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Measuring adherence in social recovery therapy with people with first episode psychosis
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Lowen, Christine, Hodgekins, Jo, Pugh, Katherine, Berry, Clio, Fitzsimmons, Mike, French, Paul, Sacadura, Catarina, Birchwood, Max, Jackson, Chris, Baggott, Eleanor, Bernard, Mark and Fowler, David (2020) Measuring adherence in social recovery therapy with people with first episode psychosis. Behavioural and Cognitive Psychotherapy, 48 (1). pp. 82-90. doi:10.1017/S1352465819000432 ISSN 1352-4658.
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Official URL: https://doi.org/10.1017/S1352465819000432
Abstract
The SUPEREDEN3 study, a phase II randomized controlled trial, suggests that social recovery therapy (SRT) is useful in improving functional outcomes in people with first episode psychosis. SRT incorporates cognitive behavioural therapy (CBT) techniques with case management and employment support, and therefore has a different emphasis to traditional CBT for psychosis, requiring a new adherence tool. This paper describes the SRT adherence checklist and content of the therapy delivered in the SUPEREDEN3 trial, outlining the frequency of SRT techniques and proportion of participants who received a full therapy dose. It was hypothesized that behavioural techniques would be used frequently, consistent with the behavioural emphasis of SRT. Research therapists completed an adherence checklist after each therapy session, endorsing elements of SRT present. Data from 1236 therapy sessions were reviewed to Background:
The SUPEREDEN3 study, a phase II randomized controlled trial, suggests that social recovery therapy (SRT) is useful in improving functional outcomes in people with first episode psychosis. SRT incorporates cognitive behavioural therapy (CBT) techniques with case management and employment support, and therefore has a different emphasis to traditional CBT for psychosis, requiring a new adherence tool.
Aims:
This paper describes the SRT adherence checklist and content of the therapy delivered in the SUPEREDEN3 trial, outlining the frequency of SRT techniques and proportion of participants who received a full therapy dose. It was hypothesized that behavioural techniques would be used frequently, consistent with the behavioural emphasis of SRT.
Method:
Research therapists completed an adherence checklist after each therapy session, endorsing elements of SRT present. Data from 1236 therapy sessions were reviewed to determine whether participants received full, partial or no therapy dose.
Results:
Of the 75 participants randomized to receive SRT, 57.3% received a full dose, 24% a partial dose, and 18.7% received no dose. Behavioural techniques were endorsed in 50.5% of sessions, with cognitive techniques endorsed in 34.9% of sessions.
Conclusions:
This report describes an adherence checklist which should be used when delivering SRT in both research and clinical practice. As hypothesized, behavioural techniques were a prominent feature of the SRT delivered in SUPEREDEN3, consistent with the behavioural emphasis of the approach. The use of this adherence tool would be considered essential for anyone delivering SRT looking to ensure adherence to the model.
| Item Type: | Journal Article | ||||||||
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| Subjects: | R Medicine > R Medicine (General) R Medicine > RC Internal medicine |
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| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| SWORD Depositor: | Library Publications Router | ||||||||
| Library of Congress Subject Headings (LCSH): | Psychoses -- Treatment, Cognitive therapy, Patient compliance | ||||||||
| Journal or Publication Title: | Behavioural and Cognitive Psychotherapy | ||||||||
| Publisher: | Cambridge University Press | ||||||||
| ISSN: | 1352-4658 | ||||||||
| Official Date: | January 2020 | ||||||||
| Dates: |
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| Volume: | 48 | ||||||||
| Number: | 1 | ||||||||
| Page Range: | pp. 82-90 | ||||||||
| DOI: | 10.1017/S1352465819000432 | ||||||||
| Status: | Peer Reviewed | ||||||||
| Publication Status: | Published | ||||||||
| Reuse Statement (publisher, data, author rights): | This article has been published in a revised form in Behavioural and Cognitive Psychotherapy, https://doi.org/10.1017/S1352465819000432. This version is free to view and download for private research and study only. Not for re-distribution, re-sale or use in derivative works. © copyright holder. | ||||||||
| Access rights to Published version: | Restricted or Subscription Access | ||||||||
| Copyright Holders: | © British Association for Behavioural and Cognitive Psychotherapies 2019 | ||||||||
| Date of first compliant deposit: | 20 November 2019 | ||||||||
| RIOXX Funder/Project Grant: |
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