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Table 2 Matrix of intervention objectives for each target group

From: Development of an intervention program to increase effective behaviours by patients and clinicians in psychiatric services: Intervention Mapping study

Target group Determinant (selected) Performance objectives Change objectives
Patient & Social system Unusual help-seeking style - Patient decides to negotiate expectations with clinician
- Patient and professional reach or maintain a positive working alliance
- Decides to accept increased autonomy offered by mental health care professionals
- Uses this autonomy to discuss treatment form and content with professional
Professional Professional pessimism - Professional expresses a neutral view on behaviour, disorder and treatment results of his/her patients
- Professional and patient reach or maintain a positive working alliance
- Decides to consider own view of patient's behaviour, disorder and treatment results as partly responsible for ineffective chronic illness behaviour.
- Decides to follow training and supervision on how to look at patient behaviour more neutrally.
- Actively participates in supervision meetings on this subject. Supports colleagues in using such skills
Psychiatric service/Psychiatric profession Lack of view on problems - Service or treatment team expresses a coherent view on the treatment of non-psychotic chronic patients - Develops and endorses a view of chronicity of non-psychotic patients as partly caused by mental health care itself
- Offers training and supervision to increase professionals' skills and attitudes
- Enables regular evaluative meetings of skills of professionals and effects on patients
- Enables supervision meetings for professionals to offer mutual support and further development of a mutually shared view