Cargando…

Improving Cognitive Behaviour Therapy for Autistic Individuals: A Delphi Survey with Practitioners

There is emerging evidence of the effectiveness of individual and group cognitive behaviour therapy (CBT) for autistic individuals, in particular to address anxiety, obsessive compulsive disorder and depression. Many CBT studies have incorporated relatively stringent standards, with regards to parti...

Descripción completa

Detalles Bibliográficos
Autores principales: Spain, Debbie, Milner, Victoria, Mason, David, Iannelli, Hannah, Attoe, Chris, Ampegama, Ruwani, Kenny, Lorcan, Saunders, Aleks, Happé, Francesca, Marshall-Tate, Karina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8991669/
https://www.ncbi.nlm.nih.gov/pubmed/35431434
http://dx.doi.org/10.1007/s10942-022-00452-4
_version_ 1784683619023847424
author Spain, Debbie
Milner, Victoria
Mason, David
Iannelli, Hannah
Attoe, Chris
Ampegama, Ruwani
Kenny, Lorcan
Saunders, Aleks
Happé, Francesca
Marshall-Tate, Karina
author_facet Spain, Debbie
Milner, Victoria
Mason, David
Iannelli, Hannah
Attoe, Chris
Ampegama, Ruwani
Kenny, Lorcan
Saunders, Aleks
Happé, Francesca
Marshall-Tate, Karina
author_sort Spain, Debbie
collection PubMed
description There is emerging evidence of the effectiveness of individual and group cognitive behaviour therapy (CBT) for autistic individuals, in particular to address anxiety, obsessive compulsive disorder and depression. Many CBT studies have incorporated relatively stringent standards, with regards to participant inclusion/exclusion criteria, delivery of manualised approaches and assurance of therapist training and oversight. We know less about what happens in routine CBT practice and, importantly, how service provision can be improved for autistic individuals. The present study recruited 50 CBT practitioners to a three round Delphi survey. The aims were to elicit professionals’ perspectives regarding barriers to the acceptability and effectiveness of CBT for autistic individuals, and to generate consensus, both about ways of enhancing service provision, as well as the autism-relevant training needs of CBT practitioners. Study findings indicated six barriers to accessible and effective CBT for autistic individuals, relating to service provision, practitioner-related factors, client-related factors, CBT-related factors, national guidelines, and systemic considerations. There was participant consensus that changes in five domains (specifically relating to process issues, service provision, practitioners, techniques and therapeutic approach) could improve the CBT care pathway. Consensus was generated about the training needs of CBT practitioners: training about autism, CBT-specific issues, co-occurring conditions and engagement, were deemed fundamental for enhancing practice. Participants also identified autism-relevant issues for clinical supervision. Further sustained research is needed to determine the effects of adapted service provision and improved practitioner knowledge and skills on the outcomes of autistic individuals who have CBT.
format Online
Article
Text
id pubmed-8991669
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Springer US
record_format MEDLINE/PubMed
spelling pubmed-89916692022-04-11 Improving Cognitive Behaviour Therapy for Autistic Individuals: A Delphi Survey with Practitioners Spain, Debbie Milner, Victoria Mason, David Iannelli, Hannah Attoe, Chris Ampegama, Ruwani Kenny, Lorcan Saunders, Aleks Happé, Francesca Marshall-Tate, Karina J Ration Emot Cogn Behav Ther Article There is emerging evidence of the effectiveness of individual and group cognitive behaviour therapy (CBT) for autistic individuals, in particular to address anxiety, obsessive compulsive disorder and depression. Many CBT studies have incorporated relatively stringent standards, with regards to participant inclusion/exclusion criteria, delivery of manualised approaches and assurance of therapist training and oversight. We know less about what happens in routine CBT practice and, importantly, how service provision can be improved for autistic individuals. The present study recruited 50 CBT practitioners to a three round Delphi survey. The aims were to elicit professionals’ perspectives regarding barriers to the acceptability and effectiveness of CBT for autistic individuals, and to generate consensus, both about ways of enhancing service provision, as well as the autism-relevant training needs of CBT practitioners. Study findings indicated six barriers to accessible and effective CBT for autistic individuals, relating to service provision, practitioner-related factors, client-related factors, CBT-related factors, national guidelines, and systemic considerations. There was participant consensus that changes in five domains (specifically relating to process issues, service provision, practitioners, techniques and therapeutic approach) could improve the CBT care pathway. Consensus was generated about the training needs of CBT practitioners: training about autism, CBT-specific issues, co-occurring conditions and engagement, were deemed fundamental for enhancing practice. Participants also identified autism-relevant issues for clinical supervision. Further sustained research is needed to determine the effects of adapted service provision and improved practitioner knowledge and skills on the outcomes of autistic individuals who have CBT. Springer US 2022-04-08 2023 /pmc/articles/PMC8991669/ /pubmed/35431434 http://dx.doi.org/10.1007/s10942-022-00452-4 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Article
Spain, Debbie
Milner, Victoria
Mason, David
Iannelli, Hannah
Attoe, Chris
Ampegama, Ruwani
Kenny, Lorcan
Saunders, Aleks
Happé, Francesca
Marshall-Tate, Karina
Improving Cognitive Behaviour Therapy for Autistic Individuals: A Delphi Survey with Practitioners
title Improving Cognitive Behaviour Therapy for Autistic Individuals: A Delphi Survey with Practitioners
title_full Improving Cognitive Behaviour Therapy for Autistic Individuals: A Delphi Survey with Practitioners
title_fullStr Improving Cognitive Behaviour Therapy for Autistic Individuals: A Delphi Survey with Practitioners
title_full_unstemmed Improving Cognitive Behaviour Therapy for Autistic Individuals: A Delphi Survey with Practitioners
title_short Improving Cognitive Behaviour Therapy for Autistic Individuals: A Delphi Survey with Practitioners
title_sort improving cognitive behaviour therapy for autistic individuals: a delphi survey with practitioners
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8991669/
https://www.ncbi.nlm.nih.gov/pubmed/35431434
http://dx.doi.org/10.1007/s10942-022-00452-4
work_keys_str_mv AT spaindebbie improvingcognitivebehaviourtherapyforautisticindividualsadelphisurveywithpractitioners
AT milnervictoria improvingcognitivebehaviourtherapyforautisticindividualsadelphisurveywithpractitioners
AT masondavid improvingcognitivebehaviourtherapyforautisticindividualsadelphisurveywithpractitioners
AT iannellihannah improvingcognitivebehaviourtherapyforautisticindividualsadelphisurveywithpractitioners
AT attoechris improvingcognitivebehaviourtherapyforautisticindividualsadelphisurveywithpractitioners
AT ampegamaruwani improvingcognitivebehaviourtherapyforautisticindividualsadelphisurveywithpractitioners
AT kennylorcan improvingcognitivebehaviourtherapyforautisticindividualsadelphisurveywithpractitioners
AT saundersaleks improvingcognitivebehaviourtherapyforautisticindividualsadelphisurveywithpractitioners
AT happefrancesca improvingcognitivebehaviourtherapyforautisticindividualsadelphisurveywithpractitioners
AT marshalltatekarina improvingcognitivebehaviourtherapyforautisticindividualsadelphisurveywithpractitioners