IAPT and Long Term Medical Conditions: What Can We Offer?
Abstract
Background The proposal of a 4-year plan to integrate treatment of people with long term medical conditions (LTCs) into the IAPT service (Department of Health, 2011) seeks for research to understand the effectiveness of IAPT interventions for this patient group. Aim The aim of this service development pilot work was to develop an intervention that is effective for people with Type 2 Diabetes Mellitus (T2DM). It was hypothesized that the standard IAPT intervention would not be effective, but that it can be adapted so that it is effective both in terms of mood and self-management of T2DM. Method Clients (n = 95) who experienced mild to moderate depression and/or anxiety and had a diagnosis of T2DM opted to attend. The intervention was adapted over a series of cohorts from a standard Step 2 intervention. A team of Psychological Wellbeing Practitioners (PWPs), a Clinical Health Psychologist and a General Practitioner worked in collaboration, using outcomes measures and feedback from service users and facilitators. Results The standard IAPT Step 2 intervention met with challenges when specifically targeting this client group. Using paired t-tests, the modified Step 2 intervention demonstrated significant improvements from pre- to postintervention measures both in terms of psychological (n = 17) and physical (n = 9) outcomes. Conclusion It is concluded that it may be possible to modify a generic Step 2 IAPT intervention to demonstrate improvements both in terms of psychological wel…
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Patients state that traditional CBT treatments fail to take into account the challenges of their illness.
“Patients state that traditional CBT treatments fail to take into account the challenges of their illness (Hind et al . 2010; Wroe et al . 2015).”
From Improving Distress in Dialysis (iDiD): A tailored CBT self-management treatment for patients undergoing dialysis. (2016) · cites this paper as Wroe et al . 2015
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Wroe, A. L., Rennie, E. W., Sollesse, S., Chapman, J., & Hassy, A. (2018) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465817000492 · Cited by 34 · see citing works
Self-citationImproving access to psychological therapies in England
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“In England, Improving Access to Psychological Therapies (IAPT) services provide face-to-face and online Cognitive Behavioural Therapy (CBT) for long-term conditions, including diabetes (Wroe et al., 2015; National Collaborating Centre for Mental Health, 2018).”
Background
- Authors
- Wroe, A. L., Rennie, E. W., Gibbons, S., Hassy, A., & Chapman, J. E.
- Affiliations
- Royal Holloway University of London (GB)
- Berkshire Healthcare NHS Foundation Trust (GB)
- Corresponding author
- Wroe, Abigail L.
- ORCID
- Wroe, Abigail L.
- Venue
- Behavioural and Cognitive Psychotherapy
- Publisher
- Cambridge University Press (CUP)
- Published
- 2014-03-11
- Volume
- 43
- Issue
- 4
- Pages
- 412-425
- ISSN
- 1352-4658 (ISSN-L)
- 1469-1833
- OpenAlex
- W2131367409
- Cited by
- 18
- References
- 8
- Citations by year
- 2026: 2 · 2025: 2 · 2023: 1 · 2020: 1 · 2018: 2 · 2017: 3 · 2016: 4 · 2015: 1 · 2014: 2
- FWCI
- 2.68
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behavioural and Cognitive Psychotherapy (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Keywords
- Improving Access to Psychological Therapies, type 2 diabetes, depression, anxiety, cognitive behavioral therapy, diabetes self-management, psychological well-being, service adaptation, general practitioner collaboration
- MeSH terms
- Adult, Anxiety, Depression, Diabetes Mellitus, Type 2, Female, Humans, Long-Term Care, Male, Patient Care Planning, Surveys and Questionnaires, Self Care
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