title: Using Psychoeducation and Role Induction to Improve Completion Rates in Cognitive Behavioural Therapy.
abstract: BACKGROUND
  Pre-treatment role induction interventions have been suggested to potentially enhance attendance and clinical outcomes in psychotherapy.
  
  
  OBJECTIVE
  This study aimed to evaluate the effects of a programme of three transdiagnostic seminars (TDS) for patients with common mental disorders accessing cognitive behavioural therapy (CBT) in primary care. TDS included CBT psychoeducation and role induction.
  
  
  METHODS
  A random sample of patients (n = 49) participated in TDS followed by CBT (TDS+CBT) and they were compared with matched controls (n = 49) accessing usual CBT. TDS participants rated the relevance and quality of this intervention using an acceptability questionnaire (AQ). Treatment completion (vs dropout) rates were compared across groups using chi-square tests. Post-treatment changes in depression (PHQ-9) and anxiety (GAD-7) symptoms were compared between groups using analysis of covariance controlling for potential confounders. Analyses were based on intention-to-treat principles.
  
  
  RESULTS
  Mean AQ ratings of the TDS intervention were comparable across diagnostic groups (p = .05). Treatment completion rates were significantly higher (p = .02) in the TDS+CBT group (87.8%) by comparison with usual CBT (68.8%). However, no significant differences in post-treatment symptom changes were found for depression (p = .34) or anxiety measures (p = .71).
  
  
  CONCLUSIONS
  Incorporating a psychoeducational role induction prior to CBT significantly improved treatment retention, but not overall symptom reductions.
authors.affiliation: Clinical Psychology Unit,University of Sheffield,Western Bank,Sheffield S10 2TN,UK.
authors.forename: Jaime
authors.initials: J
authors.lastname: Delgadillo
authors.affiliation: Leeds Community Healthcare NHS Trust,Leeds IAPT,Burmantofts Health Centre,Cromwell Mount,Leeds LS9 7TA,UK.
authors.forename: Martin
authors.initials: M
authors.lastname: Groom
mesh_terms: D000328:Adult; D001008:Anxiety Disorders / Q000628:therapy; D016022:Case-Control Studies; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003866:Depressive Disorder / Q000628:therapy; D004522:Educational Status; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011613:Psychotherapy / Q000379:methods; D011615:Psychotherapy, Group / Q000193:education* / Q000379:methods*; D011788:Quality of Life; D011795:Surveys and Questionnaires; D016896:Treatment Outcome
keywords: Cognitive behavioural therapy; anxiety; depression; psychoeducation; role induction