McDevitt-Petrovic Orla, Kirby Karen, McBride Orla, Shevlin Mark, McAteer Donal, Gorman Colin, Murphy Jamie
Ulster University.
Behav Cogn Psychother. 2018 Nov;46(6):761-767. doi: 10.1017/S1352465818000322. Epub 2018 Jun 13.
The prevalence of mental health difficulties in Northern Ireland (NI) is significantly higher than in England. In recent years, there have been extensive consultations, and subsequent recommendations made in NI in an effort to address this.
The current study aims to evaluate the effectiveness of an 'Improving Access to Psychological Therapies' (IAPT) stepped care service model using low-intensity cognitive behavioural therapy (LI-CBT) in primary and community care settings.
A pilot intervention trial design utilized two standardized outcome measures (PHQ-9 and GAD-7) before treatment (at baseline), during treatment (in every session) and at discharge (at final session).
Preliminary reliable change outcomes for the pilot cohorts showed a recovery rate of 47.9%, improvement rate of 76.7% and deterioration rate of 6%.
These findings suggest that the IAPT service model is clinically effective in the NI population. Data collection for the larger study was completed in December 2017. Future analyses will include follow-up data collected at 4 months post-treatment, and will also aim to identify individual and service level factors that potentially impact treatment effectiveness.
北爱尔兰（NI）心理健康问题的患病率显著高于英格兰。近年来，北爱尔兰进行了广泛的磋商，并随后提出了相关建议以解决这一问题。
本研究旨在评估在初级和社区护理环境中使用低强度认知行为疗法（LI-CBT）的“改善心理治疗可及性”（IAPT）阶梯式护理服务模式的有效性。
一项试点干预试验设计在治疗前（基线时）、治疗期间（每节治疗课）和出院时（最后一节治疗课）使用两种标准化结局测量方法（PHQ-9和GAD-7）。
试点队列的初步可靠变化结果显示，康复率为47.9%，改善率为76.7%，恶化率为6%。
这些发现表明IAPT服务模式在北爱尔兰人群中具有临床有效性。大型研究的数据收集于2017年12月完成。未来的分析将包括治疗后4个月收集的随访数据，还将旨在确定可能影响治疗效果的个体和服务层面因素。
