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Patient experience of Guided self-help CBT intervention for VoicEs (GiVE) delivered within a pilot randomized controlled trial

Published online by Cambridge University Press:  06 October 2020

Cassie M. Hazell Open the ORCID record for Cassie M. Hazell [Opens in a new window] ,
Orla Kelly ,
Sorcha O’Brien ,
Clara Strauss Open the ORCID record for Clara Strauss [Opens in a new window] ,
Kate Cavanagh  and
Mark Hayward Open the ORCID record for Mark Hayward [Opens in a new window]
Cassie M. Hazell*
Affiliation:
School of Social Sciences, University of Westminster, LondonW1W 6UW, UK School of Psychology, University of Sussex, Falmer, BrightonBN1 9QJ, UK
Orla Kelly
Affiliation:
School of Psychology, University of Sussex, Falmer, BrightonBN1 9QJ, UK
Sorcha O’Brien
Affiliation:
School of Psychology, University of Sussex, Falmer, BrightonBN1 9QJ, UK
Clara Strauss
Affiliation:
School of Psychology, University of Sussex, Falmer, BrightonBN1 9QJ, UK R&D Department, Sussex Partnership NHS Foundation Trust, Sussex Education Centre, HoveBN3 7HZ, UK
Kate Cavanagh
Affiliation:
School of Psychology, University of Sussex, Falmer, BrightonBN1 9QJ, UK
Mark Hayward
Affiliation:
School of Psychology, University of Sussex, Falmer, BrightonBN1 9QJ, UK R&D Department, Sussex Partnership NHS Foundation Trust, Sussex Education Centre, HoveBN3 7HZ, UK
*
*Corresponding author. Email: C.Hazell@westminster.ac.uk
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Abstract

Access to cognitive behaviour therapy for those with psychosis (CBTp) remains poor. The most frequently endorsed barrier to implementation is a lack of resources. To improve access to CBTp, we developed a brief form of CBTp that specifically targets voice-related distress. The results of our pilot trial of guided self-help CBT for voices (GiVE) suggest that the therapy is both acceptable and beneficial. The present study aims to explore the subjective patient experience of accessing GiVE in the context of a trial. We interviewed nine trial participants using the Change Interview and a mixed methods approach. Most participants reported at least one positive change that they attributed to GiVE. We extracted five themes: (1) changes that I have noticed; (2) I am not alone; (3) positive therapy experiences; (4) I want more therapy; and (5) helping myself. The themes indicate that participating in the GiVE trial was generally a positive experience. The main areas in which participants experienced changes were improved self-esteem, and the ability to cope with voices. Positive changes were facilitated by embracing and enacting ‘self-help’ and having support both in and out of the therapy sessions. The findings support the use of self-help materials with those distressed by hearing voices, but that support both within and outside the clinical setting can aid engagement and outcomes. Overall, the findings support the continued investigation of GiVE.

Key learning aims

  1. (1) To explore participants’ experience of accessing GiVE as part of a trial.

  2. (2) To identify what (if any) changes participants noticed over the course of the GiVE trial.

  3. (3) To identify what participants attribute these changes to.

Keywords

CBTcognitive behaviour therapyhearing voicespsychosisself-help
Type
Original Research
Information
the Cognitive Behaviour Therapist , Volume 13 , 2020 , e40
Copyright
© British Association for Behavioural and Cognitive Psychotherapies 2020

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References

Further reading

Hazell, C. M., Hayward, M., Cavanagh, K., Jones, A.-M., & Strauss, C. (2016). Guided self-help cognitive behavioral intervention for VoicEs (GiVE): study protocol for a pilot randomized controlled trial. Trials, 17. https://doi.org/10.1186/s13063-016-1494-yCrossRefGoogle ScholarPubMed
Hazell, C. M., Hayward, M., Cavanagh, K., Jones, A.-M., & Strauss, C. (2017). Guided self-help cognitive-behaviour Intervention for VoicEs (GiVE): results from a pilot randomised controlled trial in a transdiagnostic sample. Schizophrenia Research. https://doi.org/10.1016/j.schres.2017.10.004Google Scholar
Hazell, C. M., Hayward, M., Cavanagh, K., & Strauss, C. (2016). A systematic review and meta-analysis of low intensity CBT for psychosis. Clinical Psychology Review, 45, 183–192. https://doi.org/10.1016/j.cpr.2016.03.004CrossRefGoogle ScholarPubMed
Hazell, C. M., Hayward, M., Strauss, C., & Kingdon, D. (2018). An Introduction to Self-Help for Distressing Voices. London, UK: Robinson.Google Scholar

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