselling and psychotherapy: review and analysis of expectancy manipulation strategies and results. Journal of Counseling Psychology, 35, 99 108.CrossRefGoogle Scholar
Uys, L. R., Thanjekwayo, L. & Volkywan, L. (1997) The measurement of quality of care in public sector psychiatric services based on consumer expectations. Curationis, 20, 25 32.CrossRefGoogle ScholarPubMed
Webster, A. (1992) The effect of pre-assessment information on clients' satisfaction, expectations and attendance at a mental health day centre. British Journal of Medical Psychology, 66, 89 93.CrossRefGoogle Scholar
Submit a response

eLetters

No eLetters have been published for this article.