Uptake and implementation of CBT for psychosis: Phase 1
Research type
Research Study
Full title
Developing the evidence base to improve implementation and uptake of CBT for psychosis: Phase 1- Exploring service user and clinician perspectives in the South East and London
IRAS ID
170769
Contact name
Kathryn Greenwood
Contact email
Sponsor organisation
Sussex Partnership NHS Foundation Trust
Duration of Study in the UK
2 years, 9 months, 0 days
Research summary
Psychosis affects over 600,000 people in the UK, many of whom have recurring persistent symptoms, despite medication. Symptoms include beliefs that people are conspiring against you (persecutory delusions) or hearing voices that are critical, abusive or command you to do unpleasant or harmful things (auditory hallucinations). The distress caused and the impact on day-to-day function can lead to hospitalisation and poor quality of life. Currently Cognitive Behavioural Therapy for psychosis (CBTp) is the only recommended individual talking therapy. CBTp can help people manage these distressing experiences by changing the way they think and behave, leading to improved recovery and quality of life. However, 94% of NHS Trusts struggle to deliver it and fewer than 20% of patients receive it because of barriers like lack of knowledge about what CBTp is and does, pessimism about whether it works, strong medical beliefs and a lack of hope and confidence in the ability to cope and change.
This study aims
(i) To understand more about the knowledge, beliefs and behaviours of clinicians and
service-users towards CBTp, and
(ii) To develop questionnaires to assess these personal barriers and facilitators, and
(iii) To use these questionnaires with a large sample of service users and clinicians to clarify problems needing to be addressed by interventions.We will conduct interviews with service users and clinicians who are positive and ambivalent/negative towards CBT for psychosis to determine the knowledge and attitudes that influence uptake and implementation and reach agreement on the questionnaire content. Then, we will ask 200 service users, and 200 clinicians to complete the questionnaire to determine the biggest barriers and facilitators to uptake and implementation.
It is anticipated that clinicians and service users will be more empowered and that the questionnaires will raise awareness regarding personal barriers towards CBTp, which may in itself lead to behaviour change.
REC name
London - Dulwich Research Ethics Committee
REC reference
15/LO/0041
Date of REC Opinion
5 Mar 2015
REC opinion
Further Information Favourable Opinion