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

Hazell, C.M., Kelly, O., O'Brien, S., Strauss, C., Cavanagh, K. and Hayward, M. 2020. Patient experience of Guided self-help CBT intervention for VoicEs (GiVE) delivered within a pilot randomized controlled trial. Cognitive Behaviour Therapist. 13 e40. https://doi.org/10.1017/S1754470X20000458

TitlePatient experience of Guided self-help CBT intervention for VoicEs (GiVE) delivered within a pilot randomized controlled trial
TypeJournal article
AuthorsHazell, C.M., Kelly, O., O'Brien, S., Strauss, C., Cavanagh, K. and Hayward, M.
Abstract

Background:
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 the therapy is both acceptable and beneficial.
Aims:
The present study aims to explore the subjective patient experience of accessing GiVE in the context of a trial.
Method:
We interviewed 9 trial participants using the Change Interview and a mixed methods approach.
Results:
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.
Conclusions:
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.

KeywordsPsychosis
cognitive behaviour therapy
CBT
hearing voices
self-help
Article numbere40
JournalCognitive Behaviour Therapist
Journal citation13
ISSN1754-470X
Year2020
PublisherCambridge University Press
Accepted author manuscript
File Access Level
Open (open metadata and files)
Digital Object Identifier (DOI)https://doi.org/10.1017/S1754470X20000458
Publication dates
Published06 Oct 2020

Related outputs

The Staff Views About Assessing Voices Questionnaire: Piloting a Novel Socratic Method of Evaluating and Training Multidisciplinary Staff's Cognitive Assessment of Patients' Distressing Voices.
Raune, David, Perkins, Sarah, Paradisopoulos, Daphne, Zsofia Bote, Orsoyla, Skacel, Patricia, Souray, Jonathan and Hazell, C. 2021. The Staff Views About Assessing Voices Questionnaire: Piloting a Novel Socratic Method of Evaluating and Training Multidisciplinary Staff's Cognitive Assessment of Patients' Distressing Voices. Journal of Cognitive Psychotherapy. 35 (1). https://doi.org/JCPSY-D-20-00021

Understanding suicidality and reasons for living amongst Doctoral Researchers: A thematic analysis of qualitative U‐DOC survey data
Hazell, C.M., Berry, C., Niven, Jeremy E. and Mackenzie, Jay‐Marie 2021. Understanding suicidality and reasons for living amongst Doctoral Researchers: A thematic analysis of qualitative U‐DOC survey data. Counselling and Psychotherapy Research. https://doi.org/10.1002/capr.12437

Understanding suicidality and reasons for living amongst Doctoral Researchers: A thematic analysis of qualitative U-DOC survey data
Hazell, C.M., Berry, C., Niven, J. E. and Mackenzie, J.-M. 2021. Understanding suicidality and reasons for living amongst Doctoral Researchers: A thematic analysis of qualitative U-DOC survey data. Counselling and Psychotherapy Research. Advanced online publication. https://doi.org/10.1002/capr.12437

Increasing access to cognitive–behavioural therapy for patients with psychosis by evaluating the feasibility of a randomised controlled trial of brief, targeted cognitive–behavioural therapy for distressing voices delivered by assistant psychologists: the GiVE2 trial
Hayward, M., Berry, K., Bremner, S., Jones, A., Robertson, S., Cavanagh, K., Gage, H., Berry, C., Neumann, S., Hazell, C.M., Fowler, D., Greenwood, K. and Strauss, C. 2021. Increasing access to cognitive–behavioural therapy for patients with psychosis by evaluating the feasibility of a randomised controlled trial of brief, targeted cognitive–behavioural therapy for distressing voices delivered by assistant psychologists: the GiVE2 trial. BJPsych Open. 7 e152. https://doi.org/10.1192/bjo.2021.983

A cross-sectional study of auditory verbal hallucinations experienced by people with a diagnosis of borderline personality disorder
Hayward M, Jones, A M, Strawson, W H, Quadt, L, Larsson, D E O, Silva, M, Davies, G, Fielding-Smith, S, Hazell, C.M., Critchley, H D and Garfinkel, S N 2021. A cross-sectional study of auditory verbal hallucinations experienced by people with a diagnosis of borderline personality disorder. Clinical Psychology & Psychotherapy. Advanced online publication. https://doi.org/10.1002/cpp.2655

Do carers of adolescents at first episode psychosis have distinctive psychological needs? A pilot exploration
McKenna, A., Hazell, C.M., Souray, R., Cai, E., Man, L.C., Brown, L., Floyd, C., Lyons, N., Widuch, K., James, G., Keay, D., Souray, J., Afsharzadegan, R. and Raune, D. 2021. Do carers of adolescents at first episode psychosis have distinctive psychological needs? A pilot exploration. International Journal of Social Psychiatry. Advanced online publication. https://doi.org/10.1177/0020764021992828

Enhancing mental health awareness in emergency services (the ENHANcE I project): cross-sectional survey on mental health stigma among emergency services staff
Hazell, C.M., Koc, Y, O'Brien, S, Fielding-Smith, S and Hayward, M 2021. Enhancing mental health awareness in emergency services (the ENHANcE I project): cross-sectional survey on mental health stigma among emergency services staff. BJPsych Open. 7 (3) e77. https://doi.org/10.1192/bjo.2021.37

A mixed-methods investigation of mental health stigma, absenteeism and presenteeism among UK postgraduate researchers
Berry, C., Niven, J.E., Chapman, L., Valeix, S., Roberts, P.E. and Hazell, C.M. 2021. A mixed-methods investigation of mental health stigma, absenteeism and presenteeism among UK postgraduate researchers. Studies in Graduate and Postgraduate Education. 12 (1). https://doi.org/10.1108/SGPE-06-2020-0034

Enhancing mental health awareness in emergency services (the ENHANcE I project): cross-sectional survey on mental health stigma among emergency services staff.
Hazell, Cassie M, Koc, Yasin, O'Brien, Sorcha, Fielding-Smith, Sarah and Hayward, M. 2021. Enhancing mental health awareness in emergency services (the ENHANcE I project): cross-sectional survey on mental health stigma among emergency services staff. BJPsych Open. 7 (3), p. e77. https://doi.org/10.1192/bjo.2021.37

Service evaluation of a sole-session psychoeducational intervention to improve caregivers’ key illness beliefs after first episode psychosis (FEP)
Hazell, C. M., Lyons, N, Owumere, J, Schulz, J, Glover, N, Whittaker, S, Chu Man, L, Floyd, C, Brown, L, James, G, Afshardazegan, R, Seneviratne, S, Rahim, S, Souray, J and Raune, D 2020. Service evaluation of a sole-session psychoeducational intervention to improve caregivers’ key illness beliefs after first episode psychosis (FEP). Cognitive Behaviour Therapist. 13 carers. https://doi.org/10.1017/S1754470X20000264

Is the content of patient’s written emotional disclosure associated with improved health outcomes for asthma patients?
Hazell, C. M., Jones, J. C., McLachlan, E. M. and Smith, H. E. 2020. Is the content of patient’s written emotional disclosure associated with improved health outcomes for asthma patients? Health Psychology Update. 29 (2), pp. 31-42.

Hanging in the balance: Conceptualising doctoral researcher mental health as a dynamic balance across key tensions characterising the PhD experience
Berry, C, Valeix, S, Niven, J.E., Chapman, L., Roberts, P.E. and Hazell, C.M. 2020. Hanging in the balance: Conceptualising doctoral researcher mental health as a dynamic balance across key tensions characterising the PhD experience. International Journal of Educational Research. 102, p. 101575 101575. https://doi.org/10.1016/j.ijer.2020.101575

Demographic predictors of wellbeing in Carers of people with psychosis: secondary analysis of trial data
Hazell, C.M., Hayward, M., Lobban, F., Pandey, A., Pinfold, V., Smith, H.E. and Jones, C.J. 2020. Demographic predictors of wellbeing in Carers of people with psychosis: secondary analysis of trial data. BMC Psychiatry. 20 269. https://doi.org/10.1186/s12888-020-02691-0

Helping parents to help children overcome fear: The influence of a short video tutorial
Ewing, D., Pike, A., Dash, S., Hughes, Z., Thompson, E.J., Hazell, C.M., Mei Ang, C., Kucuk, N., Laine, A. and Cartwright-Hatton, S. 2020. Helping parents to help children overcome fear: The influence of a short video tutorial. British Journal of Clinical Psychology. 59 (1), pp. 80-95. https://doi.org/10.1111/bjc.12233

The Blurred Line between Physical Ageing and Mental Health in Older Adults: Implications for the Measurement of Depression
Hazell, C., Smith, Helen E and Jones, C. 2019. The Blurred Line between Physical Ageing and Mental Health in Older Adults: Implications for the Measurement of Depression. Clinical Medicine Insights: Psychiatry. 10, p. 117955731988563. https://doi.org/10.1177/1179557319885634

Barriers to recruiting and retaining psychosis carers: a case study on the lessons learned from the Caring for Caregivers (C4C) trial
Hazell, C.M., Jones, C.J., Pandey, A and Smith, H.E 2019. Barriers to recruiting and retaining psychosis carers: a case study on the lessons learned from the Caring for Caregivers (C4C) trial. BMC Research Notes. 12, p. 810 810. https://doi.org/10.1186/s13104-019-4832-9

Preventing Family Transmission of Anxiety: Feasibility RCT of a Brief Intervention for Parents
Cartwright-Hatton, S., Ewing, D.L., Dash, S., Hughes, Z., Thompson, E.J., Hazell, C.M., Field, A.P. and Startup, H.M. 2018. Preventing Family Transmission of Anxiety: Feasibility RCT of a Brief Intervention for Parents. British Journal of Clinical Psychology. 57 (3), pp. 351-366. https://doi.org/10.1111/bjc.12177

Understanding the Barriers to Accessing Symptom-Specific Cognitive Behavior Therapy (CBT) for Distressing Voices: Reflecting on and Extending the Lessons Learnt From the CBT for Psychosis Literature
Hazell, C.M., Greenwood, K., Fielding-Smith, S., Rammou, A., Bogen-Johnston, L., Berry, C., Jones, A. and Hayward, M. 2018. Understanding the Barriers to Accessing Symptom-Specific Cognitive Behavior Therapy (CBT) for Distressing Voices: Reflecting on and Extending the Lessons Learnt From the CBT for Psychosis Literature. Frontiers in Psychology. 9 727. https://doi.org/10.3389/fpsyg.2018.00727

Guided self-help cognitive- behaviour Intervention for VoicEs (GiVE): Results from a pilot randomised controlled trial in a transdiagnostic sample
Hazell, C.M., Hayward, M., Cavanagh, K., Jones, A. and Strauss, C. 2018. Guided self-help cognitive- behaviour Intervention for VoicEs (GiVE): Results from a pilot randomised controlled trial in a transdiagnostic sample. Schizophrenia Research. 195, pp. 441-447. https://doi.org/10.1016/j.schres.2017.10.004

An Introduction to Self-help for Distressing Voices
Hazell, C.M., Hayward, M., Strauss, C. and Kingdon, D. 2018. An Introduction to Self-help for Distressing Voices. London Little Brown Book Group.

Caring for Caregivers (C4C): study protocol for a pilot feasibility randomised control trial of Positive Written Disclosure for older adult caregivers of people with psychosis
Hazell, C.M., Jones, C.J., Hayward, M., Bremner, S.A., O'Connor, D.B., Pinfold, V. and Smith, H.E. 2017. Caring for Caregivers (C4C): study protocol for a pilot feasibility randomised control trial of Positive Written Disclosure for older adult caregivers of people with psychosis. Pilot and Feasibility Studies. 3, p. 63. https://doi.org/10.1186/s40814-017-0206-z

Barriers to disseminating brief CBT for voices from a lived experience and clinician perspective
Hazell, C.M., Strauss, C., Cavanagh, K. and Hayward, M. 2017. Barriers to disseminating brief CBT for voices from a lived experience and clinician perspective. PLoS ONE. 12 (6) e0178715. https://doi.org/10.1371/journal.pone.0178715

Understanding clinician attitudes towards implementation of guided self-help cognitive behaviour therapy for those who hear distressing voices: using factor analysis to test normalisation process theory
Hazell, C.M., Strauss, C., Hayward, M. and Cavanagh, K. 2017. Understanding clinician attitudes towards implementation of guided self-help cognitive behaviour therapy for those who hear distressing voices: using factor analysis to test normalisation process theory. BMC Health Services Research. 17, p. 507 507. https://doi.org/10.1186/s12913-017-2449-z

A systematic review and meta- analysis of low intensity CBT for psychosis
Hazell, C.M., Hayward, M., Cavanagh, K. and Strauss, C. 2016. A systematic review and meta- analysis of low intensity CBT for psychosis. Clinical Psychology Review. 45, pp. 183-192. https://doi.org/10.1016/j.cpr.2016.03.004

Guided self-help cognitive behavioural intervention for VoicEs (GiVE): study protocol for a pilot randomized controlled trial
Hazell, C.M., Hayward, M., Cavanagh, K., Jones, A.M. and Strauss, C. 2016. Guided self-help cognitive behavioural intervention for VoicEs (GiVE): study protocol for a pilot randomized controlled trial. Trials. 17, p. 351 351. https://doi.org/10.1186/s13063-016-1494-y

No significant evidence of cognitive biases for emotional stimuli in children at-risk of developing anxiety disorders
Ewing, D.L., Dash, S., Thompson, E.J., Hazell, C.M., Hughes, Z., Lester, K.J. and Cartwright-Hatton, S. 2016. No significant evidence of cognitive biases for emotional stimuli in children at-risk of developing anxiety disorders. Journal of Abnormal Child Psychology. 44 (7), pp. 1243-1252. https://doi.org/10.1007/s10802-015-0122-8

Permalink - https://westminsterresearch.westminster.ac.uk/item/v1y3q/patient-experience-of-guided-self-help-cbt-intervention-for-voices-give-delivered-within-a-pilot-randomized-controlled-trial


Share this
Tweet
Email

Usage statistics

46 total views
48 total downloads
2 views this month
2 downloads this month
These values are for the period from September 2nd 2018, when this repository was created

Export as