title: You can't get anything perfect: "user perspectives on the delivery of cognitive behavioural therapy by telephone".
abstract: 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.
authors.affiliation: 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.
authors.forename: Penny Elizabeth
authors.initials: PE
authors.lastname: Bee
authors.affiliation: University of Manchester, School of Nursing, Midwifery & Social Work, Jean Macfarlane Building, University Place Oxford Road, Manchester M13 9PL, United Kingdom.
authors.forename: Karina
authors.initials: K
authors.lastname: Lovell
authors.affiliation: AnxietyUK, United Kingdom.
authors.forename: Nicola
authors.initials: N
authors.lastname: Lidbetter
authors.affiliation: University of Manchester, School of Nursing, Midwifery & Social Work, Jean Macfarlane Building, University Place Oxford Road, Manchester M13 9PL, United Kingdom.
authors.forename: Katherine
authors.initials: K
authors.lastname: Easton
authors.affiliation: University of Manchester, School of Nursing, Midwifery & Social Work, Jean Macfarlane Building, University Place Oxford Road, Manchester M13 9PL, United Kingdom.
authors.forename: Linda
authors.initials: L
authors.lastname: Gask
mesh_terms: 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