PMID- 24618414
OWN - NLM
STAT- MEDLINE
DCOM- 20160330
LR  - 20150602
IS  - 1469-1833 (Electronic)
IS  - 1352-4658 (Linking)
VI  - 43
IP  - 4
DP  - 2015 Jul
TI  - IAPT and Long Term Medical Conditions: What Can We Offer?
PG  - 412-25
LID - 10.1017/S1352465813001227 [doi]
AB  - BACKGROUND: The proposal of a 4-year plan to integrate treatment of people with 
      long term medical conditions (LTCs) into the IAPT service (Department of Health, 
      2011) seeks for research to understand the effectiveness of IAPT interventions 
      for this patient group. AIM: The aim of this service development pilot work was 
      to develop an intervention that is effective for people with Type 2 Diabetes 
      Mellitus (T2DM). It was hypothesized that the standard IAPT intervention would 
      not be effective, but that it can be adapted so that it is effective both in 
      terms of mood and self-management of T2DM. METHOD: Clients (n = 95) who 
      experienced mild to moderate depression and/or anxiety and had a diagnosis of 
      T2DM opted to attend. The intervention was adapted over a series of cohorts from 
      a standard Step 2 intervention. A team of Psychological Wellbeing Practitioners 
      (PWPs), a Clinical Health Psychologist and a General Practitioner worked in 
      collaboration, using outcomes measures and feedback from service users and 
      facilitators. RESULTS: The standard IAPT Step 2 intervention met with challenges 
      when specifically targeting this client group. Using paired t-tests, the modified 
      Step 2 intervention demonstrated significant improvements from pre- to 
      postintervention measures both in terms of psychological (n = 17) and physical (n 
      = 9) outcomes. CONCLUSION: It is concluded that it may be possible to modify a 
      generic Step 2 IAPT intervention to demonstrate improvements both in terms of 
      psychological wellbeing and self-management of T2DM. The main adaptations were 
      related to more targeted recruitment and linking of diabetes specifically into 
      the CBT model.
FAU - Wroe, Abigail L
AU  - Wroe AL
AD  - Berkshire Healthcare NHS Foundation Trust, andRoyal Holloway University of 
      London,UK.
FAU - Rennie, Edward W
AU  - Rennie EW
AD  - Berkshire Healthcare NHS Foundation Trust,UK.
FAU - Gibbons, Sarah
AU  - Gibbons S
AD  - Berkshire Healthcare NHS Foundation Trust,UK.
FAU - Hassy, Arek
AU  - Hassy A
AD  - Berkshire Healthcare NHS Foundation Trust,and Theale Medical Surgery,UK.
FAU - Chapman, Judith E
AU  - Chapman JE
AD  - Berkshire Healthcare NHS Foundation Trust,UK.
LA  - eng
PT  - Journal Article
DEP - 20140311
PL  - United States
TA  - Behav Cogn Psychother
JT  - Behavioural and cognitive psychotherapy
JID - 9418292
SB  - IM
MH  - Adult
MH  - Anxiety/etiology/*therapy
MH  - Depression/etiology/*therapy
MH  - Diabetes Mellitus, Type 2/*psychology/therapy
MH  - Female
MH  - Humans
MH  - Long-Term Care/*methods/psychology
MH  - Male
MH  - Patient Care Planning
MH  - Self Care/psychology
MH  - Surveys and Questionnaires
OTO - NOTNLM
OT  - IAPT
OT  - Step 2
OT  - T2DM
OT  - anxiety
OT  - depression
OT  - diabetes
OT  - long term medical condition
OT  - wellbeing course
EDAT- 2014/03/13 06:00
MHDA- 2016/03/31 06:00
CRDT- 2014/03/13 06:00
PHST- 2014/03/13 06:00 [entrez]
PHST- 2014/03/13 06:00 [pubmed]
PHST- 2016/03/31 06:00 [medline]
AID - S1352465813001227 [pii]
AID - 10.1017/S1352465813001227 [doi]
PST - ppublish
SO  - Behav Cogn Psychother. 2015 Jul;43(4):412-25. doi: 10.1017/S1352465813001227. 
      Epub 2014 Mar 11.