TY - JOUR
KW - Aged
KW - Aged, 80 and over
KW - Anxiety Disorders/therapy
KW - Cognitive Therapy/standards
KW - Female
KW - Humans
KW - Male
KW - Middle Aged
KW - Patient Satisfaction
KW - Primary Health Care/standards
KW - Program Evaluation
KW - Questionnaires
KW - Treatment Outcome
AU - N. E. Hundt
AU - M. E. Armento
AU - B. Porter
AU - J. A. Cully
AU - M. E. Kunik
AU - M. Stanley
A1 - 
AB - Increasing numbers of patients are treated in integrated primary care mental health programs. The current study examined predictors of satisfaction with treatment in patients from a randomized clinical trial of late-life generalized anxiety disorder (GAD) in primary care. Higher treatment satisfaction was associated with receiving CBT rather than enhanced usual care. Treatment credibility, treatment expectancies, social support, and improvements in depression and anxiety symptoms predicted higher treatment satisfaction in the total sample. In the CBT group, only credibility and adherence with treatment predicted satisfaction. This suggests that older patients receiving CBT who believe more strongly in the treatment rationale and follow the therapist's recommendations more closely are likely to report satisfaction at the end of treatment. In addition, this study found that adherence mediated the relationship between treatment credibility and treatment satisfaction. In other words, patients' perceptions that the treatment made sense for them led to greater treatment adherence which then increased their satisfaction with treatment.
BT - Evaluation and program planning
C5 - General Literature
CY - England
DO - 10.1016/j.evalprogplan.2013.01.003
JF - Evaluation and program planning
N2 - Increasing numbers of patients are treated in integrated primary care mental health programs. The current study examined predictors of satisfaction with treatment in patients from a randomized clinical trial of late-life generalized anxiety disorder (GAD) in primary care. Higher treatment satisfaction was associated with receiving CBT rather than enhanced usual care. Treatment credibility, treatment expectancies, social support, and improvements in depression and anxiety symptoms predicted higher treatment satisfaction in the total sample. In the CBT group, only credibility and adherence with treatment predicted satisfaction. This suggests that older patients receiving CBT who believe more strongly in the treatment rationale and follow the therapist's recommendations more closely are likely to report satisfaction at the end of treatment. In addition, this study found that adherence mediated the relationship between treatment credibility and treatment satisfaction. In other words, patients' perceptions that the treatment made sense for them led to greater treatment adherence which then increased their satisfaction with treatment.
PP - England
PY - 2013
SN - 1873-7870; 0149-7189
SP - 58
EP - 63
EP - 
T1 - Predictors of treatment satisfaction among older adults with anxiety in a primary care psychology program
T2 - Evaluation and program planning
TI - Predictors of treatment satisfaction among older adults with anxiety in a primary care psychology program
U1 - General Literature
U2 - 23434724
U3 - 10.1016/j.evalprogplan.2013.01.003
VL - 37
VO - 1873-7870; 0149-7189
Y1 - 2013
ER -