The Therapy Attitudes and Process Questionnaire: a brief measure of factors related to psychotherapy appointment attendance

Clough, Bonnie A. and Nazareth, Sonia M. and Casey, Leanne M. (2017) The Therapy Attitudes and Process Questionnaire: a brief measure of factors related to psychotherapy appointment attendance. The Patient: Patient Centered Outcomes Research, 10 (2). pp. 237-250. ISSN 1178-1653

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Patient non-attendance and dropout remains problematic in mental health settings. The theory of planned behavior (TPB) has proven useful in understanding such challenges in a variety of healthcare settings, but the absence of an adequate measure in mental health has hampered research in this area.

The aim of the current study was to develop and conduct an initial psychometric investigation of a brief measure, the Therapy Attitudes and Process Questionnaire (TAP), utilizing the TPB to understand factors associated with attendance in mental health settings.

We used a quantitative survey-based design and administered the TAP to 178 adult participants who were engaged in individual or group psychotherapy. A subsample also provided data to assess validity and reliability.

A four-factor solution was revealed through exploratory factor analysis and accounted for approximately 75 % of the variance in scores. Factors corresponded to those predicted by the TPB. Analyses supported the reliability, validity, and internal consistency of the measure.

Results suggest that the TAP may be a useful tool for examining patients’ attitudes and beliefs about attending psychotherapy appointments. The TAP can be used to better understand patients’ intentions, attitudes, perceptions of behavioral control, and subjective norms relating to psychotherapy attendance. This understanding may facilitate improved outcomes for patients and clinicians.

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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: © Springer International Publishing Switzerland 2016. Submitted version deposited in accordance with the copyright policy of the publisher.
Faculty/School / Institute/Centre: Current - Institute for Resilient Regions
Faculty/School / Institute/Centre: Current - Institute for Resilient Regions
Date Deposited: 28 Feb 2017 03:57
Last Modified: 24 Nov 2020 04:32
Uncontrolled Keywords: Theory of Planned Behaviour, appointment attendance, dropout, adherence, mental health; psychotherapy
Fields of Research (2008): 17 Psychology and Cognitive Sciences > 1701 Psychology > 170106 Health, Clinical and Counselling Psychology
11 Medical and Health Sciences > 1117 Public Health and Health Services > 111714 Mental Health
Fields of Research (2020): 52 PSYCHOLOGY > 5203 Clinical and health psychology > 520399 Clinical and health psychology not elsewhere classified
42 HEALTH SCIENCES > 4203 Health services and systems > 420313 Mental health services
Socio-Economic Objectives (2008): C Society > 92 Health > 9204 Public Health (excl. Specific Population Health) > 920410 Mental Health
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