Budd, Miranda, Gardner, Rebecca 
ORCID: 0000-0002-2055-4524, Bhutani, Gita ORCID: 0000-0002-2732-6479, Gardner, Kathryn ORCID: 0000-0003-3904-1638, Iqbal, Ameera, Harding, Charlotte, Baguley, Clare and Chauhan, Umesh ORCID: 0000-0002-0747-591X
(2022)
Can a new role, the (Trainee) Associate Psychological Practitioner (T/APP), add value in General Practice? Results from the pilot year evaluation.
Primary health care research & development, 23.
e61-.
|
PDF
Can a new role, the (Trainee) Associate Psychological Practitioner (TAPP), add value in General Practice Results from the pi.pdf - Published version Download (815kB) | Preview |
Abstract
<h4>Background</h4>The deployment of (Trainee) Associate Psychological Practitioners (T/APPs) to deliver brief psychological interventions focusing on preventing mental health deterioration and promoting emotional wellbeing in General Practice settings is a novel development in the North West of England. As the need and demand for psychological practitioners increases, new workforce supply routes are required to meet this growth.<h4>Aims</h4>To evaluate the clinical impact and efficacy of the mental health prevention and promotion service, provided by the T/APPs and the acceptability of the role from the perspective of the workforce and the role to T/APPs, patients and services.<h4>Methods</h4>A mixed-methods design was used. To evaluate clinical outcomes, patients completed measures of wellbeing (WEMWBS), depression (PHQ-9), anxiety (GAD-7) and resilience (BRS) at the first session, final session and at a 4-6 week follow-up. Paired-samples t-tests were conducted comparing scores from session 1 and session 4, and session 1 and follow-up for each of the four outcome measures. To evaluate acceptability, questionnaires were sent to General Practice staff, T/APPs and patients to gather qualitative and quantitative feedback on their views of the T/APP role. Quantitative responses were collated and summarised. Qualitative responses were analysed using inductive summative content analysis to identify themes.<h4>Results</h4>T-test analysis revealed clinically and statistically significant reductions in depression and anxiety and elevations in wellbeing and resiliency between session 1 and session 4, and at follow-up. Moderate-large effect sizes were recorded. Acceptability of the T/APP role was established across General Practice staff, T/APPs and patients. Content analysis revealed two main themes: positive feedback and constructive feedback. Positive sub-themes included accessibility of support, type of support, patient benefit and primary care network benefit. Constructive sub-themes included integration of the role and limitations to the support.<h4>Conclusions</h4>The introduction of T/APPs into General Practice settings to deliver brief mental health prevention and promotion interventions is both clinically effective and acceptable to patients, General Practice staff and psychology graduates.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | Humans, Mental Health, England, General Practice, Surveys and Questionnaires |
| Divisions: | Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Institute of Population Health |
| Depositing User: | Symplectic Admin |
| Date Deposited: | 02 Feb 2023 17:11 |
| Last Modified: | 02 Feb 2023 17:12 |
| DOI: | 10.1017/s1463423622000482 |
| Open Access URL: | https://doi.org/10.1017/S1463423622000482 |
| Related URLs: | |
| URI: | https://livrepository.liverpool.ac.uk/id/eprint/3168113 |
Dimensions
Dimensions
