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Delgadillo, Jaime, Kellett, Stephen, Ali, Shehzad, McMillan, Dean, Barkham, Michael, Saxon, David, Donohoe, Gill, Stonebank, Heather, Mullaney, Sarah, Eschoe, Patricid, Thwaites, Richard and Lucock, Mike (2016) A multi-service practice research network study of large group psychoeducational cognitive behavioural therapy. Behaviour Research and Therapy, 87. pp. 155-161. ISSN 0005-7967
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Abstract
Background
This was a multi-service evaluation of the clinical and organisational effectiveness of large group psychoeducational CBT delivered within a stepped care model.
Method
Clinical outcomes for 4451 participants in 163 psychoeducational groups delivered across 5 services were analysed by calculating pre-post treatment anxiety (GAD-7) effect sizes (Cohen's d). Overall and between-service effects were compared to published efficacy benchmarks. Multilevel modelling was used to examine if variability in clinical outcomes was explained by differences in service, group and patient-level (case-mix) variables.
Results
The pooled GAD-7 (pre-post) effect size for all services was d = 0.70, which was consistent with efficacy benchmarks for guided self-help interventions (d = 0.69). One service had significantly smaller effects (d = 0.48), which was explained by differences in group treatment length and case-mix. Variability between groups (i.e., group effects) explained up to 3.6% of variance in treatment outcomes.
Conclusions
Large group psychoeducational CBT is clinically effective, organisationally efficient and consistent with a stepped care approach to service design. Clinical outcome differences between services were explained by group and patient variables.
| Item Type: | Article |
|---|---|
| Subjects: | B Philosophy. Psychology. Religion > BF Psychology L Education > L Education (General) |
| Schools: | School of Human and Health Sciences |
| Related URLs: | |
| Depositing User: | Sara Taylor |
| Date Deposited: | 13 Oct 2016 15:09 |
| Last Modified: | 20 Sep 2018 01:38 |
| URI: | http://eprints.hud.ac.uk/id/eprint/29781 |
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