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Using Psychoeducation and Role Induction to Improve Completion Rates in Cognitive Behavioural Therapy

Published online by Cambridge University Press:  23 February 2017

Jaime Delgadillo  and
Martin Groom
Jaime Delgadillo*
Affiliation:
Clinical Psychology Unit, University of Sheffield, Western Bank, Sheffield S10 2TN, UK
Martin Groom
Affiliation:
Leeds Community Healthcare NHS Trust, Leeds IAPT, Burmantofts Health Centre, Cromwell Mount, Leeds LS9 7TA, UK
*
Correspondence to Jaime Delgadillo, Clinical Psychology Unit, University of Sheffield, Western Bank, Sheffield S10 2TN, UK. E-mail: jaime.delgadillo@nhs.net
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Abstract

Background: Pre-treatment role induction interventions have been suggested to potentially enhance attendance and clinical outcomes in psychotherapy. Aims: This study aimed to evaluate the effects of a programme of three transdiagnostic seminars (TDS) for patients with common mental disorders accessing cognitive behavioural therapy (CBT) in primary care. TDS included CBT psychoeducation and role induction. Method: A random sample of patients (n = 49) participated in TDS followed by CBT (TDS+CBT) and they were compared with matched controls (n = 49) accessing usual CBT. TDS participants rated the relevance and quality of this intervention using an acceptability questionnaire (AQ). Treatment completion (vs dropout) rates were compared across groups using chi-square tests. Post-treatment changes in depression (PHQ-9) and anxiety (GAD-7) symptoms were compared between groups using analysis of covariance controlling for potential confounders. Analyses were based on intention-to-treat principles. Results: Mean AQ ratings of the TDS intervention were comparable across diagnostic groups (p = .05). Treatment completion rates were significantly higher (p = .02) in the TDS+CBT group (87.8%) by comparison with usual CBT (68.8%). However, no significant differences in post-treatment symptom changes were found for depression (p = .34) or anxiety measures (p = .71). Conclusions: Incorporating a psychoeducational role induction prior to CBT significantly improved treatment retention, but not overall symptom reductions.

Keywords

Cognitive behavioural therapypsychoeducationrole inductiondepressionanxiety
Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 45 , Issue 2 , March 2017 , pp. 170 - 184
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2017 

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