‘I didn’t know what to expect’: Exploring patient perspectives to identify targets for change to improve telephone-delivered psychological interventions

Autor: Christopher J. Armitage, Elinor Hopkin, Charlotte Welsh, Judith Gellatly, Kelly Rushton, Nicky Lidbetter, Peter Bower, Kerry Ardern, Penny Bee, Cintia Faija, Karina Lovell
Jazyk: angličtina
Rok vydání: 2020
Předmět:
lcsh:RC435-571
Applied psychology
Psychological intervention
Context (language use)
common mental health problems
Interpersonal communication
Anxiety
Psychosocial Intervention
State Medicine
guided self-help
Patient perspective
03 medical and health sciences
IAPT
Guided self-help
0302 clinical medicine
telephone therapy
Intervention (counseling)
lcsh:Psychiatry
medicine
Humans
030212 general & internal medicine
Depression
Common mental health problems
Improving Access to Psychological Therapies
psychological wellbeing practitioner
Cognition
anxiety
patient perspective
Mental health
Self Efficacy
Telephone
030227 psychiatry
Psychological wellbeing practitioner
Psychiatry and Mental health
Telephone therapy
Treatment Outcome
depression
medicine.symptom
Psychology
mental health
Research Article
Zdroj: BMC Psychiatry, Vol 20, Iss 1, Pp 1-13 (2020)
Rushton, K, Ardern, K, Hopkin, E, Welsh, C, Gellatly, J, Faija, C, Armitage, C J, Lidbetter, N, Lovell, K, Bower, P & Bee, P 2020, ' 'I didnt know what to expect' : Exploring patient perspectives to identify targets for change to improve telephone-delivered psychological interventions ', BMC Psychiatry, vol. 20, no. 1, 156, pp. 1-13 . https://doi.org/10.1186/s12888-020-02564-6
Rushton, K, Ardern, K, Hopkin, E, Welsh, C, Gellatly, J, Faija, C, Armitage, C J, Lidbetter, N, Lovell, K, Bower, P & Bee, P 2020, ' ‘I didn’t know what to expect’: Exploring patient perspectives to identify targets for change to improve telephone-delivered psychological interventions ', BMC Psychiatry . https://doi.org/10.1186/s12888-020-02564-6
BMC Psychiatry
DOI: 10.1186/s12888-020-02564-6
Popis: Background Remote delivery of psychological interventions to meet growing demand has been increasing worldwide. Telephone-delivered psychological treatment has been shown to be equally effective and as satisfactory to patients as face-to-face treatment. Despite robust research evidence, however, obstacles remain to the acceptance of telephone-delivered treatment in practice. This study aimed to explore those issues using a phenomenological approach from a patient perspective to identify areas for change in current provision through the use of theoretically based acceptability and behaviour change frameworks. Methods Twenty-eight semi-structured interviews with patients experiencing symptoms of common mental health problems, waiting, receiving or having recently received telephone-delivered psychological treatment via the UK National Health Service’s Improving Access to Psychological Therapies (IAPT) programme. Interviews were recorded, transcribed verbatim, and analysed using the Theoretical Domains Framework (TDF) and Theoretical Framework of Acceptability (TFA). Results The majority of data clustered within five key domains of the TDF (knowledge, skills, cognitive and interpersonal, environmental context and resources, beliefs about capabilities, beliefs about consequences) and mapped to all constructs of the TFA (affective attitude, ethicality, intervention coherence, self-efficacy, burden, opportunity costs, and perceived effectiveness). Themes highlighted that early stages of treatment can be affected by lack of patient knowledge and understanding, reservations about treatment efficacy, and practical obstacles such as absent non-verbal communication, which is deemed important in the development of therapeutic alliance. Yet post-treatment, patients can reflect more positively, and report gaining benefit from treatment. However, despite this, many patients say that if they were to return for future treatment, they would choose to see a practitioner face-to-face. Conclusions Using a combination of theoretically underpinned models has allowed the identification of key targets for change. Addressing knowledge deficits to shift attitudes, highlighting the merits of telephone delivered treatment and addressing skills and practical issues may increase acceptability of, and engagement with, telephone-delivered treatment.
Databáze: OpenAIRE
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