ArticleBMC health services research2020
Routine measurement of satisfaction with life and treatment aspects in mental health patients - the DIALOG scale in East London.
Article in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 28 citations in OpenAlex.
- Article
- Advance directives as a care planning tool for patients with complex mental health needs: service evaluation.BJPsych bulletin · 2026Article
- Developing clinical informatics to support direct care and population health management: the VIEWER story.BMJ health & care informatics · 2025Article
- The effectiveness of a solution-focused approach (DIALOG+) for patients with severe mental illness and epilepsy in Uganda: A randomised controlled trial.Psychiatry research communications · 2023Article
- The Peterborough Exemplar: a protocol to evaluate the impact and implementation of a new patient-centred, system-wide community mental healthcare model in England.Health research policy and systems · 2022Article
- Patient satisfaction with mental and physical health services: Findings from a UK-wide online survey.Wellcome open research · 2022Article
- Needs and Experiences in Psychiatric Treatment (NEPT)- Piloting a Collaboratively Generated, Initial Research Tool to Evaluate Cross-Sectoral Mental Health Services.Frontiers in psychiatry · 2022Article
- Implementing psychosocial interventions within low and middle-income countries to improve community-based care for people with psychosis-A situation analysis.Frontiers in psychiatry · 2022Article
- What Works, for Whom, in What Circumstances and Why, When Integrating Voluntary and Statutory Community Mental Health Services: A Realist Evaluation Case Study.International journal of integrated careArticle
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
Abstract
aimsThe DIALOG scale has been implemented as a routine patient outcome and experience measure (PROM/PREM) in a mental health trust in East London since 2017. The resulting healthcare dataset was used to estimate satisfaction with life and treatment aspects over time and factors associated with it.
methodsVariables available from the Trust were DIALOG items, service level, clinical and basic demographic data. Data was extracted in February 2019. Data is described using a range of descriptive statistics and looking at the subgroups: treatment stage, diagnosis, service type. Predictors for average DIALOG scores across patients was explored with clustered linear regression models. A fixed effect model was chosen to estimate the impact of clinical and service related variables on patient's average DIALOG scores over time. Sensitivity analyses with the whole data set and complete cases were carried out.
resultsOf the original 18,481 DIALOG records 12, 592 were kept after data cleaning (5646 patients). The average DIALOG score was 4.8 (SD 1.0) on the 7-point scale. Average satisfaction with life aspects (PROM) was 4.65 (SD 1.1) and with treatment aspects (PREM) was 5.25 (SD 1.17). Across all 11 items, "job situation" scored lowest (mean 4.05) and "meetings with professionals" highest (mean 5.5). Satisfaction for all items increased over time (average increase 0.47). The largest increase was in "mental health" (0.94) and the smallest in "family relationships" (0.34).
conclusionsPatients in mental healthcare services were "fairly satisfied" in both life and treatment aspects with improvements seen over time. These results will act as a benchmark for clinical services currently implementing DIALOG across the UK and inform local service developments.
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