Barriers and facilitators to providing CBT for people living with dementia: Perceptions of psychological therapists.
anxiety
cognitive behavioural therapy
dementia
depression
mild cognitive impairment
service experience
Journal
Clinical psychology & psychotherapy
ISSN: 1099-0879
Titre abrégé: Clin Psychol Psychother
Pays: England
ID NLM: 9416196
Informations de publication
Date de publication:
May 2022
May 2022
Historique:
revised:
04
10
2021
received:
24
08
2021
accepted:
05
10
2021
pubmed:
10
10
2021
medline:
18
6
2022
entrez:
9
10
2021
Statut:
ppublish
Résumé
Many people living with dementia or mild cognitive impairment (MCI) experience anxiety and depression. Cognitive behavioural therapy (CBT) is a recommended treatment for adults, commonly provided through primary care psychological therapies services. This study explored the facilitators and barriers to providing CBT interventions for people living with dementia or MCI, as perceived by therapists working in such services. Structured interviews were conducted with 14 clinicians recruited through primary care psychological therapies services about their experiences of working with people living with dementia or MCI and their ideas about factors that enhance or hinder offering and delivering CBT to this population. Interview recordings were transcribed and analysed using thematic analysis. Credibility checks were incorporated throughout. Three themes were identified: 'attitudes towards dementia', 'competing demands', and 'pressure without support'. Perceived facilitators and barriers occurred across individual, service, and system levels. Facilitators were positive engagement and outcomes for people living with dementia or MCI, positive attitudes of clinicians, and flexibility within some services. In contrast, perceived barriers were stigma towards dementia and mental health in older adults, high pressure on staff to perform with a lack of support to do so, exclusion based on diagnosis, and inflexibility within some services. Clinicians were confident that people living with dementia or MCI could benefit from CBT, with some adaptations to delivery. There are implications for staff support and training, and for commissioning practices relating to the tension between minimal resources, equitable access, and person-centred care.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
950-961Subventions
Organisme : UCLH NIHR BRC
Organisme : Alzheimer's Society
Pays : United Kingdom
Informations de copyright
© 2021 John Wiley & Sons, Ltd.
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