An exploratory analysis of the physical health DIALOG outcome measure within a UK Mental Health and Learning Disability NHS Trust

Purpose This study aims to explore and investigate the patient-reported outcome and experience measure (DIALOG) with respect to physical health of service users under the care of a Mental Health and Learning Disabilities National Health Service trust. Design/methodology/approach Three exploratory statistical analyses (paired samples t -test, a logistic regression on changing from unsatisfied to satisfied and a logistic regression on improving by at least one DIALOG score) were conducted on physical health DIALOG scores ( n = 3,077). Findings The mean score for the DIALOG physical health question increased from 3.28 to 3.43 whilst under the care of secondary care mental health services. Service users living in deprived areas were 35% (OR 0.65, CI [0.45, 0.95]) less likely to be satisfied with their physical health. Service users recorded as long-term sick or disabled were 60% (OR 0.40, CI [0.25, 0.63]) less likely to be satisfied with their physical health. Service users who had not had a physical health assessment were 57% (OR 0.43, CI [0.23, 0.79]) less likely to be satisfied with their physical health. Originality/value The routine collection of patient-reported outcome measures and patient-reported experience measures in the UK mental health setting is in its infancy with currently little analysis of data taking place; therefore, this exploratory study generates several discussion points.