TABLE 1.
Acceptability Ratings of 19 PIs for Potential Interactions With Study Patients
Acceptability Scores | ||||||||
---|---|---|---|---|---|---|---|---|
Item No. |
Category | Interaction | Never (1), n (%) |
Sometimes (2), n (%) |
Usually (3),n (%) |
Always (4), n (%) |
Mean | SD |
1 | H | Recommending follow-up with a primary care provider regarding a patient’s medical concern | 1 (5) | 2 (11) | 6 (32) | 10 (53) | 3.32 | 0.89 |
2 | E | Expressing condolences regarding the patient’s recent loss of a loved one | 1 (5) | 4 (21) | 3 (16) | 11 (58) | 3.26 | 0.99 |
3 | N | Offering a handshake before and/or after a visit | 1 (5) | 2 (11) | 8 (42) | 8 (42) | 3.21 | 0.86 |
4 | H | Recommending a patient who has 3 alcohol drinks per day to reduce their alcohol intake | 4 (21) | 6 (32) | 4 (21) | 5 (26) | 2.53 | 1.12 |
5 | N | Providing printed educational materials about the patient’s disorder | 5 (26) | 4 (21) | 6 (32) | 4 (21) | 2.47 | 1.12 |
6 | H | Recommending a change toward a healthier diet | 7 (37) | 2 (11) | 4 (21) | 6 (32) | 2.47 | 1.31 |
7 | P | Praising the patient for making a positive life change or health behavior change | 6 (32) | 3 (16) | 6 (32) | 4 (21) | 2.42 | 1.17 |
8 | N | Advising a patient who has not improved or worsened at week 4 in an 8-wk trial that more time is needed to assess efficacy | 2 (11) | 8 (42) | 5 (26) | 3 (16) | 2.37 | 1.07 |
9 | R | Identifying government or private financial/social resources for a low-income patient | 5 (26) | 4 (21) | 9 (47) | 1 (5) | 2.32 | 0.95 |
10 | B | Suggesting a change in sleep behavior in accord with sleep hygiene practices | 6 (32) | 5 (26) | 5 (26) | 3 (16) | 2.26 | 1.10 |
11 | B | Recommending starting some form of routine exercise program | 7 (37) | 4 (21) | 5 (26) | 3 (16) | 2.21 | 1.13 |
12 | E | Encouraging a patient to vent their feelings about a current stressor | 7 (37) | 7 (37) | 4 (21) | 1 (5) | 1.95 | 0.91 |
13 | R | Referring a patient with significant financial stressors to a consumer credit counseling service | 8 (42) | 7 (37) | 4 (21) | 0 (0) | 1.79 | 0.79 |
14 | C | Suggesting an alternative way of thinking about a stressor they are experiencing | 9 (47) | 6 (32) | 3 (16) | 1 (5) | 1.79 | 0.92 |
15 | B | Suggesting activities for the patient to engage in, to increase their level of socialization | 9 (47) | 7 (37) | 2 (11) | 1 (5) | 1.74 | 0.87 |
16 | P | Suggesting alternative ways to address a conflict with a coworker | 11 (58) | 5 (26) | 1 (5) | 2 (11) | 1.68 | 1.00 |
17 | C | Suggesting techniques the patient could use to distract themselves from sad or anxious feeling states | 11 (58) | 4 (21) | 4 (21) | 0 (0) | 1.63 | 0.83 |
18 | P | Suggesting alternative ways of discussing contentious issues with spouse/significant other | 10 (53) | 7 (37) | 1 (5) | 1 (5) | 1.63 | 0.83 |
19 | R | Providing the patient with ideas to help them find employment or change employment | 10 (53) | 7 (37) | 1 (5) | 1 (5) | 1.63 | 0.83 |
20 | P | Suggesting alternative ways to respond to troublesome behavior by the patient’s children | 10 (53) | 7 (37) | 2 (11) | 0 (0) | 1.58 | 0.69 |
21 | P | Suggesting a solution for a psychosocial problem the patient is facing | 10 (53) | 7 (37) | 2 (11) | 0 (0) | 1.58 | 0.69 |
22 | C | Encouraging the patient to focus on positive rather than negative events or memories | 11 (58) | 5 (26) | 3 (16) | 0 (0) | 1.58 | 0.77 |
23 | E | Placing an arm around a patient’s shoulder after a particularly emotional visit | 11 (58) | 6 (32) | 2 (11) | 0 (0) | 1.53 | 0.70 |
24 | P | Recommending quitting a job you believe is deleterious to the patient | 11 (58) | 7 (37) | 1 (5) | 0 (0) | 1.47 | 0.61 |
25 | E | Endorsing that the patient’s boss or spouse does seem to be treating them unfairly | 12 (63) | 6 (32) | 1 (5) | 0 (0) | 1.42 | 0.61 |
26 | E | Relating your own personal experience in coping with a stressor that was similar to one that the patient is now experiencing | 13 (68) | 6 (32) | 0 (0) | 0 (0) | 1.32 | 0.48 |
Categories of interactions: B indicates behavioral intervention; C, cognitive intervention; E, emotional support; H, general health recommendation; N, nonspecific interaction; P, psychological advice giving; R, resource referral.