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Predictors of IAPT psychological well-being practitioners’ intention to use CBT self-help materials routinely in their clinical practice

Part of: Low Intensity CBT

Published online by Cambridge University Press:  01 June 2016

Michelle A. Levy ,
Sue Holttum ,
Jemima Dooley  and
Margo Ononaiye
Michelle A. Levy*
Affiliation:
Canterbury Christ Church University (Salomons Campus), Applied Psychology, Southborough, Kent, UK
Sue Holttum
Affiliation:
Canterbury Christ Church University (Salomons Campus), Applied Psychology, Southborough, Kent, UK
Jemima Dooley
Affiliation:
University of Exeter Medical School, St Luke's Campus, Exeter, Devon, UK
Margo Ononaiye
Affiliation:
Faculty of Medicine and Health Sciences, University of East Anglia, Norwich, Norfolk, UK
*
*Author for correspondence: Dr M. A. Levy, Canterbury Christ Church University (Salomons Campus), Applied Psychology, Southborough, Kent, UK. (email: janubian@lineone.net).
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Abstract

Despite efficacy and effectiveness evidence, and recommendations from the National Institute for Health and Care Excellence (NICE), use of CBT self-help materials remains inconsistent in UK mental health services. Since 2006, the Improving Access to Psychological Therapies (IAPT) programme has provided standardized training and mandates routine use of CBT self-help materials by their trainee psychological well-being practitioners (PWPs). This study tested whether the main constructs of the theory of planned behaviour (TPB; attitudes, subjective norms, and perceived behavioural control), past use, prior training and demographic characteristics, would predict PWPs’ intention to use self-help materials routinely in their clinical practice. Stage 1 utilized a standardized procedure to create measures for the constructs of TPB, before the design and testing of a web-based, cross-sectional questionnaire. In stage 2, the questionnaire was administered to a convenience sample of trainee PWPs (n = 94). Data was analysed using multiple linear regression, mediation analyses, and content analysis. TPB constructs predicted intention to use self-help materials, with only direct attitude contributing significantly to 70% of the variance in intention. Past use of materials predicted intention, via direct and indirect mediation. Qualitative data from 43 trainees highlighted clients’ experience of self-help materials as positive, albeit with some practical constraints. The results suggest that the main constructs of TPB have some utility in predicting trainee PWPs’ intention to use self-help materials routinely. Future prospective, longitudinal research could investigate actual use of self-help materials to elucidate cognitive factors involved in trainees’ clinical decision-making post-qualification.

Keywords

CBTpsychological therapiesself-helpstatistical mediation
Type
Original Research
Information
the Cognitive Behaviour Therapist , Volume 9 , 2016 , e11
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2016 

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References

Recommended follow-up reading

Altsona, C, Loewenthal, D, Gaitanidisa, A, Thomasa, R (2014). What are the perceived implications, if any, for non-IAPT therapists working in an IAPT service? British Journal of Guidance and Counselling 42, 1–14.Google Scholar
Cairns, M (2014). Patients who come back: clinical characteristics and service outcome for patients re-referred to an IAPT service. Counselling and Psychotherapy Research: Linking Research with Practice 14, 48–55.Google Scholar
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Gyani, A, Pumphrey, N, Parker, H, Shafran, R, Rose, S (2012). Investigating the use of NICE guidelines and IAPT services in the treatment of depression. Mental Health in Family Medicine 9, 149–160.Google Scholar

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