Development and application of criteria to evaluate written CBT self-help interventions adopted by Improving Access to Psychological Therapies services

Paul Farrand, Adam Dawes, Michelle Doughty, Sundeep Phull, Sally Saines, Simon Winter, Anthony Roth
2022 The Cognitive Behaviour Therapist  
Guided CBT self-help represents a low-intensity intervention to deliver evidence-based psychological therapy within the Improving Access to Psychological Therapies (IAPT) programme. Best practice guidance highlighting characteristics associated with CBT self-help is available to help services reach decisions regarding which interventions to adopt. However, at present a single process to evaluate written CBT self-help interventions informed by guidance is lacking. This study reports on the
more » ... pment of a standardised criteria-driven process that can be used to determine the extent written CBT self-help interventions are consistent with guidance regarding the fundamental characteristics of low-intensity CBT and high-quality written patient information. Following development, the process was piloted on 51 IAPT services, with 23 interventions identified as representing free-to-use written CBT self-help interventions. Overall, inter-rater reliability was acceptable. Following application of the criteria framework, 14 (61%) were considered suitable to be recommended for use within the IAPT programme. This pilot supports the development and potential utility of an independent criteria-driven process to appraise the suitability of written workbook-based CBT self-help interventions for use within the IAPT programme. Key learning aims (1) To recognise the range of written low-intensity CBT self-help interventions currently used within IAPT services. (2) To identify separate criteria associated with high-quality written CBT self-help interventions. (3) To use identified criteria to develop a framework to evaluate written workbook based low-intensity CBT self-help interventions for use within the IAPT programme. (4) To evaluate inter-rater reliability of the criteria framework to evaluate the quality and appropriateness of written workbook based low-intensity CBT self-help interventions used within IAPT services.
doi:10.1017/s1754470x22000241 fatcat:ti7lip2k6ja43ip5ghkw6lilom