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dc.contributor.authorDilgul, Men_US
dc.contributor.authorMcNamee, Pen_US
dc.contributor.authorOrfanos, Sen_US
dc.contributor.authorCarr, CEen_US
dc.contributor.authorPriebe, Sen_US
dc.date.accessioned2018-11-23T12:34:14Z
dc.date.available2018-11-19en_US
dc.date.issued2018-12-13en_US
dc.date.submitted2018-11-19T16:23:46.886Z
dc.identifier.citationDilgul M, McNamee P, Orfanos S, Carr CE, Priebe S (2018) Why do psychiatric patients attend or not attend treatment groups in the community: A qualitative study. PLoS ONE 13(12): e0208448. https://doi.org/10.1371/journal.pone.0208448
dc.identifier.issn1932-6203en_US
dc.identifier.otherARTN e0208448en_US
dc.identifier.otherARTN e0208448en_US
dc.identifier.urihttp://qmro.qmul.ac.uk/xmlui/handle/123456789/53123
dc.description.abstractBackground: Non-attendance of treatment groups in the community has been a long-standing problem in mental health care. It has been found to have financial ramifications for services, worsen outcomes for those that do not attend and negatively impact on therapeutic group processes. There is a need to gain a better understanding of patients’ reasons for attending or not attending. This study aimed to explore patient views on facilitators and barriers to the attendance of treatment groups in the community. Methods: The study used interview data collected as part of three studies that investigated treatment groups for psychiatric patients in the community. Sixty-seven interview transcripts were analysed using the framework method. Results: Five themes relating to facilitators of group attendance were identified: opportunity for autonomy; self-acknowledging need and therapist encouragement; optimal group format and safe environment; interest in content and enjoyment; actual and expected benefits of attendance. Four themes related to barriers: not being sufficiently informed; concerns about social interactions and the unknown; limited accessibility; and negative group dynamics. Conclusion: To facilitate attendance and reduce attrition to treatment groups in the community clinicians should address patient’s wishes for information, capture their interest in the group modality, and potentially offer a ‘trial’ session. Furthermore, they should make the group location and time as accessible as possible and create a moderately sized group of six to eight patients. In these groups, mutual respect, feelings of safety and encouragement appear essential to make patients feel they can benefit from attendance
dc.description.sponsorshipNational Institute for Health Research (NIHR) under its Research for Patient Benefit (RfPB) Programme (Grant Reference Number PB-PG-1014-35053).en_US
dc.language.isoenen_US
dc.relation.ispartofPLOS ONEen_US
dc.titleWhy do psychiatric patients attend or not attend treatment groups in the community: A qualitative studyen_US
dc.typeArticle
dc.rights.holder(c) The Author(s), 2018.
dc.identifier.doi10.1371/journal.pone.0208448en_US
pubs.author-urlhttp://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000453247500023&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=612ae0d773dcbdba3046f6df545e9f6aen_US
pubs.issue12en_US
pubs.notesNo embargoen_US
pubs.publication-statusPublisheden_US
pubs.volume13en_US
qmul.funderResearch for Patient Benefit::National Institute for Health Researchen_US


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