The Importance of Patient Expectations: A Mixed-Methods Study of U.S. Psychiatrists

Objective: To examine how psychiatrists think about and modulate non-specific factors (e.g., hope, expectations) in clinical practice.Methods: U.S. psychiatrists were recruited for two studies assessing attitudes and behaviors related to non-specific factors. Study 1 entailed remote qualitative focu...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Maayan N. Rosenfield, Michael H. Bernstein
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	placebo expectancies psychiatry non-specific factors hope Psychiatry RC435-571
Acceso en línea:	https://doaj.org/article/bb5152be074d424aace1438a29e4339b
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:bb5152be074d424aace1438a29e4339b
record_format	dspace
spelling	oai:doaj.org-article:bb5152be074d424aace1438a29e4339b2021-12-03T06:27:43ZThe Importance of Patient Expectations: A Mixed-Methods Study of U.S. Psychiatrists1664-064010.3389/fpsyt.2021.781494https://doaj.org/article/bb5152be074d424aace1438a29e4339b2021-12-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fpsyt.2021.781494/fullhttps://doaj.org/toc/1664-0640Objective: To examine how psychiatrists think about and modulate non-specific factors (e.g., hope, expectations) in clinical practice.Methods: U.S. psychiatrists were recruited for two studies assessing attitudes and behaviors related to non-specific factors. Study 1 entailed remote qualitative focus groups (k = 7) with n = 26 participants (36.0% female). Study 2 was a quantitative survey with n = 346 respondents (34.0% female) designed to assess the generalizability of focus group findings.Results: Four themes were identified in Study 1 that were used to inform the survey (Study 2): (1) Expectations (2) Hope, (3) Placebo Effect, and (4) Aesthetic Features. Nearly all surveyed psychiatrists (92.2%) considered patient expectations at least “most of the time” when interacting with a patient. Focus groups revealed that psychiatrists often attempt to balance optimism and realism to improve outcomes. A majority of survey respondents believed office design and physician attire could at least somewhat influence expectations (72.5 and 77.3%, respectively) and even outcomes (51.5 and 58.7%, respectively). Focus group psychiatrists described how physical features may be used as therapeutic tools.Conclusions: Psychiatrists are highly mindful of patient expectations. Although there is variability in the perceived importance of expectations, hope, the placebo effect, and aesthetic features, many utilize these factors in clinical practice.Maayan N. RosenfieldMichael H. BernsteinFrontiers Media S.A.articleplaceboexpectanciespsychiatrynon-specific factorshopePsychiatryRC435-571ENFrontiers in Psychiatry, Vol 12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	placebo expectancies psychiatry non-specific factors hope Psychiatry RC435-571
spellingShingle	placebo expectancies psychiatry non-specific factors hope Psychiatry RC435-571 Maayan N. Rosenfield Michael H. Bernstein The Importance of Patient Expectations: A Mixed-Methods Study of U.S. Psychiatrists
description	Objective: To examine how psychiatrists think about and modulate non-specific factors (e.g., hope, expectations) in clinical practice.Methods: U.S. psychiatrists were recruited for two studies assessing attitudes and behaviors related to non-specific factors. Study 1 entailed remote qualitative focus groups (k = 7) with n = 26 participants (36.0% female). Study 2 was a quantitative survey with n = 346 respondents (34.0% female) designed to assess the generalizability of focus group findings.Results: Four themes were identified in Study 1 that were used to inform the survey (Study 2): (1) Expectations (2) Hope, (3) Placebo Effect, and (4) Aesthetic Features. Nearly all surveyed psychiatrists (92.2%) considered patient expectations at least “most of the time” when interacting with a patient. Focus groups revealed that psychiatrists often attempt to balance optimism and realism to improve outcomes. A majority of survey respondents believed office design and physician attire could at least somewhat influence expectations (72.5 and 77.3%, respectively) and even outcomes (51.5 and 58.7%, respectively). Focus group psychiatrists described how physical features may be used as therapeutic tools.Conclusions: Psychiatrists are highly mindful of patient expectations. Although there is variability in the perceived importance of expectations, hope, the placebo effect, and aesthetic features, many utilize these factors in clinical practice.
format	article
author	Maayan N. Rosenfield Michael H. Bernstein
author_facet	Maayan N. Rosenfield Michael H. Bernstein
author_sort	Maayan N. Rosenfield
title	The Importance of Patient Expectations: A Mixed-Methods Study of U.S. Psychiatrists
title_short	The Importance of Patient Expectations: A Mixed-Methods Study of U.S. Psychiatrists
title_full	The Importance of Patient Expectations: A Mixed-Methods Study of U.S. Psychiatrists
title_fullStr	The Importance of Patient Expectations: A Mixed-Methods Study of U.S. Psychiatrists
title_full_unstemmed	The Importance of Patient Expectations: A Mixed-Methods Study of U.S. Psychiatrists
title_sort	importance of patient expectations: a mixed-methods study of u.s. psychiatrists
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/bb5152be074d424aace1438a29e4339b
work_keys_str_mv	AT maayannrosenfield theimportanceofpatientexpectationsamixedmethodsstudyofuspsychiatrists AT michaelhbernstein theimportanceofpatientexpectationsamixedmethodsstudyofuspsychiatrists AT maayannrosenfield importanceofpatientexpectationsamixedmethodsstudyofuspsychiatrists AT michaelhbernstein importanceofpatientexpectationsamixedmethodsstudyofuspsychiatrists
_version_	1718373894002311168

The Importance of Patient Expectations: A Mixed-Methods Study of U.S. Psychiatrists

Ejemplares similares