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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