Patient Activation and Mental Health Care Experiences Among Women Veterans

Kimerling, Rachel; Pavao, Joanne; Wong, Ava C.

doi:10.1007/s10488-015-0653-x

Cited by 14 publications

(6 citation statements)

References 38 publications

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“…Our findings add to previous studies reporting lower patient activation scores among minority groups, specifically, African-Americans, Hispanics, and non-native English speakers (Lubetkin, Zabor, Brennessel, Kemeny, & Hay, 2014). Moreover, a recent study showed that African-American female veterans had significantly lower levels of patient activation compared to their White counterparts, and their scores correlated with less positive ratings of mental healthcare experiences (Kimerling, Pavao, & Wong, 2016). Our study provides additional evidence indicating lower levels of patient activation among minority groups and demonstrates an association between race, patient activation, and working alliance.…”

Section: Discussionsupporting

confidence: 78%

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

Eliacin

Coffing

Matthias

et al. 2016

Adm Policy Ment Health

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This study explored the relationship between race and two key aspects of patient engagementpatient 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.

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Section: Discussionsupporting

confidence: 78%

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

Eliacin

Coffing

Matthias

et al. 2016

Adm Policy Ment Health

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“…One important factor to consider when examining gender differences among VA users is that women Veterans remain underrepresented in treatment and research (Rohrer et al, 2011) despite the recent emphasis on providing gender-specific care (Kimerling, Pavao, & Wong, 2015; Yano et al, 2009; Yano & Frayne, 2011). For example, women are currently underrepresented in SUD treatments studies (Cucciare, Simpson, Hoggatt, Gifford, & Timko, 2013) and intervention studies overall.…”

Section: Discussionmentioning

confidence: 99%

Military Sexual Trauma and Co-occurring Posttraumatic Stress Disorder, Depressive Disorders, and Substance Use Disorders among Returning Afghanistan and Iraq Veterans

Gilmore

Brignone

Painter

et al. 2016

Women's Health Issues

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Purpose Posttraumatic stress disorder (PTSD), depressive disorders (DD), and substance use disorders (SUD) are prevalent among Veterans. A positive military sexual trauma (MST) screen is associated with higher likelihood of each of these disorders. The current study examined the associations between MST, gender, and co-occurring PTSD, DD, and SUD among Veterans receiving services at the Veterans Affairs (VA) to inform assessment and treatment. We were specifically interested in the interactions between MST and gender on co-occurring disorders. Methods The sample included 494,822 VA service seeking Veterans (12.5% women) deployed to Iraq and Afghanistan who recently separated from the military and were screened for MST between 2004 and 2013. Main Findings Veterans with positive MST screens had higher odds than those with negative screens of individual and co-occurring PTSD, DD, and SUD. The association between positive MST screens and diagnostic outcomes including PTSD was stronger for women than for men, and the association between positive MST screens and some diagnostic outcomes, including DD, was stronger for men than for women. Conclusions These results highlight the importance of assessing for and recognizing the potential MST and gender interactions in the clinical context among Veterans with co-occurring PTSD, DD, and/or SUD.

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“…36 Higher activation measured with the Patient Activation Measures Questionnaire 36 is associated with preferences for involvement in medical decision making, 37,38 and is associated with better reported healthcare experiences and with preference for sex-concordant care in women veterans. 39 Decision-making style is the characteristic mode of perceiving and responding to decision-making tasks. 40,41 The General Decision-Making Inventory 42 categorizes individuals' decision-making styles.…”

Section: Cognitive Factorsmentioning

confidence: 99%

Understanding Patients' Preferences: A Systematic Review of Psychological Instruments Used in Patients' Preference and Decision Studies

et al. 2019

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Background: Research has been mainly focused on how to elicit patient preferences, with less attention on why patients form certain preferences. Objectives: To assess which psychological instruments are currently used and which psychological constructs are known to have an impact on patients' preferences and health-related decisions including the formation of preferences and preference heterogeneity. Methods: A systematic database search was undertaken to identify relevant studies. From the selected studies, the following information was extracted: study objectives, study population, design, psychological dimensions investigated, and instruments used to measure psychological variables. Results: Thirty-three studies were identified that described the association between a psychological construct, measured using a validated instrument, and patients' preferences or health-related decisions. We identified 33 psychological instruments and 18 constructs, and categorized the instruments into 5 groups, namely, motivational factors, cognitive factors, individual differences, emotion and mood, and health beliefs. Conclusions: This review provides an overview of the psychological factors and related instruments in the context of patients' preferences and decisions in healthcare settings. Our results indicate that measures of health literacy, numeracy, and locus of control have an impact on healthrelated preferences and decisions. Within the category of constructs that could explain preference and decision heterogeneity, health locus of control is a strong predictor of decisions in several healthcare contexts and is useful to consider when designing a patient preference study. Future research should continue to explore the association of psychological constructs with preference formation and heterogeneity to build on these initial recommendations.

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Patient Activation and Mental Health Care Experiences Among Women Veterans

Cited by 14 publications

References 38 publications

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

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

Military Sexual Trauma and Co-occurring Posttraumatic Stress Disorder, Depressive Disorders, and Substance Use Disorders among Returning Afghanistan and Iraq Veterans

Understanding Patients' Preferences: A Systematic Review of Psychological Instruments Used in Patients' Preference and Decision Studies

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