Client/therapist views of CBT in ID services
Research type
Research Study
Full title
Key events in Cognitive Behavioural Therapy from the perspective of clients with Intellectual Disabilities and therapists.
IRAS ID
166713
Contact name
Laura Surley
Contact email
Sponsor organisation
Northumberland, Tyne and Wear NHS Foundation Trust
Duration of Study in the UK
1 years, 7 months, 30 days
Research summary
The term ‘therapeutic disdain’ has been used to describe an historical reluctance to work therapeutically with people with Intellectual Disabilities (Bender, 1993). It is now acknowledged that people with Intellectual Disabilities have the right to access, and the ability to engage in and benefit from, Cognitive Behavioural interventions (Taylor et al., 2008), but there is little evidence regarding how best to deliver therapy to people with Intellectual Disabilities (Willner, 2005). There is clearly a need for further development of the evidence base for effectiveness, adaptations and process. This study aims to contribute to the evidence base by replicating and extending a study by Burford et al., (2012) which asked clients with Intellectual Disabilities about their therapy experiences. This study will extend the Burford study by exploring both the experiences of clients with Intellectual Disabilities who access Cognitive Behavioural Therapy and therapists who deliver it.
In this study client/therapist pairs will be recruited from NHS Intellectual Disability services, resulting in a client group and a therapist group. A routine Cognitive Behavioural Therapy session will be recorded, then clients and therapists will separately review a 20 minute section of the same recording with the researcher. The review will follow the Burford Reviewing Process protocol, whereby participants are first asked to watch the recording and indicate when something interesting/important happens. Once all interesting/important points have been identified the researcher will rewind the recording, replaying each point of interest as many times as the participant wishes. The participant will be asked to describe why this particular section is interesting/important to them. Participants will then be asked to make general comments regarding the recording. Review sessions will be audio recorded, then transcribed and analysed using thematic analysis. The Burford Reviewing Process protocol was successfully used by Burford et al., (2012) with adults with Intellectual Disabilities.
REC name
North East - Newcastle & North Tyneside 2 Research Ethics Committee
REC reference
15/NE/0047
Date of REC Opinion
12 Mar 2015
REC opinion
Further Information Favourable Opinion