Service Users’ Perceptions About Their Hospital Admission Elicited by Service User–Researchers or by Clinicians

Abstract

OBJECTIVE Service users may express positive, ambivalent, or negative views of their hospital admission. The objective of this study was to determine whether the background of the interviewer-service user-researcher or clinician-influences the information elicited. The primary outcome was the level of perceived coercion on admission, and secondary outcomes were perceived pressures on admission, procedural justice, perceived necessity for admission, satisfaction with services, and willingness to consent to participate in the study. METHODS Participants voluntarily and involuntarily admitted to three hospitals in Ireland were randomly allocated to be interviewed at hospital discharge by either a service user-researcher or a clinician. Interviewers used the MacArthur Admission Experience Survey and the Client Satisfaction Questionnaire. RESULTS A total of 161 participants were interviewed. No differences by interviewer status or by admission status (involuntary or voluntary) were found in levels of perceived coercion, perceived pressures, procedural justice, perceived necessity, or satisfaction with services. Service users were more likely to decline to participate if their consent was sought by a service user-researcher (24% versus 8%, p=.003). CONCLUSIONS Most interviewees gave positive accounts of their admission regardless of interviewer status. The findings indicate that clinicians and researchers can be more confident that service users' positive accounts of admissions are not attributable to a response bias. Researchers can also feel more confident in directly comparing the results of studies undertaken by clinicians and by service user-researchers.

Service user's actual involvement in mental health research practices: A scoping review

“…), and questionnaires and surveys were conducted by a user‐researcher with low risk of response bias (O'Donoghue et al . ). This exemplified that user‐researchers were sometimes expected to contribute by taking up the same research tasks as the academic researchers rather than ‘just’ drawing actively on their particular lived experience.…”

“…; Kim ; O'Donoghue et al . ), and by preparing interviews with support provided individually or in groups (Gillard et al . ,b, ,b; Hutchinson & Lovell ; Morrell‐Bellai & Boydell ).…”

The Therapeutic Relationship After Psychiatric Admission

“…Full results of this component of the study are currently in press (O'Donoghue et al, 2013). Full results of this component of the study are currently in press (O'Donoghue et al, 2013).…”

Service Users' Experiences of Voluntary Admission to Mental Hospital: A Review of Research Literature

“…High levels of perceived coercion were correlated in a number of studies with experiences of threats, force and having a poor relationship with others involved in the admission process Iversen Anestis et al, 2013;Bennett et al, 1993;Bindman et al, 2005;Bonsack and Borgeat, 2005;Cascardi and Poythress, 1997;Eriksson and Westrin, 1995;Fiorillo et al, 2012;Gardner et al, 1999;Gilburt et al, 2008;Haglund and von Essen, 2005;Hoge et al, 1993Hoge et al, , 1997Hoge et al, , 1998Iversen et al, 2002;Kallert et al, 2011;Kaltiala-Heino et al, 1997;Katsakou et al, 2011;Kjellin et al, 1993Kjellin et al, , 1997Kjellin et al, , 2004Kjellin et al, , 2006Koivisto, Janhonen, and Vaisanen, 2004;Lidz et al, 1995Lidz et al, , 1998Lidz et al, , 2000Lidz, Mulvey, Arnold, Bennett, and Kirsch, 1993;Lomax et al, 2012;McKenna et al, 1999McKenna et al, , 2001Miedema and Stoppard, 1994;Nicholson et al, 1996;O'Donoghue, Roche, Ranieri et al, 2013;Poulsen, 1999Poulsen, , 2002Poulsen and Engberg, 2001;Rogers, 1993;Seigel, Wallsten, Torsteinsdottir, and Lindstr€ om, 1997;Shee...…”

“…Informed consent Bennett et al, 1993;Kjellin et al, 1993Kjellin et al, , 2004Rogers, 1993;Sugarman and Moss, 1994;Wallsten and Kjellin, 2004. Knowledge of rights Kjellin et al, 2004Kjellin et al, , 2006Lomax et al, 2012;McKenna et al, 2001;Sørgaard, 2007;Sugarman and Moss, 1994;Tuohimaki et al, 2001;Lindstr€ om, 2006. et al, 2002;Lidz et al, 1995Lidz et al, , 1998McKenna, Simpson, & Laidlaw, 1999;O'Donoghue, Roche, Ranieri et al, 2013;Sheehan & Burns, 2011). Many of these studies used the AES and therefore were unable to give qualitative detail about the nature of the coercive incidents reported.…”