Cargando…

The transportability of Memory Specificity Training (MeST): adapting an intervention derived from experimental psychology to routine clinical practices

BACKGROUND: Accumulating evidence shows that a cognitive factor associated with a worsening of depressive symptoms amongst people with and without diagnoses of depression – reduced Autobiographical Memory (rAMS) – can be ameliorated by a group cognitive training protocol referred to as Memory Specif...

Descripción completa

Detalles Bibliográficos
Autores principales: Martens, Kris, Barry, Tom J., Takano, Keisuke, Raes, Filip
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6359774/
https://www.ncbi.nlm.nih.gov/pubmed/30709422
http://dx.doi.org/10.1186/s40359-019-0279-y
_version_ 1783392344303730688
author Martens, Kris
Barry, Tom J.
Takano, Keisuke
Raes, Filip
author_facet Martens, Kris
Barry, Tom J.
Takano, Keisuke
Raes, Filip
author_sort Martens, Kris
collection PubMed
description BACKGROUND: Accumulating evidence shows that a cognitive factor associated with a worsening of depressive symptoms amongst people with and without diagnoses of depression – reduced Autobiographical Memory (rAMS) – can be ameliorated by a group cognitive training protocol referred to as Memory Specificity Training (MeST). When transporting interventions such as MeST from research to routine clinical practices (RCPs), modifications are inevitable, with potentially a decrease in effectiveness, so called voltage drop. We examined the transportability of MeST to RCPs as an add-on to treatment as usual with depressed in- and out- patients. METHODS: We examined whether 1) MeST was adaptable to local needs of RCPs by implementing MeST in a joint decision-making process in seven Belgian RCPs 2) without losing its effect on rAMS. The effectiveness of MeST was measured by pre- and post- intervention measurements of memory specificity. RESULTS: Adaptations were made to the MeST protocol to optimize the fit with RCPs. Local needs of RCPs were met by dismantling MeST into different subparts. By dismantling it in this way, we were able to address several challenges raised by clinicians. In particular, multidisciplinary teams could divide the workload across different team members and, for the open version of MeST, the intervention could be offered continuously with tailored dosing per patient. Both closed and open versions of MeST, with or without peripheral components, and delivered by health professionals with different backgrounds, resulted in a significant increase in memory specificity for depressed in- and out- patients in RCPs. CONCLUSIONS: MeST is shown to be a transportable and adaptable add-on intervention which effectively maintains its core mechanism when delivered in RCPs. TRIAL REGISTRATION: ISRCTN registry, IDISRCTN10144349, registered on January 22, 2019. Retrospectively registered. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s40359-019-0279-y) contains supplementary material, which is available to authorized users.
format Online
Article
Text
id pubmed-6359774
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-63597742019-02-13 The transportability of Memory Specificity Training (MeST): adapting an intervention derived from experimental psychology to routine clinical practices Martens, Kris Barry, Tom J. Takano, Keisuke Raes, Filip BMC Psychol Research Article BACKGROUND: Accumulating evidence shows that a cognitive factor associated with a worsening of depressive symptoms amongst people with and without diagnoses of depression – reduced Autobiographical Memory (rAMS) – can be ameliorated by a group cognitive training protocol referred to as Memory Specificity Training (MeST). When transporting interventions such as MeST from research to routine clinical practices (RCPs), modifications are inevitable, with potentially a decrease in effectiveness, so called voltage drop. We examined the transportability of MeST to RCPs as an add-on to treatment as usual with depressed in- and out- patients. METHODS: We examined whether 1) MeST was adaptable to local needs of RCPs by implementing MeST in a joint decision-making process in seven Belgian RCPs 2) without losing its effect on rAMS. The effectiveness of MeST was measured by pre- and post- intervention measurements of memory specificity. RESULTS: Adaptations were made to the MeST protocol to optimize the fit with RCPs. Local needs of RCPs were met by dismantling MeST into different subparts. By dismantling it in this way, we were able to address several challenges raised by clinicians. In particular, multidisciplinary teams could divide the workload across different team members and, for the open version of MeST, the intervention could be offered continuously with tailored dosing per patient. Both closed and open versions of MeST, with or without peripheral components, and delivered by health professionals with different backgrounds, resulted in a significant increase in memory specificity for depressed in- and out- patients in RCPs. CONCLUSIONS: MeST is shown to be a transportable and adaptable add-on intervention which effectively maintains its core mechanism when delivered in RCPs. TRIAL REGISTRATION: ISRCTN registry, IDISRCTN10144349, registered on January 22, 2019. Retrospectively registered. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s40359-019-0279-y) contains supplementary material, which is available to authorized users. BioMed Central 2019-02-01 /pmc/articles/PMC6359774/ /pubmed/30709422 http://dx.doi.org/10.1186/s40359-019-0279-y Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Martens, Kris
Barry, Tom J.
Takano, Keisuke
Raes, Filip
The transportability of Memory Specificity Training (MeST): adapting an intervention derived from experimental psychology to routine clinical practices
title The transportability of Memory Specificity Training (MeST): adapting an intervention derived from experimental psychology to routine clinical practices
title_full The transportability of Memory Specificity Training (MeST): adapting an intervention derived from experimental psychology to routine clinical practices
title_fullStr The transportability of Memory Specificity Training (MeST): adapting an intervention derived from experimental psychology to routine clinical practices
title_full_unstemmed The transportability of Memory Specificity Training (MeST): adapting an intervention derived from experimental psychology to routine clinical practices
title_short The transportability of Memory Specificity Training (MeST): adapting an intervention derived from experimental psychology to routine clinical practices
title_sort transportability of memory specificity training (mest): adapting an intervention derived from experimental psychology to routine clinical practices
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6359774/
https://www.ncbi.nlm.nih.gov/pubmed/30709422
http://dx.doi.org/10.1186/s40359-019-0279-y
work_keys_str_mv AT martenskris thetransportabilityofmemoryspecificitytrainingmestadaptinganinterventionderivedfromexperimentalpsychologytoroutineclinicalpractices
AT barrytomj thetransportabilityofmemoryspecificitytrainingmestadaptinganinterventionderivedfromexperimentalpsychologytoroutineclinicalpractices
AT takanokeisuke thetransportabilityofmemoryspecificitytrainingmestadaptinganinterventionderivedfromexperimentalpsychologytoroutineclinicalpractices
AT raesfilip thetransportabilityofmemoryspecificitytrainingmestadaptinganinterventionderivedfromexperimentalpsychologytoroutineclinicalpractices
AT martenskris transportabilityofmemoryspecificitytrainingmestadaptinganinterventionderivedfromexperimentalpsychologytoroutineclinicalpractices
AT barrytomj transportabilityofmemoryspecificitytrainingmestadaptinganinterventionderivedfromexperimentalpsychologytoroutineclinicalpractices
AT takanokeisuke transportabilityofmemoryspecificitytrainingmestadaptinganinterventionderivedfromexperimentalpsychologytoroutineclinicalpractices
AT raesfilip transportabilityofmemoryspecificitytrainingmestadaptinganinterventionderivedfromexperimentalpsychologytoroutineclinicalpractices