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Influences upon attendance at out-patient facilities – the contribution of linear-logistic modelling

Published online by Cambridge University Press:  09 July 2009

Linda Dowdney*
Affiliation:
Departments of Clinical Psychology and Biostatistics and Computing, Institute of Psychiatry, London; Department of Clinical Psychology, Warneford Hospital, Oxford
Christina Rogers
Affiliation:
Departments of Clinical Psychology and Biostatistics and Computing, Institute of Psychiatry, London; Department of Clinical Psychology, Warneford Hospital, Oxford
Graham Dunn
Affiliation:
Departments of Clinical Psychology and Biostatistics and Computing, Institute of Psychiatry, London; Department of Clinical Psychology, Warneford Hospital, Oxford
*
1Address for correspondence: Dr Linda Dowdney, Department of Clinical Psychology, Institute of Psychiatry, De Crespigny Park, London SE5 8AF.

Synopsis

The research on attendance at out-patient psychiatric facilities has produced conflicting evidence that provides little guidance for the practitioner. It is suggested that inadequate data exploration could explain some of the discrepant findings. Analyses of multi-way tables using linear–logistic models were undertaken to demonstrate patterns of association that cannot be revealed through the use of simple chi-square tests on two-way contingency tables. The variables chosen for these analyses were those that have produced conflicting findings in the literature on children's attendance at child guidance facilities.

Type
Original Articles
Copyright
Copyright © Cambridge University Press 1993

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References

REFERENCES

Baekeland, F. & Lundwall, L. (1975). Dropping out of treatment: a critical review. Psychological Bulletin 82, 738783.CrossRefGoogle ScholarPubMed
Cottrell, D., Hill, P., Walk, D., Dearnaley, J. & Ierotheou, A. (1988). Factors influencing non-attendance at child psychiatry out-patient appointments. British Journal of Psychiatry 152, 201214.CrossRefGoogle ScholarPubMed
Dunn, G. (1981). The role of linear models in psychiatric epidemiology. Psychological Medicine 11, 179184.CrossRefGoogle ScholarPubMed
Dunn, G. (1987). Epidemiological methods in psychiatry. Practical Reviews in Psychiatry, Series 2, No. 3, 10–11.Google Scholar
Everitt, B. S. & Dunn, G. (1983). Advanced Methods of Data Exploration and Modelling. Heinemann: London.Google Scholar
Everitt, B. S. & Dunn, G. (1991). Applied Multivariate Data Analysis. Arnold: London.Google Scholar
Ewalt, P. L., Cohen, M. & Harmatz, J. S. (1972). Prediction of treatment acceptance by child guidance clinic applicants: an easily applied instrument. American Journal of Orthopsychiatry 42, 857864.CrossRefGoogle ScholarPubMed
Fleiss, J. L., Williams, J. B. W. & Dubro, A. F. (1986). The logistic regression analysis of psychiatric data. Journal of Psychiatric Research 20, 195209.Google Scholar
Gardner, M. & Altman, D. G. (1989). Statistics with Confidence. BMJ: London.Google Scholar
Garfield, S. L. (1978). Research on client variables in psychotherapy. In Handbook of Psychotherapy and Behaviour Change (ed. Garfield, S. and Bergin, A. E.). Wiley.Google Scholar
Gould, M. S., Shaffer, D. & Kaplan, D. (1985). The characteristics of dropouts from a child psychiatry clinic. Journal of the American Academy of Child Psychiatry 24, 316328.CrossRefGoogle ScholarPubMed
Green, J. A. (1988). Loglinear analysis of cross-classified ordinal data: applications in developmental research. Child Development 59, 125.Google Scholar
Hosmer, D. W. & Lemeshow, S. (1989). Applied Logistic Regression. John Wiley & Sons: New York.Google Scholar
Lefebvre, A., Sommerauer, J., Cohen, N., Waldron, S. & Perry, I. (1983). Where did all the ‘no shows’ go? Canadian Journal of Psychiatry 28, 387390.CrossRefGoogle ScholarPubMed
London Borough of Southwark (1987). Fair Shares? The Southwark Poverty Profile. Available from Research and Planning Department, London Borough of Southwark, Chiltern House, Portland Street, London SE17 2ES.Google Scholar
Nimgaonkar, V. & Farrell, M. (1988). Reasons for non-attendance at a child guidance clinic. Child Care Health and Development 14, 387393.Google Scholar
Rogers, C., Dowdney, L. & Dunn, G. (1992). Influences on attendance and attrition at an inner city child guidance centre. Submitted for publication.Google Scholar
Royal Statistical Society (1986). Generalized Linear Interactive Modelling. GLIM Version 3.77. Royal Statistical Society: London.Google Scholar
Singh, HJanes, C. L. & Schechtman, J. M. (1982). Problem children's treatment attrition and parents' perception of the diagnostic evaluation. Journal of Psychiatric Treatment Evaluation 4, 257263.Google Scholar
Stern, G., Cottrell, D. & Holmes, J. (1990). Patterns of attendance of child psychiatry out-patients with special reference to Asian families. British Journal of Psychiatry 156, 384387.Google Scholar