title: The Relationship Between Race, Patient Activation, and Working Alliance: Implications for Patient Engagement in Mental Health Care.
abstract: This study explored the relationship between race and two key aspects of patient engagement-patient 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.
authors.affiliation: Center for Health Information and Communication, CHIC, Health Services Research & Development, Richard L. Roudebush VA Medical Center, 1481 West 10th Street, Indianapolis, IN, 46202, USA. johanne.eliacin@va.gov.|Department of Psychology, Indiana University Purdue University at Indianapolis, Indianapolis, IN, 46202, USA. johanne.eliacin@va.gov.|Center for Health Services Research, Regenstrief Institute, Inc., Indianapolis, IN, 46202, USA. johanne.eliacin@va.gov.|ACT Center of Indiana, Indianapolis, IN, 46202, USA. johanne.eliacin@va.gov.
authors.forename: Johanne
authors.initials: J
authors.lastname: Eliacin
authors.affiliation: Center for Health Information and Communication, CHIC, Health Services Research & Development, Richard L. Roudebush VA Medical Center, 1481 West 10th Street, Indianapolis, IN, 46202, USA.
authors.forename: Jessica M
authors.initials: JM
authors.lastname: Coffing
authors.affiliation: Center for Health Information and Communication, CHIC, Health Services Research & Development, Richard L. Roudebush VA Medical Center, 1481 West 10th Street, Indianapolis, IN, 46202, USA.|Center for Health Services Research, Regenstrief Institute, Inc., Indianapolis, IN, 46202, USA.|Communication Studies, Indiana University Purdue University at Indianapolis, Indianapolis, IN, 46202, USA.|Indiana University School of Medicine, Indianapolis, IN, 46202, USA.
authors.forename: Marianne S
authors.initials: MS
authors.lastname: Matthias
authors.affiliation: Center for Chronic Disease Outcomes Research (CCDOR), Minneapolis VA Health Care System, Minnesota, MN, 55417, USA.|Department of Medicine, University of Minnesota, Minnesota, MN, 55455, USA.
authors.forename: Diana J
authors.initials: DJ
authors.lastname: Burgess
authors.affiliation: Center for Health Information and Communication, CHIC, Health Services Research & Development, Richard L. Roudebush VA Medical Center, 1481 West 10th Street, Indianapolis, IN, 46202, USA.|Center for Health Services Research, Regenstrief Institute, Inc., Indianapolis, IN, 46202, USA.|Indiana University School of Medicine, Indianapolis, IN, 46202, USA.|Indiana University Center for Health Services and Outcomes Research, Indianapolis, IN, 46202, USA.
authors.forename: Matthew J
authors.initials: MJ
authors.lastname: Bair
authors.affiliation: Center for Health Information and Communication, CHIC, Health Services Research & Development, Richard L. Roudebush VA Medical Center, 1481 West 10th Street, Indianapolis, IN, 46202, USA.|Department of Psychology, Indiana University Purdue University at Indianapolis, Indianapolis, IN, 46202, USA.|Center for Health Services Research, Regenstrief Institute, Inc., Indianapolis, IN, 46202, USA.|ACT Center of Indiana, Indianapolis, IN, 46202, USA.
authors.forename: Angela L
authors.initials: AL
authors.lastname: Rollins
mesh_terms: D000328:Adult; D001741:Black or African American; D003142:Communication; D005260:Female; D006801:Humans; D008297:Male; D055118:Medication Adherence; D001523:Mental Disorders / Q000188:drug therapy*; D008875:Middle Aged; D010358:Patient Participation; D010817:Physician-Patient Relations; D000078462:Therapeutic Alliance; D014728:Veterans; D044465:White People
keywords: African-Americans; Mental health; Patient activation; Patient engagement