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An evaluation of large group cognitive behaviour therapy with mindfulness (CBTm) classes

BACKGROUND: Ensuring equitable and timely access to Cognitive Behaviour Therapy (CBT) is challenging within Canada’s service delivery model. The current study aims to determine acceptability and effectiveness of 4-session, large, Cognitive Behaviour Therapy with Mindfulness (CBTm) classes. METHODS:...

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Autores principales: Thakur, Vishal K., Wong, Jacquelyne Y., Randall, Jason R., Bolton, James M., Parikh, Sagar V., Mota, Natalie, Whitney, Debbie, Palay, Joshua, Kinley, Jolene, Diocee, Simran, Sala, Tanya, Sareen, Jitender
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6498513/
https://www.ncbi.nlm.nih.gov/pubmed/31053070
http://dx.doi.org/10.1186/s12888-019-2124-5
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author Thakur, Vishal K.
Wong, Jacquelyne Y.
Randall, Jason R.
Bolton, James M.
Parikh, Sagar V.
Mota, Natalie
Whitney, Debbie
Palay, Joshua
Kinley, Jolene
Diocee, Simran
Sala, Tanya
Sareen, Jitender
author_facet Thakur, Vishal K.
Wong, Jacquelyne Y.
Randall, Jason R.
Bolton, James M.
Parikh, Sagar V.
Mota, Natalie
Whitney, Debbie
Palay, Joshua
Kinley, Jolene
Diocee, Simran
Sala, Tanya
Sareen, Jitender
author_sort Thakur, Vishal K.
collection PubMed
description BACKGROUND: Ensuring equitable and timely access to Cognitive Behaviour Therapy (CBT) is challenging within Canada’s service delivery model. The current study aims to determine acceptability and effectiveness of 4-session, large, Cognitive Behaviour Therapy with Mindfulness (CBTm) classes. METHODS: A retrospective chart review of adult outpatients (n = 523) who attended CBTm classes from 2015 to 2016. Classes were administered in a tertiary mental health clinic in Winnipeg, Canada and averaged 24 clients per session. Primary outcomes were (a) acceptability of the classes and retention rates and (b) changes in anxiety and depressive symptoms using Generalized Anxiety Disorder 7-item (GAD-7) and Patient Health Questionnaire 9-item (PHQ-9) scales. RESULTS: Clients found classes useful and > 90% expressed a desire to attend future sessions. The dropout rate was 37.5%. A mixed-effects linear regression demonstrated classes improved anxiety symptoms (GAD-7 score change per class = − 0.52 [95%CI, − 0.74 to − 0.30], P < 0.001) and depressive symptoms (PHQ-9 score change per class = − 0.65 [95%CI, − 0.89 to − 0.40], P < 0.001). Secondary analysis found reduction in scores between baseline and follow-up to be 2.40 and 1.98 for the GAD-7 and PHQ-9, respectively. Effect sizes were small for all analyses. CONCLUSIONS: This study offers preliminary evidence suggesting CBTm classes are an acceptable strategy to facilitate access and to engage and maintain clients’ interest in pursuing CBT. Clients attending CBTm classes experienced improvements in anxiety and depressive symptoms. Symptom improvement was not clinically significant. Study limitations, such as a lack of control group, should be addressed in future research.
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spelling pubmed-64985132019-05-09 An evaluation of large group cognitive behaviour therapy with mindfulness (CBTm) classes Thakur, Vishal K. Wong, Jacquelyne Y. Randall, Jason R. Bolton, James M. Parikh, Sagar V. Mota, Natalie Whitney, Debbie Palay, Joshua Kinley, Jolene Diocee, Simran Sala, Tanya Sareen, Jitender BMC Psychiatry Research Article BACKGROUND: Ensuring equitable and timely access to Cognitive Behaviour Therapy (CBT) is challenging within Canada’s service delivery model. The current study aims to determine acceptability and effectiveness of 4-session, large, Cognitive Behaviour Therapy with Mindfulness (CBTm) classes. METHODS: A retrospective chart review of adult outpatients (n = 523) who attended CBTm classes from 2015 to 2016. Classes were administered in a tertiary mental health clinic in Winnipeg, Canada and averaged 24 clients per session. Primary outcomes were (a) acceptability of the classes and retention rates and (b) changes in anxiety and depressive symptoms using Generalized Anxiety Disorder 7-item (GAD-7) and Patient Health Questionnaire 9-item (PHQ-9) scales. RESULTS: Clients found classes useful and > 90% expressed a desire to attend future sessions. The dropout rate was 37.5%. A mixed-effects linear regression demonstrated classes improved anxiety symptoms (GAD-7 score change per class = − 0.52 [95%CI, − 0.74 to − 0.30], P < 0.001) and depressive symptoms (PHQ-9 score change per class = − 0.65 [95%CI, − 0.89 to − 0.40], P < 0.001). Secondary analysis found reduction in scores between baseline and follow-up to be 2.40 and 1.98 for the GAD-7 and PHQ-9, respectively. Effect sizes were small for all analyses. CONCLUSIONS: This study offers preliminary evidence suggesting CBTm classes are an acceptable strategy to facilitate access and to engage and maintain clients’ interest in pursuing CBT. Clients attending CBTm classes experienced improvements in anxiety and depressive symptoms. Symptom improvement was not clinically significant. Study limitations, such as a lack of control group, should be addressed in future research. BioMed Central 2019-05-03 /pmc/articles/PMC6498513/ /pubmed/31053070 http://dx.doi.org/10.1186/s12888-019-2124-5 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
Thakur, Vishal K.
Wong, Jacquelyne Y.
Randall, Jason R.
Bolton, James M.
Parikh, Sagar V.
Mota, Natalie
Whitney, Debbie
Palay, Joshua
Kinley, Jolene
Diocee, Simran
Sala, Tanya
Sareen, Jitender
An evaluation of large group cognitive behaviour therapy with mindfulness (CBTm) classes
title An evaluation of large group cognitive behaviour therapy with mindfulness (CBTm) classes
title_full An evaluation of large group cognitive behaviour therapy with mindfulness (CBTm) classes
title_fullStr An evaluation of large group cognitive behaviour therapy with mindfulness (CBTm) classes
title_full_unstemmed An evaluation of large group cognitive behaviour therapy with mindfulness (CBTm) classes
title_short An evaluation of large group cognitive behaviour therapy with mindfulness (CBTm) classes
title_sort evaluation of large group cognitive behaviour therapy with mindfulness (cbtm) classes
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6498513/
https://www.ncbi.nlm.nih.gov/pubmed/31053070
http://dx.doi.org/10.1186/s12888-019-2124-5
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