Measuring adherence in social recovery therapy with people with first episode psychosis

Behavioural and Cognitive Psychotherapy
Christine LowenDavid Fowler

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 determine whether participants received full, partial or no therapy dose. 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. This report describes ...Continue Reading

References

Jun 3, 2008·The British Journal of Psychiatry : the Journal of Mental Science·Philippa A GaretyElizabeth Kuipers
Mar 3, 2010·Psychiatric Services : a Journal of the American Psychiatric Association·Joanne Hodgekins, David Fowler
Jul 22, 2014·Evidence-based Mental Health·Til Wykes
May 23, 2015·The British Journal of Psychiatry : the Journal of Mental Science·Clare FlachAnthony P Morrison
Aug 22, 2015·The British Journal of Psychiatry : the Journal of Mental Science·Jo HodgekinsDavid Fowler
Sep 8, 2018·World Psychiatry : Official Journal of the World Psychiatric Association (WPA)·Irene BighelliStefan Leucht

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Citations

Nov 30, 2021·Health Technology Assessment : HTA·David FowlerPaul French

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