Use of the BATHE method in the preanesthetic clinic visit

Samuel Demaria, Anthony P. Demaria, George Silvay, Brigid C. Flynn

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


BACKGROUND: In the primary care setting, use of the BATHE (Background, Affect, Trouble, Handling, and Empathy) method of interviewing has been shown to increase patient satisfaction. This technique is a brief psychotherapeutic method used to address patients' physical and psychosocial problems. The BATHE technique has not been evaluated in the perioperative setting as a way of improving patient satisfaction. In this study, we sought to determine whether satisfaction could be enhanced by use of the BATHE technique during the preoperative evaluation by anesthesiologists. METHODS: Fifty cardiac and 50 general surgery patients were interviewed in the preanesthesia clinic (PAC) of an academic hospital. They were randomly enrolled in the BATHE group or the control group and asked to complete an anonymous satisfaction survey after their visit. This survey was modified from current studies and not validated elsewhere. The relative influence of the BATHE condition was examined as it pertained to interview duration, patient satisfaction, and patient report of the BATHE items being asked. RESULTS: Ninety-two percent of patients approached by the study group voluntarily enrolled. Patients interviewed using the BATHE method reported being asked about all BATHE questions significantly more often than control patients: t(98) = 19.10, P = 0.001 (95% confidence interval [CI] = 2.59, 3.20). Patients in the BATHE group were more satisfied with their visit to the PAC than those in the control group: t(98) = 5.37, P = 0.001 (95% CI = 0.19, 0.41). The use of the BATHE method did not significantly increase the amount of time physicians spent evaluating patients: t(98) = 0.110, P = 0.912 (95% CI = -1.519, 1.359). CONCLUSIONS: Use of the BATHE method in an academic medical center's cardiac and general PAC showed promising results in this preliminary study. A validated and fully developed survey instrument is needed before we can convincingly conclude that the BATHE method is an effective way of improving patient satisfaction.

Original languageEnglish
Pages (from-to)1020-1026
Number of pages7
JournalAnesthesia and Analgesia
Issue number5
StatePublished - Nov 2011


Dive into the research topics of 'Use of the BATHE method in the preanesthetic clinic visit'. Together they form a unique fingerprint.

Cite this