IU School of Medicine
INDIANAPOLIS – Patients who are activated–meaning they have the knowledge, skills and confidence to manage their health and health care–have better health outcomes. A new study provides evidence that male and female African-American veterans receiving outpatient mental health services are not as activated as White veterans.
In addition to demonstrating an association between race and lower patient activation, the study shows that the relationship between African-American veterans and their mental health providers is not as strong as the relationship between White veterans and their providers. This difference persisted after adjusting for socio-demographic factors and the study participants’ length of time with their providers. Stronger patient-provider relationships–known as working alliances–have been linked to higher treatment adherence. The study also reported that the African-American veterans had significantly lower medication adherence rates than White veterans.
“A clear implication from this study is that one size does not fit all. We need to tailor our efforts to meet the needs of African-American veterans–and meet them where they are,” said VA Center for Health Information and Communication, Regenstrief Institute and Indiana University Center for Health Services and Outcomes Research investigator Johanne Eliacin, PhD, the health services researcher who led the new study. “When it comes to being activated and engaged in their own health care, African-American veterans have more specific challenges that need to be better understood and addressed.
“There needs to be more research to develop strategies to motivate patients to be involved in their care and to work more effectively with their providers. And we need to learn how to help them sustain engagement over time.”
Dr. Eliacin is a clinical psychologist and psychological anthropologist. She also has an appointment as an assistant research professor in the Department of Psychology in the School of Science at Indiana University-Purdue University Indianapolis. Her research focuses on sociocultural …