A Qualitative Analysis of Stakeholder Attitudes Regarding Personalized Provider Selection and Patient-Therapist Matching

2Citations
Citations of this article
5Readers
Mendeley users who have this article in their library.
Get full text

Abstract

This study explored mental health care patients and therapists’ perspectives on using therapists’ measurement-based and problem-specific effectiveness data to inform case assignments – a type of treatment personalization that has been shown to outperform non-measurement-based case assignment as usual (Constantino et al., 2021). We conducted semi-structured qualitative interviews with 8 patients (75% women; M age = 33.75 years) and 8 therapists (75% women; M age = 47.50 years). The interview protocols were unique to stakeholder group. Recorded responses were transcribed and qualitatively analyzed by four judges using a blend of consensual qualitative research and grounded theory methods. Derived patient domains included preferred characteristics of a provider, and experiences and suggestions regarding provider selection. Within the domains, most patients expressed an interest in accessing more specific provider information online. Additionally, most patients indicated that both provider outcome track records and personal preference information (e.g., therapist characteristics) should be considered in the therapist selection process. All patients endorsed being comfortable with having the ability to select a provider based on a list of empirically well-matched recommendations. Derived therapist domains included using routine outcomes monitoring for patient-provider matching, referral source and direct patient use of preferred provider lists, and improvements to the provider selection process. Within the domains, all therapists remarked that outcome data would be useful for matching patients to providers; however, most also indicated that outcome data should not be the only factor used in provider selection. All therapists expressed a willingness to be included in preferred provider lists that incorporate track record data. Overall, both patients and therapists held generally positive views toward using therapist effectiveness data to help personalize mental health care. Yet, both stakeholder groups acknowledged that other personalization factors should be considered alongside these data. Based on these results, our team is in the process of implementing patient-therapist match strategies in larger and more diverse mental health care contexts.

References Powered by Scopus

Standards for reporting qualitative research: A synthesis of recommendations

6771Citations
N/AReaders
Get full text

Shared decision-making and evidence-based practice

238Citations
N/AReaders
Get full text

A systematic review of therapist effects: A critical narrative update and refinement to Baldwin and Imel's (2013) review

170Citations
N/AReaders
Get full text

Cited by Powered by Scopus

Treatment Personalization and Precision Mental Health Care: Where are we and where do we want to go?

4Citations
N/AReaders
Get full text

Psychotherapists’ Outcome Expectations: How Are They Established?

0Citations
N/AReaders
Get full text

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Cite

CITATION STYLE

APA

Boswell, J. F., Schwartzman, C. M., Constantino, M. J., Scharff, A., Muir, H. J., Gaines, A. N., … Kraus, D. R. (2024). A Qualitative Analysis of Stakeholder Attitudes Regarding Personalized Provider Selection and Patient-Therapist Matching. Administration and Policy in Mental Health and Mental Health Services Research, 51(5), 634–649. https://doi.org/10.1007/s10488-023-01302-w

Readers over time

‘2402468

Readers' Seniority

Tooltip

PhD / Post grad / Masters / Doc 1

100%

Readers' Discipline

Tooltip

Business, Management and Accounting 1

100%

Save time finding and organizing research with Mendeley

Sign up for free
0