Mental health Mental and Behavioural Disorders
Conditions
Interventions
DESIGN:
This study is a multi-site mixed-methods evaluation and intervention development project of a new training initiative for IAPT high-intensity therapists focusing on adapting us
Sponsors
University of Exeter
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. UK IAPT services 2. Therapists: High intensity Cognitive Behavioural therapists working within a participating IAPT service, who plan to attend the training workshop 3. Service level outcomes will be examined based on all clients accessing the service during the research study (6 months prior to and post-therapist training), and focusing on those with scores indicating personality difficulties (i.e. 9 and above on the PDS-IC-11 and/or 3 and above on the SAPAS*) Subject to necessary Copywrite permissions. If Permissions cannot be obtained prior to study commencement, services will collect just the PDS-ICD-11.
Exclusion criteria
Exclusion criteria: 1. IAPT services will be excluded if they are unable to implement a measure of personality disturbance as a measure routinely collected at the assessment and treatment end 2. Therapists will be excluded if they do not subsequently take part in the training
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary outcome measures are feasibility and acceptability of training and treatment: Recruitment: 1. Number of IAPT sites recruited, % of eligible therapists attending workshop, % of attending therapists completing pre-and post-surveys, % of attending therapists completing 3-month follow-up surveys Acceptability: 1. Clinical outcomes data completion (% clients receiving routine care during the study with sufficient data for inclusion in secondary analyses) measured using at least two occasions of a measure of depression (PHQ-9) and anxiety (GAD-7) symptoms, and at least one measure of personality difficulties (SAPAS-SR) 2. Proof of concept: 2.1. Therapist attitudes measured using a bespoke attitudinal questionnaire (5 items on a 5-point Likert scale from strongly disagree to strongly agree) pre-, post- and 3-months after the training workshop 2.2. Quantitative workshop feedback measured using a bespoke 4-item questionnaire on a 5-point Likert scale from strongly disagree to strongly agree post-workshop | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Therapist well-being measured using the adjusted short Warwick-Edinburgh Mental Wellbeing Scale (SWEMWBS) pre-, post- and 3-months after the training workshop 2. Therapist burnout measured using the Sussex Burnout Scale (SBS) measured pre-workshop at 3 months follow-up 3. Therapist presentee and absenteeism measured using the Presenteeism and Absenteeism questionnaire 3-item self-report questionnaire capturing the frequency of difficulties over the past month at pre-workshop and 3 months follow-up 4. Client clinical outcomes: 4.1. Depression symptoms measured using the Patient Health Questionnaire (PHQ-9) at the first and last treatment sessions 4.2. Anxiety symptoms measured using the Generalised Anxiety Disorder scale (GAD-7) at the first and last treatment sessions 4.3. Work and social functioning measured using the Work and Social Adjustment scale (WSAS) at the first and last treatment sessions 4.4. Personality difficulties measured using the Standardised Assessment of Personality – Abbreviated scale (self-report version) (SAPAS-SR) at the first treatment session/instance recorded in clinical notes | — |
Countries
England, United Kingdom
Outcome results
None listed