You can't get anything perfect: "user perspectives on the delivery of cognitive behavioural therapy by telephone".
Remote psychotherapy services such as telephone-administered cognitive behavioural therapy (T-CBT) have the potential to provide effective psychological treatment whilst simultaneously maximising efficiency, lowering costs and improving access to care. However, a lack of research examining the acceptability of non face-to-face psychotherapy means that little is known about users' perceptions of these delivery models. This paper reports data from two qualitative evaluations of T-CBT delivered in the voluntary and occupational health sectors in the UK. It explores users' acceptance of T-CBT, contrasting initial socially-construed expectations with more positive regard derived from experiential norms. User satisfaction with T-CBT was mixed. However, the relative ease with which most participants adapted to telephone-based care was suggestive of a shared construct of mental health service provision that prioritised the accessibility and availability of services over the social, professional and medico-legal perspectives that conventionally promote the co-location of practitioner and client.
Bee
Penny Elizabeth
PE
University of Manchester, School of Nursing, Midwifery & Social Work, Jean Macfarlane Building, University Place Oxford Road, Manchester M13 9PL, United Kingdom. Electronic address: penny.bee@manchester.ac.uk.
Lovell
Karina
K
University of Manchester, School of Nursing, Midwifery & Social Work, Jean Macfarlane Building, University Place Oxford Road, Manchester M13 9PL, United Kingdom.
Lidbetter
Nicola
N
AnxietyUK, United Kingdom.
Easton
Katherine
K
University of Manchester, School of Nursing, Midwifery & Social Work, Jean Macfarlane Building, University Place Oxford Road, Manchester M13 9PL, United Kingdom.
Gask
Linda
L
University of Manchester, School of Nursing, Midwifery & Social Work, Jean Macfarlane Building, University Place Oxford Road, Manchester M13 9PL, United Kingdom.
D015928:Cognitive Behavioral Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008605:Mental Health Services; D017060:Patient Satisfaction; D036301:Qualitative Research; D019114:Remote Consultation; D013689:Telephone; D006113:United Kingdom