A qualitative process evaluation of social recovery therapy for enhancement of social recovery in first-episode psychosis (SUPEREDEN3)

Gee, Brioney, Berry, Clio, Hodgekins, Joanne, Greenwood, Kathryn, Fitzsimmons, Michael, Lavis, Anna, Notley, Caitlin ORCID: https://orcid.org/0000-0003-0876-3304, Pugh, Katherine, Birchwood, Max and Fowler, David (2023) A qualitative process evaluation of social recovery therapy for enhancement of social recovery in first-episode psychosis (SUPEREDEN3). Behavioural and Cognitive Psychotherapy, 51 (2). pp. 133-145. ISSN 1352-4658

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Background: Many individuals with first-episode psychosis experience severe and persistent social disability despite receiving specialist early intervention. The SUPEREDEN3 trial assessed whether augmenting early intervention in psychosis services with Social Recovery Therapy (SRT) would lead to better social recovery. Aims: A qualitative process evaluation was conducted to explore implementation and mechanisms of SRT impact from the perspective of SUPEREDEN3 participants. Method: A subsample of SUPEREDEN3 trial participants (n = 19) took part in semi-structured interviews, which were transcribed verbatim and analysed thematically. Trial participants were early intervention service users aged 16–35 years with severe and persistent social disability. Both SRT plus early intervention and early intervention alone arm participants were interviewed to facilitate better understanding of the context in which SRT was delivered and to aid identification of mechanisms specific to SRT. Results: The six themes identified were used to generate an explanatory model of SRT’s enhancement of social recovery. Participant experiences highlight the importance of the therapist cultivating increased self-understanding and assertively encouraging clients to face feared situations in a way that is perceived as supportive, while managing ongoing symptoms. The sense of achievement generated by reaching targets linked to personally meaningful goals promotes increased self-agency, and generates hope and optimism. Conclusions: The findings suggest potentially important processes through which social recovery was enhanced in this trial, which will be valuable in ensuring the benefits observed can be replicated. Participant accounts provide hope that, with the right support, even clients who have persistent symptoms and the most severe disability can make a good social recovery.

Item Type: Article
Additional Information: Financial support: The present work was conducted as part of the SUPEREDEN3 trial, which was funded by the National Institute for Health Research (NIHR) under the Programme Grants for Applied Research programme (RP-PG-0109-10074). The funder had no role in study design, data collection, data analysis, data interpretation, or writing of the report. The first, second, third and last authors had full access to all the data in the study and all authors had final responsibility for the decision to submit for publication.
Uncontrolled Keywords: alliance,cognitive behavioural therapy,early intervention in psychosis,mechanisms of change,psychosis,youth mental health,clinical psychology ,/dk/atira/pure/subjectarea/asjc/3200/3203
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
UEA Research Groups: Faculty of Medicine and Health Sciences > Research Groups > Mental Health
Faculty of Medicine and Health Sciences > Research Centres > Norwich Institute for Healthy Aging
Faculty of Medicine and Health Sciences > Research Groups > Public Health and Health Services Research
Faculty of Medicine and Health Sciences > Research Groups > Epidemiology and Public Health
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Depositing User: LivePure Connector
Date Deposited: 09 Jan 2023 12:33
Last Modified: 21 Apr 2023 01:36
URI: https://ueaeprints.uea.ac.uk/id/eprint/90474
DOI: 10.1017/S135246582200056X

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