Working with service-users to develop a mood as input based intervention for worry: Dr Fergal Jones

advertisement

Working with service-users to develop a mood as input based intervention for worry

Fergal Jones , Sussex Partnership NHS Foundation Trust

& Canterbury Christ Church University

Ruth Chandler, Sussex Partnership NHS Foundation Trust

Graham Davey, University of Sussex

Contents

• Overview of project

• Benefits of collaboration for university

• And for Trust

• Value of service-user involvement

Context

• The evidence base that Graham and his lab have developed to support a mood-as-input model of worrying

• There’s room for GAD interventions to be more effective and efficient

• SPFT made available own account funding

Mood as input theory

• Perseveration determined by interaction between stop-rules and mood

• Perfectionistic ‘as many as can’ stop-rules + negative mood = perseveration

• In effect: ‘I must continue to worry until I feel I have satisfactorily resolved this problem’

Intervention possibilities

• Increased awareness of this process, providing more choice

• Evaluating helpfulness of stop-rules and developing more helpful ones

• Postponing thinking about something until mood lifts

Research Stage 1: Aims

• To gain an initial indication of the viability and acceptability of the components

• To work with service-users to refine and develop the components

• If they seem viable, to develop an intervention

(or part of an intervention) to be researched further

• Therefore: consulting with service-users re these intervention components

Research Stage 1: Method

• Participants: service-users troubled by worry, who have already received some intervention

• Design: eight 2-hour focus groups, including components and feedback

• Individual interviews at end

• Qualitative and single case quantitative analysis

• Recruitment completed -first group in April

Benefits for University

• Access to service-user consultants and participants

• Trust skilled in service-user consultation

• Access to clinicians

• Clinical relevance

• Access to funding (e.g. RfPB)

Benefits for Trust

• Access to up to date knowledge of evidence and theory base

• Involvement with cutting edge research

• Access to high quality research skills

• Time and resource; e.g. masters students

• Credibility for funding applications

Value of user involvement

• Likely to improve clinical and service-user relevance

• Likely to improve viability

• Can strengthen funding applications

• Value of a good fit

• The Trust is building a strong team and process re involvement.

Download