The relation of interviewer ethnic, cultural, and interpersonal characteristics to patient dropout.
Item
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Title
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The relation of interviewer ethnic, cultural, and interpersonal characteristics to patient dropout.
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Identifier
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AAI9946204
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identifier
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9946204
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Creator
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Myers, Lorna.
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Contributor
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Adviser: Paul Wachtel
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Date
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1999
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Language
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English
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Publisher
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City University of New York.
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Subject
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Psychology, Clinical | Health Sciences, Public Health | Sociology, Ethnic and Racial Studies
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Abstract
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Through the participation of twenty-three bilingual clinicians and one hundred and twelve Hispanic (Caribbean, South and Central American) psychiatric patients, this study investigated five hypotheses regarding dropout and number of missed sessions in the assessment phase. It was proposed that a match between clinician and patient on a more superficial level of acculturation would not correlate to dropout or missed sessions, while a match on a deeper level of acculturation would correlate to outcome. It was also proposed that higher clinician scores of nurturance would correlate to lower dropout rates and missed sessions while higher rates of clinician dominance would correlate to higher dropout rates and/or missed sessions. Lastly, it was suggested that clinicians with low empathy ratings by the patients would correlate to more dropouts and missed sessions.;The instruments used to measure the constructs of interest were the Bidimensional Acculturation Scale, the Hispanic Features Measure, the Barrett-Lennard Relationship Inventory, and the Interpersonal Adjectives Scale. Patient dropout and number of missed sessions were determined through the medical charts kept in the clinic. Correlational and multiple regression analyses were conducted in order to evaluate the hypotheses. Significant negative correlations were found between empathy ratings of the clinicians by the patients and both dropout rates and number of missed sessions. A significant negative correlation between clinician self-rated dominance and patient ratings of clinician empathy was also detected. However, the results of correlational and multiple regression analyses indicated that match on superficial or deeper levels of acculturation, and clinician dominance and nurturance were not significantly correlated to dropout and/or missed sessions.;The significant negative correlation between clinician empathy ratings and assessment phase outcome, combined with the absence of significant correlations between all other variables offers relevant information about Hispanic psychiatric patients and their clinicians. It suggests that with Hispanic psychiatric patients, once providing bilingual clinicians has controlled for the language variable, the perception of having an empathic clinician outweighs cultural match and certain interpersonal characteristics of the clinician.
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Type
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dissertation
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Source
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PQT Legacy CUNY.xlsx
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degree
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Ph.D.
