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Anticipated Benefits of Care (ABC): psychometrics and predictive value in psychiatric disorders.

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Title: Anticipated Benefits of Care (ABC): psychometrics and predictive value in psychiatric disorders.
Authors: Warden, D., Trivedi, M. H., Carmody, T. J., Gollan, J. K., Kashner, T. M., Lind, L., Crismon, M. L., Rush, A. J.
Source: Psychological Medicine. Jun2010, Vol. 40 Issue 6, p955-965. 11p. 5 Charts, 1 Graph.
Subjects: Bipolar disorder, Mental depression, Therapeutics, Mental illness treatment, Schizophrenia treatment, Psychometrics, Factor analysis
Abstract: Background. Attitudes and expectations about treatment have been associated with symptomatic outcomes, adherence and utilization in patients with psychiatric disorders. No measure of patients' anticipated benefits of treatment on domains of everyday functioning has previously been available. Method. The Anticipated Benefits of Care (ABC) is a new, 10-item questionnaire used to measure patient expectations about the impact of treatment on domains of everyday functioning. The ABC was collected at baseline in adult out-patients with major depressive disorder (MDD) (n=528), bipolar disorder (n=395) and schizophrenia (n=447) in the Texas Medication Algorithm Project (TMAP). Psychometric properties of the ABC were assessed, and the association of ABC scores with treatment response at 3 months was evaluated. Results. Evaluation of the ABC's internal consistency yielded Cronbach's a of 0.90-0.92 for patients across disorders. Factor analysis showed that the ABC was unidimensional for all patients and for patients with each disorder. For patients with MDD, lower anticipated benefits of treatment was associated with less symptom improvement and lower odds of treatment response [odds ratio (OR) 0.72, 95% confidence interval (CI) 0.57-0.87, p=0.0011]. There was no association between ABC and symptom improvement or treatment response for patients with bipolar disorder or schizophrenia, possibly because these patients had modest benefits with treatment. Conclusions. The ABC is the first self-report that measures patient expectations about the benefits of treatment on everyday functioning, filling an important gap in available assessments of attitudes and expectations about treatment. The ABC is simple, easy to use, and has acceptable psychometric properties for use in research or clinical settings. [ABSTRACT FROM AUTHOR]
Copyright of Psychological Medicine is the property of Cambridge University Press and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Anticipated Benefits of Care (ABC): psychometrics and predictive value in psychiatric disorders.
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  Data: <searchLink fieldCode="AR" term="%22Warden%2C+D%2E%22">Warden, D.</searchLink><br /><searchLink fieldCode="AR" term="%22Trivedi%2C+M%2E+H%2E%22">Trivedi, M. H.</searchLink><br /><searchLink fieldCode="AR" term="%22Carmody%2C+T%2E+J%2E%22">Carmody, T. J.</searchLink><br /><searchLink fieldCode="AR" term="%22Gollan%2C+J%2E+K%2E%22">Gollan, J. K.</searchLink><br /><searchLink fieldCode="AR" term="%22Kashner%2C+T%2E+M%2E%22">Kashner, T. M.</searchLink><br /><searchLink fieldCode="AR" term="%22Lind%2C+L%2E%22">Lind, L.</searchLink><br /><searchLink fieldCode="AR" term="%22Crismon%2C+M%2E+L%2E%22">Crismon, M. L.</searchLink><br /><searchLink fieldCode="AR" term="%22Rush%2C+A%2E+J%2E%22">Rush, A. J.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Psychological+Medicine%22">Psychological Medicine</searchLink>. Jun2010, Vol. 40 Issue 6, p955-965. 11p. 5 Charts, 1 Graph.
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  Data: <searchLink fieldCode="DE" term="%22Bipolar+disorder%22">Bipolar disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+depression%22">Mental depression</searchLink><br /><searchLink fieldCode="DE" term="%22Therapeutics%22">Therapeutics</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+illness+treatment%22">Mental illness treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Schizophrenia+treatment%22">Schizophrenia treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Psychometrics%22">Psychometrics</searchLink><br /><searchLink fieldCode="DE" term="%22Factor+analysis%22">Factor analysis</searchLink>
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  Data: Background. Attitudes and expectations about treatment have been associated with symptomatic outcomes, adherence and utilization in patients with psychiatric disorders. No measure of patients' anticipated benefits of treatment on domains of everyday functioning has previously been available. Method. The Anticipated Benefits of Care (ABC) is a new, 10-item questionnaire used to measure patient expectations about the impact of treatment on domains of everyday functioning. The ABC was collected at baseline in adult out-patients with major depressive disorder (MDD) (n=528), bipolar disorder (n=395) and schizophrenia (n=447) in the Texas Medication Algorithm Project (TMAP). Psychometric properties of the ABC were assessed, and the association of ABC scores with treatment response at 3 months was evaluated. Results. Evaluation of the ABC's internal consistency yielded Cronbach's a of 0.90-0.92 for patients across disorders. Factor analysis showed that the ABC was unidimensional for all patients and for patients with each disorder. For patients with MDD, lower anticipated benefits of treatment was associated with less symptom improvement and lower odds of treatment response [odds ratio (OR) 0.72, 95% confidence interval (CI) 0.57-0.87, p=0.0011]. There was no association between ABC and symptom improvement or treatment response for patients with bipolar disorder or schizophrenia, possibly because these patients had modest benefits with treatment. Conclusions. The ABC is the first self-report that measures patient expectations about the benefits of treatment on everyday functioning, filling an important gap in available assessments of attitudes and expectations about treatment. The ABC is simple, easy to use, and has acceptable psychometric properties for use in research or clinical settings. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Psychological Medicine is the property of Cambridge University Press and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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