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Table 3 staged intervention program based on theoretical model and empirically validated methods

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

Treatment Stage Stage I Stage II Stage III
Goal in intervention program - Alternative understanding of patient's behaviour
- Optimization of working alliance
Clarification of and agreement over goals and tasks Improvement of psychiatric and social functioning
Understanding from theoretical model - Non-blaming attribution of behaviour by clinician increases chances of positive working alliance
- Mutual clarification of expectations increases chances of mutually supported conceptualization of sick role
Active and mutual goal-setting by clinician and patient improve chances of patient's positive attribution and restoration of professional's belief in treatment Practical and real help improves chances of patient's effective illness behaviour and professionals' effective behaviour
Empirically validated method Team supervision & monitoring through feedback and report forms Relationship management & motivational interviewing Motivational interviewing & shared-decision making Clinical case management & behavioural analysis