Abstract
EFFECT OF PHYSICIAN-PATIENT ALLIANCE AND COMMUNICATION ON ADHERENCE TO TREATMENT IN MENTAL HEALTH CARE: A SYSTEMATIC REVIEW

Madloul Jassim M. Alshammari*, Tariq Mohammed R. Alanazi and Turki Abdullah Y. Alqahtani

ABSTRACT

The clinician-patient alliance, negotiated through clinical interaction, presents a critical intervention point. The following examines the impact of clinician-patient alliance and communication on adherence in mental health, identifying the specific mechanisms that mobilise patient engagement. Methods: In December 2010, a systematic search was conducted in Pubmed, PsychInfo, Web of Science, Cochrane Library, Embase and Cinahl and yielded 6672 titles. 17 studies reported positive associations with adherence, only four of which employed intervention designs. 10 studies examined the association between clinician-patient alliance and adherence. Subjective ratings of clinical communication styles and messages were assessed in 12 studies. 1 study examined the association between objectively rated communication and adherence. Conclusions: Clinician-patient alliance and communication are associated with more favourable patient adherence. Further research of observer rated communication would better facilitate the application of findings in clinical practice.

Keywords: Communication, Alliance, Adherence, Mental health.


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