Adapting a Cognitive--Behavioral Therapy Protocol for HIV Patients in South Africa

2011 ◽  
Author(s):  
Lena Andersen
Keyword(s):  
South Africa ◽  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Hiv Patients ◽  
Therapy Protocol

Poster 26: Examination of Maintenance of Gains From a New Cognitive Behavioral Therapy Protocol for People With Brain Injury

2008 ◽  
Vol 89 (10) ◽  
pp. e35
Author(s):  
April Arundine ◽  
Cheryl Bradbury ◽  
Bruce Christensen ◽  
Mark Lau ◽  
Lesley Ruttan ◽  
...  
Keyword(s):  
Brain Injury ◽  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Therapy Protocol

scholarly journals Mental Health Therapy Protocols and eHealth Design: Focus Group Study (Preprint)

2019 ◽  
Author(s):  
Marierose M M van Dooren ◽  
Valentijn Visch ◽  
Renske Spijkerman ◽  
Richard H M Goossens ◽  
Vincent M Hendriks
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Focus Group ◽  
Cognitive Behavioral Therapy ◽  
Mental Health Care ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Therapy Protocol

BACKGROUND Electronic health (eHealth) programs are often based on protocols developed for the original face-to-face therapies. However, in practice, therapists and patients may not always follow the original therapy protocols. This form of personalization may also interfere with the intended implementation and effects of eHealth interventions if designers do not take these practices into account. OBJECTIVE The aim of this explorative study was to gain insights into the personalization practices of therapists and patients using cognitive behavioral therapy, one of the most commonly applied types of psychotherapy, in a youth addiction care center as a case context. METHODS Focus group discussions were conducted asking therapists and patients to estimate the extent to which a therapy protocol was followed and about the type and reasons for personalization of a given therapy protocol. A total of 7 focus group sessions were organized involving therapists and patients. We used a commonly applied protocol for cognitive behavioral therapy as a therapy protocol example in youth mental health care. The first focus group discussions aimed at assessing the extent to which patients (N=5) or therapists (N=6) adapted the protocol. The second focus group discussions aimed at estimating the extent to which the therapy protocol is applied and personalized based on findings from the first focus groups to gain further qualitative insight into the reasons for personalization with groups of therapists and patients together (N=7). Qualitative data were analyzed using thematic analysis. RESULTS Therapists used the protocol as a “toolbox” comprising different therapy tools, and personalized the protocol to enhance the therapeutic alliance and based on their therapy-provision experiences. Therapists estimated that they strictly follow 48% of the protocol, adapt 30%, and replace 22% by other nonprotocol therapeutic components. Patients personalized their own therapy to conform the assignments to their daily lives and routines, and to reduce their levels of stress and worry. Patients estimated that 29% of the provided therapy had been strictly followed by the therapist, 48% had been adjusted, and 23% had been replaced by other nonprotocol therapeutic components. CONCLUSIONS A standard cognitive behavioral therapy protocol is not strictly and fully applied but is mainly personalized. Based on these results, the following recommendations for eHealth designers are proposed to enhance alignment of eHealth to therapeutic practice and implementation: (1) study and copy at least the applied parts of a protocol, (2) co-design eHealth with therapists and patients so they can allocate the components that should be open for user customization, and (3) investigate if components of the therapy protocol that are not applied should remain part of the eHealth applied. To best generate this information, we suggest that eHealth designers should collaborate with therapists, patients, protocol developers, and mental health care managers during the development process.

scholarly journals Mental Health Therapy Protocols and eHealth Design: Focus Group Study

10.2196/15568 ◽  
2020 ◽  
Vol 4 (5) ◽  
pp. e15568
Author(s):  
Marierose M M van Dooren ◽  
Valentijn Visch ◽  
Renske Spijkerman ◽  
Richard H M Goossens ◽  
Vincent M Hendriks
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Focus Group ◽  
Cognitive Behavioral Therapy ◽  
Mental Health Care ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Therapy Protocol

Background Electronic health (eHealth) programs are often based on protocols developed for the original face-to-face therapies. However, in practice, therapists and patients may not always follow the original therapy protocols. This form of personalization may also interfere with the intended implementation and effects of eHealth interventions if designers do not take these practices into account. Objective The aim of this explorative study was to gain insights into the personalization practices of therapists and patients using cognitive behavioral therapy, one of the most commonly applied types of psychotherapy, in a youth addiction care center as a case context. Methods Focus group discussions were conducted asking therapists and patients to estimate the extent to which a therapy protocol was followed and about the type and reasons for personalization of a given therapy protocol. A total of 7 focus group sessions were organized involving therapists and patients. We used a commonly applied protocol for cognitive behavioral therapy as a therapy protocol example in youth mental health care. The first focus group discussions aimed at assessing the extent to which patients (N=5) or therapists (N=6) adapted the protocol. The second focus group discussions aimed at estimating the extent to which the therapy protocol is applied and personalized based on findings from the first focus groups to gain further qualitative insight into the reasons for personalization with groups of therapists and patients together (N=7). Qualitative data were analyzed using thematic analysis. Results Therapists used the protocol as a “toolbox” comprising different therapy tools, and personalized the protocol to enhance the therapeutic alliance and based on their therapy-provision experiences. Therapists estimated that they strictly follow 48% of the protocol, adapt 30%, and replace 22% by other nonprotocol therapeutic components. Patients personalized their own therapy to conform the assignments to their daily lives and routines, and to reduce their levels of stress and worry. Patients estimated that 29% of the provided therapy had been strictly followed by the therapist, 48% had been adjusted, and 23% had been replaced by other nonprotocol therapeutic components. Conclusions A standard cognitive behavioral therapy protocol is not strictly and fully applied but is mainly personalized. Based on these results, the following recommendations for eHealth designers are proposed to enhance alignment of eHealth to therapeutic practice and implementation: (1) study and copy at least the applied parts of a protocol, (2) co-design eHealth with therapists and patients so they can allocate the components that should be open for user customization, and (3) investigate if components of the therapy protocol that are not applied should remain part of the eHealth applied. To best generate this information, we suggest that eHealth designers should collaborate with therapists, patients, protocol developers, and mental health care managers during the development process.

scholarly journals A pilot study of a nurse-delivered cognitive behavioral therapy intervention (Ziphamandla) for adherence and depression in HIV in South Africa

2016 ◽  
Vol 23 (6) ◽  
pp. 776-787 ◽  
Author(s):  
Lena S Andersen ◽  
Jessica F Magidson ◽  
Conall O’Cleirigh ◽  
Jessica E Remmert ◽  
Ashraf Kagee ◽  
...  
Keyword(s):  
South Africa ◽  
Antiretroviral Therapy ◽  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
People Living With Hiv ◽  
Therapy Adherence ◽  
Antiretroviral Therapy Adherence ◽  
Living With Hiv ◽  
Therapy Intervention

Depression is prevalent among people living with HIV in South Africa and interferes with adherence to antiretroviral therapy. This study evaluated a nurse-delivered, cognitive behavioral therapy intervention for adherence and depression among antiretroviral therapy users with depression in South Africa ( n = 14). Primary outcomes were depression, antiretroviral therapy adherence, feasibility, and acceptability. Findings support robust improvements in mood through a 3-month follow up. Antiretroviral therapy adherence was maintained during the intervention period. Participant retention supports acceptability; however, modest provider fidelity despite intensive supervision warrants additional attention to feasibility. Future effectiveness research is needed to evaluate this nurse-delivered cognitive behavioral therapy intervention for adherence and depression in this context.

scholarly journals Skin picking treatment with the Rothbaum cognitive behavioral therapy protocol: a randomized clinical trial

2020 ◽  
Vol 42 (5) ◽  
pp. 510-518
Author(s):  
Alice C.M. Xavier ◽  
Camila M.B. de Souza ◽  
Luís H.F. Flores ◽  
Mariane B. Bermudez ◽  
Renata M.F. Silva ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Cognitive Behavioral Therapy ◽  
Randomized Clinical Trial ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Skin Picking ◽  
Therapy Protocol
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