Patient experience of guided self-help CBT intervention for VoicEs (GiVE) delivered within a pilot randomized controlled trial

Hazell, Cassie M, Kelly, Orla, O’Brien, Sorcha, Strauss, Clara, Cavanagh, Kate and Hayward, Mark (2020) Patient experience of guided self-help CBT intervention for VoicEs (GiVE) delivered within a pilot randomized controlled trial. The Cognitive Behaviour Therapist, 13. e40. ISSN 1754-470X

[img] PDF - Accepted Version
Download (180kB)

Abstract

Access to cognitive behaviour therapy for those with psychosis (CBTp) remains poor. The most frequently endorsed barrier to implementation is a lack of resources. To improve access to CBTp, we developed a brief form of CBTp that specifically targets voice-related distress. The results of our pilot trial of guided self-help CBT for voices (GiVE) suggest that the therapy is both acceptable and beneficial. The present study aims to explore the subjective patient experience of accessing GiVE in the context of a trial. We interviewed nine trial participants using the Change Interview and a mixed methods approach. Most participants reported at least one positive change that they attributed to GiVE. We extracted five themes: (1) changes that I have noticed; (2) I am not alone; (3) positive therapy experiences; (4) I want more therapy; and (5) helping myself. The themes indicate that participating in the GiVE trial was generally a positive experience. The main areas in which participants experienced changes were improved self-esteem, and the ability to cope with voices. Positive changes were facilitated by embracing and enacting ‘self-help’ and having support both in and out of the therapy sessions. The findings support the use of self-help materials with those distressed by hearing voices, but that support both within and outside the clinical setting can aid engagement and outcomes. Overall, the findings support the continued investigation of GiVE.

Item Type: Article
Schools and Departments: School of Psychology > Psychology
SWORD Depositor: Mx Elements Account
Depositing User: Mx Elements Account
Date Deposited: 28 Aug 2020 09:19
Last Modified: 16 Nov 2020 10:45
URI: http://sro.sussex.ac.uk/id/eprint/93355

View download statistics for this item

📧 Request an update