Donald M. Steinwachs|Debra Roter|Elizabeth A. Skinner|Anthony F. Lehman|Maureen Fahey|Bernadette Cullen|Anita Everett|Gerard Gallucci
A Web-Based Program to Empower Patients Who Have Schizophrenia to Discuss Quality of Care With Mental Health Providers
Johns Hopkins University|Johns Hopkins University|Johns Hopkins University|University of Baltimore|University of Maryland, Baltimore|Johns Hopkins University|Johns Hopkins University|Delaware Department of Health and Social Services
study evaluated webbased tool help patients schizophrenia communicate clinicians evidencebased treatmentsfifty patients used interactive webbased intervention featuring actors simulating patient discussing treatment concerns intervention group n24 shown educational video schizophrenia treatment appointment routine followup care control group n26 visits recorded analyzed using roter interaction analysis systemvisits patients intervention group longer 24 versus 19 minutes p05 proportionately greater patient contribution dialogue 288 versus 229 statements p05 smaller ratio clinician patient talk 11 versus 14 p05 compared visits control group patients intervention group asked questions treatment 2 versus 9 p05 disclosed lifestyle information 76 versus 53 statements p005 often checked understood information 36 versus 21 checks p05 clinicians asked questions treatment 75 versus 51 p05 medical condition 78 versus 47 p05 control group patients made statements empathy 13 versus 4 p03 cues interest 48 versus 22 p05 intervention group patientcenteredness ratio greater visits patients intervention group control group 85 versus 32 p05 patients tone dominant respectful p05 clinicians tone sympathetic p05 visits patients interventionthe webbased tool empowered persons schizophrenia engage fully patientcentered dialogue treatment