| Title |
Treatment engagement in adolescents with severe psychiatric problems: a latent class analysis
|
|---|---|
| Published in |
European Child & Adolescent Psychiatry, February 2013
|
| DOI | 10.1007/s00787-013-0385-y |
| Pubmed ID | |
| Authors |
A. J. M. Roedelof, Ilja L. Bongers, Chijs van Nieuwenhuizen |
| Abstract |
Motivation is considered a pivotal factor in treatment, but a better understanding of this topic is needed. Drieschner et al. (Clin Psychol Rev 23:1115-1137, 2004) proposed to distinguish treatment motivation and treatment engagement. This study aimed to discover whether it is possible to identify classes of adolescents with severe psychiatric problems having comparable profiles of treatment engagement. To this end, professionals filled out the Treatment Engagement Rating Scale 5 times for 49 adolescents (mean age 18.3 years; SD = 1.6) during the first year of case management treatment. Using a longitudinal latent class analysis, the number of profiles of treatment engagement was investigated and described. Results identified three profiles: high (19 clients, 39%), medium (20 clients, 41%) and low (10 clients, 20%). Adolescents with a high engagement profile were at first equally, and later on more engaged in treatment than clients with a medium engagement profile. Adolescents with a low engagement profile made the least effort to engage, except after 30 weeks. Adolescents with a low engagement profile were often substance-dependent males with the lowest scores on the Global Assessment of Functioning Scale after a year. Only adolescents with a high engagement profile improved on global functioning. In conclusion, it is possible to identify different treatment engagement profiles by asking one question about level of global treatment engagement. Frequent assessment of engagement of the individual client as well as including a behavioural component into assessment and treatment may help to improve case management treatment for adolescents with medium and low engagement profiles. |
X Demographics
The data shown below were collected from the profile of 1 X user who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Germany | 1 | 100% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 1 | 100% |
Mendeley readers
The data shown below were compiled from readership statistics for 40 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 40 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Researcher | 5 | 13% |
| Student > Master | 5 | 13% |
| Student > Doctoral Student | 4 | 10% |
| Student > Ph. D. Student | 4 | 10% |
| Librarian | 3 | 8% |
| Other | 7 | 18% |
| Unknown | 12 | 30% |
| Readers by discipline | Count | As % |
|---|---|---|
| Psychology | 12 | 30% |
| Social Sciences | 6 | 15% |
| Medicine and Dentistry | 5 | 13% |
| Nursing and Health Professions | 2 | 5% |
| Business, Management and Accounting | 2 | 5% |
| Other | 1 | 3% |
| Unknown | 12 | 30% |
Attention Score in Context
This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 08 August 2013.
All research outputs
#17,668,821
of 22,715,151 outputs
Outputs from European Child & Adolescent Psychiatry
#1,336
of 1,636 outputs
Outputs of similar age
#140,116
of 192,999 outputs
Outputs of similar age from European Child & Adolescent Psychiatry
#19
of 21 outputs
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