2-COM: An instrument to facilitate patient-professional communication in routine clinical practice

J. Van Os, A. C. Altamura, J. Bobes, D. C. Owens, J. Gerlach, J. S E Hellewell, S. Kasper, D. Naber, N. Tarrier, P. Robert

Research output: Contribution to journalArticlepeer-review


Objective: A simple patient-completed self-report instrument may facilitate patient-professional carer communication. Method: A 19-item self-report needs schedule was used in a sample of 243 out-patients with non-affective psychosis. Patients and professional carers commented on the usefulness of the instrument. In a subgroup of 95 patient-carer dyads, the professional carer was asked to rate the needs in addition to the patient. Results: Patients scored their needs reliably and lower than the professionals (OR = 0.9, 95% CI: 0.9, 0.97). Concordance between patients and professional carers on individual needs was very low. More than 50% of the professional carers and more than 80% of the patients found 2-COM useful. The higher the number of needs indicated by the patient, the greater the discrepancy between patients and professional carers with regard to the usefulness of the schedule. Conclusion: 2-COM is a useful instrument to expose, and subsequently bridge, patient-professional carer discordance on patient needs.

Original languageEnglish
Pages (from-to)446-452
Number of pages7
JournalActa Psychiatrica Scandinavica
Issue number6
Publication statusPublished - Dec 1 2002


  • Communication
  • Needs
  • Schizophrenia

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Neuroscience(all)


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