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IAPT and Long Term Medical Conditions: What Can We Offer?

Published online by Cambridge University Press:  11 March 2014

Abigail L. Wroe ,
Edward W. Rennie ,
Sarah Gibbons ,
Arek Hassy  and
Judith E. Chapman
Abigail L. Wroe*
Affiliation:
Berkshire Healthcare NHS Foundation Trust, and Royal Holloway University of London, UK
Edward W. Rennie
Affiliation:
Berkshire Healthcare NHS Foundation Trust, UK
Sarah Gibbons
Affiliation:
Berkshire Healthcare NHS Foundation Trust, UK
Arek Hassy
Affiliation:
Berkshire Healthcare NHS Foundation Trust, and Theale Medical Surgery, UK
Judith E. Chapman
Affiliation:
Berkshire Healthcare NHS Foundation Trust, UK
*
Reprint requests to Abigail L. Wroe, Department of Clinical Psychology, Royal Holloway University of London, Holloway Hill, Egham TW20 0EX, UK. E-mail: abigail.wroe@rhul.ac.uk
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Abstract

Background: The proposal of a 4-year plan to integrate treatment of people with long term medical conditions (LTCs) into the IAPT service (Department of Health, 2011) seeks for research to understand the effectiveness of IAPT interventions for this patient group. Aim: The aim of this service development pilot work was to develop an intervention that is effective for people with Type 2 Diabetes Mellitus (T2DM). It was hypothesized that the standard IAPT intervention would not be effective, but that it can be adapted so that it is effective both in terms of mood and self-management of T2DM. Method: Clients (n = 95) who experienced mild to moderate depression and/or anxiety and had a diagnosis of T2DM opted to attend. The intervention was adapted over a series of cohorts from a standard Step 2 intervention. A team of Psychological Wellbeing Practitioners (PWPs), a Clinical Health Psychologist and a General Practitioner worked in collaboration, using outcomes measures and feedback from service users and facilitators. Results: The standard IAPT Step 2 intervention met with challenges when specifically targeting this client group. Using paired t-tests, the modified Step 2 intervention demonstrated significant improvements from pre- to postintervention measures both in terms of psychological (n = 17) and physical (n = 9) outcomes. Conclusion: It is concluded that it may be possible to modify a generic Step 2 IAPT intervention to demonstrate improvements both in terms of psychological wellbeing and self-management of T2DM. The main adaptations were related to more targeted recruitment and linking of diabetes specifically into the CBT model.

Keywords

IAPTdepressionanxietylong term medical conditiondiabetesT2DMStep 2wellbeing course
Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 43 , Issue 4 , July 2015 , pp. 412 - 425
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2014 

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