“A greatest hits compilation of mental health support”: A qualitative study of health professionals’ perceptions of modular CBT in pediatric epilepsy services

Anna E. Coughtrey; Sophie D. Bennett; Alice Sibelli; Bruce Chorpita; Emma Dalrymple; Peter Fonagy; Tamsin Ford; Isobel Heyman; Rona Moss-Morris; Study Team MICE Study Team; Brian C.F. Ching; Roz Shafran

doi:10.1016/j.yebeh.2021.108249

“A greatest hits compilation of mental health support”: A qualitative study of health professionals’ perceptions of modular CBT in pediatric epilepsy services

Anna E. Coughtrey^*, Sophie D. Bennett, Alice Sibelli, Bruce Chorpita, Emma Dalrymple, Peter Fonagy, Tamsin Ford, Isobel Heyman, Rona Moss-Morris, Study Team MICE Study Team, Brian C.F. Ching, Roz Shafran

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

2 Citations (Scopus)

Abstract

Objectives: The primary aim of this qualitative study was to explore the views of health professionals, with little previous clinical mental health training, of an adapted modular cognitive-behavioral intervention (MATCH-ADTC) for common mental health problems in children and young people with epilepsy. Methods: Healthcare Professionals (HCPs) and their supervisors were interviewed at the start (n = 23) and end (n = 15) of the six-month training period. The interviews were transcribed verbatim and analyzed using thematic analysis. Results: Three higher order themes with sub-themes were identified: (1) strengths of the MATCH-ADTC content and manual; (2) expectations of the treatment; and (3) improving practice with MATCH-ADTC. Overall impressions of the training and treatment were largely positive, with HCPs viewing MATCH-ADTC as an acceptable treatment for the families that they worked with. HCPs highlighted some challenges in delivering an integrated service, particularly relating to the time commitment involved and their own confidence in delivering the intervention, as many participants did not have a mental health background. Conclusions: The findings suggested that the intervention and training was acceptable to HCPs working in pediatric epilepsy services, and confidence grew over the six-month training period. Further research is needed to understand how to best train, supervise, and support HCPs in pediatric epilepsy services to deliver mental health treatments.

Original language	English
Article number	108249
Journal	Epilepsy and Behavior
Volume	123
DOIs	https://doi.org/10.1016/j.yebeh.2021.108249
Publication status	Published - Oct 2021

Keywords

Cognitive-behavioral therapy
Pediatric epilepsy
Qualitative
Supervision and training

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.yebeh.2021.108249

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Coughtrey, A. E., Bennett, S. D., Sibelli, A., Chorpita, B., Dalrymple, E., Fonagy, P., Ford, T., Heyman, I., Moss-Morris, R., MICE Study Team, S. T., Ching, B. C. F., & Shafran, R. (2021). “A greatest hits compilation of mental health support”: A qualitative study of health professionals’ perceptions of modular CBT in pediatric epilepsy services. Epilepsy and Behavior, 123, Article 108249. https://doi.org/10.1016/j.yebeh.2021.108249

@article{a85376e395a047d4a70fd55500589513,

title = "“A greatest hits compilation of mental health support”: A qualitative study of health professionals{\textquoteright} perceptions of modular CBT in pediatric epilepsy services",

abstract = "Objectives: The primary aim of this qualitative study was to explore the views of health professionals, with little previous clinical mental health training, of an adapted modular cognitive-behavioral intervention (MATCH-ADTC) for common mental health problems in children and young people with epilepsy. Methods: Healthcare Professionals (HCPs) and their supervisors were interviewed at the start (n = 23) and end (n = 15) of the six-month training period. The interviews were transcribed verbatim and analyzed using thematic analysis. Results: Three higher order themes with sub-themes were identified: (1) strengths of the MATCH-ADTC content and manual; (2) expectations of the treatment; and (3) improving practice with MATCH-ADTC. Overall impressions of the training and treatment were largely positive, with HCPs viewing MATCH-ADTC as an acceptable treatment for the families that they worked with. HCPs highlighted some challenges in delivering an integrated service, particularly relating to the time commitment involved and their own confidence in delivering the intervention, as many participants did not have a mental health background. Conclusions: The findings suggested that the intervention and training was acceptable to HCPs working in pediatric epilepsy services, and confidence grew over the six-month training period. Further research is needed to understand how to best train, supervise, and support HCPs in pediatric epilepsy services to deliver mental health treatments.",

keywords = "Cognitive-behavioral therapy, Pediatric epilepsy, Qualitative, Supervision and training",

author = "Coughtrey, {Anna E.} and Bennett, {Sophie D.} and Alice Sibelli and Bruce Chorpita and Emma Dalrymple and Peter Fonagy and Tamsin Ford and Isobel Heyman and Rona Moss-Morris and {MICE Study Team}, {Study Team} and Ching, {Brian C.F.} and Roz Shafran",

note = "Funding Information: The authors are grateful to Adrienne Shum, Alice Welch and Alice Zacharia for their helpful work on the preliminary analyses of these data. This work was supported by the NIHR Programme Grant for Applied Research (Grant Reference Number RP-PG-0616-20007 ). The views expressed are those of the author(s) and not necessarily those of the NIHR or the Department of Health and Social Care. The funding body had no role in the design of the study and collection, analysis and interpretation of data and in writing the manuscript. All research at Great Ormond Street Hospital NHS Foundation Trust and UCL Great Ormond Street Institute of Child Health is made possible by the National Institute for Health Research (NIHR) Great Ormond Street Hospital Biomedical Research Centre. The views expressed are those of the authors and not necessarily those of the NHS, NIHR or the Department of Health. Publisher Copyright: {\textcopyright} 2021 Copyright: Copyright 2021 Elsevier B.V., All rights reserved.",

year = "2021",

month = oct,

doi = "10.1016/j.yebeh.2021.108249",

language = "English",

volume = "123",

journal = "Epilepsy and Behavior",

issn = "1525-5050",

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Coughtrey, AE, Bennett, SD, Sibelli, A, Chorpita, B, Dalrymple, E, Fonagy, P, Ford, T , Heyman, I , Moss-Morris, R, MICE Study Team, ST, Ching, BCF & Shafran, R 2021, '“A greatest hits compilation of mental health support”: A qualitative study of health professionals’ perceptions of modular CBT in pediatric epilepsy services', Epilepsy and Behavior, vol. 123, 108249. https://doi.org/10.1016/j.yebeh.2021.108249

TY - JOUR

T1 - “A greatest hits compilation of mental health support”

T2 - A qualitative study of health professionals’ perceptions of modular CBT in pediatric epilepsy services

AU - Coughtrey, Anna E.

AU - Bennett, Sophie D.

AU - Sibelli, Alice

AU - Chorpita, Bruce

AU - Dalrymple, Emma

AU - Fonagy, Peter

AU - Ford, Tamsin

AU - Heyman, Isobel

AU - Moss-Morris, Rona

AU - MICE Study Team, Study Team

AU - Ching, Brian C.F.

AU - Shafran, Roz

N1 - Funding Information: The authors are grateful to Adrienne Shum, Alice Welch and Alice Zacharia for their helpful work on the preliminary analyses of these data. This work was supported by the NIHR Programme Grant for Applied Research (Grant Reference Number RP-PG-0616-20007 ). The views expressed are those of the author(s) and not necessarily those of the NIHR or the Department of Health and Social Care. The funding body had no role in the design of the study and collection, analysis and interpretation of data and in writing the manuscript. All research at Great Ormond Street Hospital NHS Foundation Trust and UCL Great Ormond Street Institute of Child Health is made possible by the National Institute for Health Research (NIHR) Great Ormond Street Hospital Biomedical Research Centre. The views expressed are those of the authors and not necessarily those of the NHS, NIHR or the Department of Health. Publisher Copyright: © 2021 Copyright: Copyright 2021 Elsevier B.V., All rights reserved.

PY - 2021/10

Y1 - 2021/10

N2 - Objectives: The primary aim of this qualitative study was to explore the views of health professionals, with little previous clinical mental health training, of an adapted modular cognitive-behavioral intervention (MATCH-ADTC) for common mental health problems in children and young people with epilepsy. Methods: Healthcare Professionals (HCPs) and their supervisors were interviewed at the start (n = 23) and end (n = 15) of the six-month training period. The interviews were transcribed verbatim and analyzed using thematic analysis. Results: Three higher order themes with sub-themes were identified: (1) strengths of the MATCH-ADTC content and manual; (2) expectations of the treatment; and (3) improving practice with MATCH-ADTC. Overall impressions of the training and treatment were largely positive, with HCPs viewing MATCH-ADTC as an acceptable treatment for the families that they worked with. HCPs highlighted some challenges in delivering an integrated service, particularly relating to the time commitment involved and their own confidence in delivering the intervention, as many participants did not have a mental health background. Conclusions: The findings suggested that the intervention and training was acceptable to HCPs working in pediatric epilepsy services, and confidence grew over the six-month training period. Further research is needed to understand how to best train, supervise, and support HCPs in pediatric epilepsy services to deliver mental health treatments.

AB - Objectives: The primary aim of this qualitative study was to explore the views of health professionals, with little previous clinical mental health training, of an adapted modular cognitive-behavioral intervention (MATCH-ADTC) for common mental health problems in children and young people with epilepsy. Methods: Healthcare Professionals (HCPs) and their supervisors were interviewed at the start (n = 23) and end (n = 15) of the six-month training period. The interviews were transcribed verbatim and analyzed using thematic analysis. Results: Three higher order themes with sub-themes were identified: (1) strengths of the MATCH-ADTC content and manual; (2) expectations of the treatment; and (3) improving practice with MATCH-ADTC. Overall impressions of the training and treatment were largely positive, with HCPs viewing MATCH-ADTC as an acceptable treatment for the families that they worked with. HCPs highlighted some challenges in delivering an integrated service, particularly relating to the time commitment involved and their own confidence in delivering the intervention, as many participants did not have a mental health background. Conclusions: The findings suggested that the intervention and training was acceptable to HCPs working in pediatric epilepsy services, and confidence grew over the six-month training period. Further research is needed to understand how to best train, supervise, and support HCPs in pediatric epilepsy services to deliver mental health treatments.

KW - Cognitive-behavioral therapy

KW - Pediatric epilepsy

KW - Qualitative

KW - Supervision and training

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U2 - 10.1016/j.yebeh.2021.108249

DO - 10.1016/j.yebeh.2021.108249

M3 - Article

AN - SCOPUS:85113759553

SN - 1525-5050

VL - 123

JO - Epilepsy and Behavior

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ER -

“A greatest hits compilation of mental health support”: A qualitative study of health professionals’ perceptions of modular CBT in pediatric epilepsy services

Abstract

Keywords

UN SDGs

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