Psychological intervention at a primary health care center: predictors of success

Ricou, Miguel; Marina, Sílvia; Vieira, Paula Marinho; Duarte, Ivone; Sampaio, Inês Lucena; Regalado, Joana; Canário, Catarina

doi:10.1186/s12875-019-1005-9

Cited by 19 publications

(21 citation statements)

References 23 publications

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“…Culturally adapted IPT-E and the high completion of treatment rates of the participants contributed to the improvement of the above mentioned clinical outcomes. This coincide with the results of previous studies where culture tailored mental health interventions enhanced the effectiveness of psychological therapy [40,56,60] and the greater number of counseling session attendance predicted the success of mental health intervention [63]. The ideal number of a brief counseling session for anxiety and depression ranges from 6 to 8 sessions [64], which fits with our finding where the mean attendance of IPT-E session was 8.…”

Section: Discussionsupporting

confidence: 91%

Feasibility and acceptability of brief individual interpersonal psychotherapy among university students with mental distress in Ethiopia

et al. 2021

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Background The prevalence of mental distress among university students in low- and middle-income countries (LMICs) is increasing; however, the majority do not receive evidence-based psychological intervention. This calls for the provision of culturally adapted psychological therapy in higher education institutions in LMICs. The aim of this pilot study is to evaluate the feasibility and acceptability of Interpersonal Psychotherapy adapted for Ethiopia (IPT-E) among Wolaita Sodo University students and to assess the preliminary outcomes of IPT-E in reducing symptoms of mental distress and in improving functioning. Methods We used a quasi-experimental single-group pre-post-test study design. As indicators of feasibility of IPT-E, we used consent, treatment completion and attrition. We used Client Satisfaction Questionnaire and semi-structured interview to measure the acceptability of the intervention, self-reporting IPT-E checklist to assess treatment adherence and World Health Organization Disability Assessment and Self-Reporting Questionnaire-20 tools to assess functional impairment and mental distress, respectively. We used percentage, frequency, mean and standard deviation to summarize the demographic variables, feasibility and acceptability of IPT-E. We analyzed changes from pre- to post-tests of mental distress and functioning results using paired t-test and Wilcoxon signed-rank tests. Independent sample t-test and one way-ANOVA used to assess the difference in mean score of in demographic variables at baseline and eight weeks. The qualitative data was analyzed with the support of open code 4.02. Results IPT-E was feasible (consent rate = 100%; completion rate = 92.31%; attrition rate = 7.69%; mean score of the sessions = 8 and mode of the session = 8). The total mean score of treatment satisfaction was 27.83 (SD = 4.47). After the delivery of IPT-E, symptoms of mental distress were decreased, functioning was improved and therapist adherence to the treatment model was 100% (i.e. treatment delivered according to the IPT-E guideline). Conclusion IPT-E was feasible and acceptable to treat university students with mental distress in low-income country setting. The preliminary results also suggest promising viability of IPT-E in higher education institutions of low-income country setting for students with symptoms of anxiety and depression.

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Section: Discussionsupporting

confidence: 91%

Feasibility and acceptability of brief individual interpersonal psychotherapy among university students with mental distress in Ethiopia

et al. 2021

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“…Culturally adapted IPT-E and the high completion of treatment rates of the participants contributed to the improvement of the above mentioned clinical outcomes. This coincide with the results of previous studies where culture tailored mental health interventions enhanced the effectiveness of psychological therapy (61) and the greater number of counseling session attendance predicted the success of mental health intervention (62). The ideal number of a brief counseling session for anxiety and depression ranges from 6 to 8 sessions (63), which fits with our finding where the mean attendance of IPT-E session was 8.…”

Section: Discussionsupporting

confidence: 91%

Feasibility and Acceptability of Brief Individual Interpersonal Psychotherapy Among University Students with Mental Distress in Ethiopia

Negash

Khan

Medhin

et al. 2021

Preprint

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Background: The prevalence of mental distress among university students in low-and middle-income countries (LMICs) is increasing; however, the majority do not receive evidence-based psychological intervention. This calls for the provision of culturally adapted psychological therapy in higher education institutions in LMICs. The aim of this study is to evaluate the feasibility and acceptability of Interpersonal Psychotherapy adapted for Ethiopia (IPT-E) among Wolaita Sodo University students and to assess the preliminary outcomes of IPT-E in reducing symptoms of mental distress and in improving functioning.Methods: We used a quasi-experimental single-group pre-post-test study design. As indicators of feasibility of IPT-E, we used consent, treatment completion and attrition. We used Client Satisfaction Questionnaire and semi-structured interview to measure the acceptability of the intervention, self-reporting IPT-E checklist to assess treatment adherence and World Health Organization Disability Assessment and Self-Reporting Questionnaire-20 tools to assess functional impairment and mental distress, respectively. We used percentage, frequency, mean and standard deviation to summarize the demographic variables, feasibility and acceptability of IPT-E. We analyzed changes from pre-to post-tests of mental distress and functioning results using paired t-test and Wilcoxon signed-rank tests. Independent sample t-test, one way-ANOVA, Mann-Whitney U and Kruskal-Wallis tests used to assess the difference in mean score of in demographic variables at baseline and eight weeks. The qualitative data was analyzed with the support of open code 4.02.Results: IPT-E was feasible (consent rate = 100%; completion rate = 92.31%; attrition rate = 7.69%; mean score of the sessions = 8 and mode of the session = 8). The total mean score of treatment satisfaction was 27.83 (SD = 4.47). After the delivery of IPT-E, symptoms of mental 2 distress were decreased, functioning was improved and therapist adherence to the treatment model was 100% (i.e. treatment delivered according to the IPT-E guideline). Conclusion: IPT-E was feasible and acceptable to treat university students with mental distress in low-income country setting. The preliminary results also suggest promising viability of IPT-E in higher education institutions of low-income country setting for students with symptoms of anxiety and depression.

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“…According to the theory of planned behavior [32], participation and adherence to interventions are directly predicted by individual intention, which in turn is predicted by attitude toward behavior, subjective norm, and perceived behavioral control. Additionally, many clinicians consider patients' motivation for psychological interventions as a crucial predictor for successful treatment [33][34][35]. Generally, patient motivation facilitates better adherence, retention, and the final outcome of ther-apy [36,37].…”

Section: Introductionmentioning

confidence: 99%

The Motivation Journey: A Grounded Theory Study on Female Cancer Survivors’ Experience of a Psychological Intervention for Quality of Life

Durosini

Savioni

Triberti

et al. 2021

IJERPH

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Psychological interventions are proposed to cancer survivors to support their quality of life against the emotional trauma of cancer and the side effects of treatment. Psychological interventions often require patient engagement and commitment to activities that could be more or less demanding in terms of lifestyle change (e.g., psychotherapy, sports). Analyzing participant motivations (personal aims, expectations, needs) prior to participation is useful to predict their adherence to the intervention as well as final outcomes. Yet, participant motivations may evolve during the intervention because the intervention experience turns out to be meaningful and positively challenging. The present study aimed to obtain a preliminary understanding of the process of motivation change in female cancer survivors who participated in a sport-based intervention to promote quality of life by employing a grounded theory approach. Data analysis took place alongside data collection and according to the procedure of grounded theory (“open coding”, “axial coding”, and “selective coding”) in order to describe the process of motivation change during women’s participation in psychological intervention for quality of life. On 14 women interviewed, 13 reported changing their motivation to participate during the first months of involvement, mostly changing from individualistic to group-related motivations (i.e., from self-care to friendship with other participants and enriching group membership), and from physical to psychological growth (i.e., pursuing not only physical health but also self-fulfillment). The discussion explains the preliminary aspects of the motivation change process and highlights the importance to monitor motivation dynamics within psychological interventions.

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Psychological intervention at a primary health care center: predictors of success

Cited by 19 publications

References 23 publications

Feasibility and acceptability of brief individual interpersonal psychotherapy among university students with mental distress in Ethiopia

Feasibility and acceptability of brief individual interpersonal psychotherapy among university students with mental distress in Ethiopia

Feasibility and Acceptability of Brief Individual Interpersonal Psychotherapy Among University Students with Mental Distress in Ethiopia

The Motivation Journey: A Grounded Theory Study on Female Cancer Survivors’ Experience of a Psychological Intervention for Quality of Life

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