TABLE 5. Effect of Facilitated Psychiatric Advance Directive on Perception of Whether Need for Mental Health Services Has Been Met at 1-Month Follow-Up (N=381).
Model 1a |
Model 2b |
Model 3c |
||||
---|---|---|---|---|---|---|
Odds Ratio |
95% CI | Odds Ratio |
95% CI | Odds Ratio |
95% CI | |
Baseline perception of whether need for mental | ||||||
health services has been met | 3.95 | 2.40–6.50*** | 4.55 | 2.63–7.88*** | 4.38 | 2.54–7.54*** |
Control group (comparison) | 1.00 | 1.00 | ||||
Intervention group | 1.57 | 1.03–2.39* | 1.42 | 0.89–2.27 | ||
Mediating variables | ||||||
Improvement in working alliance | 1.67 | 1.24–2.26*** | ||||
Increase in outpatient service utilization | 4.87 | 3.03–7.81*** | 5.11 | 3.20–8.17*** | ||
Interaction of completion of psychiatric advance di- rective with working alliance |
||||||
Completed facilitated intervention, no improve- ment in working alliance (comparison) |
1.00 | |||||
Completed facilitated intervention without im- provement in working alliance |
1.14 | 0.64–2.04 | ||||
Improved working alliance without completing facilitated intervention |
1.01 | 0.51–2.01 | ||||
Completed facilitated intervention with improved working alliance |
2.47 | 1.24–4.87** |
Model statistics: N observations=381; log likelihood: χ2=32.86, df=2, p<0.001; pseudo R2=0.07; Somer’s D=0.30.
Model statistics: N observations=381; log likelihood: χ2=109.18, df=4, p<0.001; pseudo R2=0.21; Somer’s D=0.59.
Model statistics: N observations=381; log likelihood: χ2=102.55, df=5, p<0.001; pseudo R2=0.20; Somer’s D=0.56.
p<0.05
p<0.01
p<0.001.