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Evaluating brief cognitive behavioural therapy within primary care.
- Source :
- Mental Health Review Journal; 2014, Vol. 19 Issue 3, p196-206, 11p
- Publication Year :
- 2014
-
Abstract
- Purpose -- The purpose of this paper is to evaluate the clinical effectiveness of a brief CBT intervention within a primary care adult mental health service. Design/methodology/approach -- In total, 92 participants with mild to moderate mental health difficulties were provided with five sessions of brief CBT. Clinical improvement was measured using the Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM) at pre-treatment, mid-treatment and post- treatment, and on the Beck Depression Inventory-II (BDI-II) at pre-treatment and post-treatment. Findings -- The planned five sessions of CBT were completed by 48.9 percent (n=45) of participants. Treatment completers with full clinical data (n=31) showed large statistically significant improvements on the CORE-OM and BDI-II from pre-therapy to post-therapy. Of treatment completers and non-completers with post-therapy and mid-therapy CORE-OM data, respectively (n=34), 61.8 percent showed reliable and clinically significant change. No statistically significant differences were found between treatment completers (n=45) and non-completers (n=47) in their pre-therapy clinical scores or socio-demographic characteristics. Practical implications -- Brief CBT can be a clinically effective primary care intervention but needs to be implemented in a way that ensures high treatment engagement across a range of service users. Originality/value -- This paper contributes to the evidence base of a primary care psychological intervention and demonstrates the importance of assessing treatment completion when evaluating clinical effectiveness. [ABSTRACT FROM AUTHOR]
- Subjects :
- PRIMARY health care
MENTAL health services evaluation
COGNITIVE therapy
ANALYSIS of variance
CHI-squared test
FISHER exact test
PSYCHOLOGICAL tests
STATISTICS
T-test (Statistics)
DATA analysis
STATISTICAL reliability
TREATMENT effectiveness
PRE-tests & post-tests
REPEATED measures design
TREATMENT duration
DESCRIPTIVE statistics
MANN Whitney U Test
EVALUATION
Subjects
Details
- Language :
- English
- ISSN :
- 13619322
- Volume :
- 19
- Issue :
- 3
- Database :
- Complementary Index
- Journal :
- Mental Health Review Journal
- Publication Type :
- Academic Journal
- Accession number :
- 100735184
- Full Text :
- https://doi.org/10.1108/MHRJ-02-2014-0004