Experience with the use of the DIALOG+ intervention in patients with severe mental illness in outpatient services in Colombia.
Rev Colomb Psiquiatr (Engl Ed)
; 53(1): 32-40, 2024.
Article
em En, Es
| MEDLINE
| ID: mdl-38653659
ABSTRACT
INTRODUCTION:
Severe mental disorders can cause significant and lasting distress for patients and their families and generate high costs through the need for care and loss of productivity. This study tests DIALOG+, an app-based intervention to make routine patient-clinician meetings therapeutically effective. It combines a structured evaluation of patient satisfaction with a solution-focused approach.METHODS:
We conducted a qualitative study, based on a controlled clinical trial, in which 9 psychiatrists and 18 patients used DIALOG+ monthly over a six-month period. Semi-structured interviews were used to explore the experiences of participants and analysed in an inductive thematic analysis focusing on the feasibility and effects of the intervention in the Colombian context.RESULTS:
Experiences were grouped into five overall themes a) impact of the intervention on the consultation and the doctor-patient relationship; b) impact on patients and in promoting change; c) use of the supporting app, and d) adaptability of the intervention to the Colombian healthcare system.CONCLUSIONS:
DIALOG+ was positively valued by most of the participants. Participants felt that it was beneficial to the routine consultation, improved communication and empowered patients to take a leading role in their care. More work is required to identify the patient groups that most benefit from DIALOG+, and to adjust it, particularly to fit brief consultation times, so that it can be rolled out successfully in the Colombian healthcare system.Palavras-chave
Apoyo psicosocial; Calidad de vida; Comunicación centrada en el paciente; Information technology; Intervención psicosocial; Patient-centred communication; Psychosocial intervention; Psychosocial support; Quality of life; Severe mental disorders; Solution-focused therapy; Tecnologías de la información; Terapia centrada en soluciones; Trastornos mentales graves
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Relações Médico-Paciente
/
Satisfação do Paciente
/
Assistência Ambulatorial
/
Transtornos Mentais
Limite:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
America do sul
/
Colombia
Idioma:
En
/
Es
Revista:
Rev Colomb Psiquiatr (Engl Ed)
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Colômbia
País de publicação:
Espanha