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Patients’ perspectives of the feasibility, acceptability and impact of a group-based psychoeducation programme for bipolar disorder: a qualitative analysis
Open accessAbstract
BACKGROUND: Although there is some quantitative evidence to suggest the benefits of group psychoeducation for people with bipolar disorder, patients' perspectives and experiences of group psychoeducation require in-depth exploration to enable us to better understand the feasibility, acceptability and impact of these interventions, the potential facilitators and barriers to engagement, and how to improve these interventions in the future. METHODS: In-depth, semi-structured interviews were conducted with 13 participants of a psychoeducation programme for bipolar disorder in Wales, following their involvement in the programme. The data were recorded and transcribed verbatim and analysed using thematic analysis. RESULTS: Findings demonstrate that group psychoeducation may impact on participants' perceived social support, knowledge and acceptance of bipolar disorder, personal insights, attitude towards medication and access to services. Key recommendations for improvement included: allowing more time for group discussions, offering group sessions to family members and avoiding use of hospital or university venues for the groups. CONCLUSIONS: This is the first qualitative study of patients' perspectives of a UK-based group psychoeducation programme for people with bipolar disorder, and findings present an in-depth account of how group psychoeducation may be experienced by patients. The recommendations for improving the content and delivery of group psychoeducation for bipolar disorder may enhance engagement and widen access to such programmes. Future research into psychoeducation for bipolar disorder should explore how to target and engage people of diverse ethnic backgrounds and those in lower socioeconomic groups who are less likely to access healthcare services.
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TEAMS differs to previous future-oriented psychological interventions that emphasised relapse prevention and were designed for groups rather than being individually tailored.
“TEAMS differs to previous future-oriented psychological interventions that emphasised relapse prevention and were designed for groups rather than being individually tailored (Chadwick et al., 2011; O'Connor et al., 2008; Poole et al., 2015).”
From What are People's Experiences of a Novel Cognitive Behavioural Therapy for Bipolar Disorders? A Qualitative Investigation with Participants on the TEAMS Trial. (2017) · cites this paper as Poole et al., 2015
The Background (page unavailable) describes BEP-Cymru as a manualised group programme with sessions on monitoring mood, identifying triggers and early warning signs; it also reports that group psychoeducation can reduce bipolar-episode recurrences. This supports the description of a prior group-based intervention concerned with relapse, but the paper does not characterize BEP-Cymru as “future-oriented” or explicitly contrast it with individually tailored interventions. (LLM, conf=0.82)
Experimental — accuracy not yet measuredPublished literature on people's experiences of face-to-face psychological interventions for bipolar disorders is limited, with only three studies available.
“However, published literature on people's experiences of face-to-face psychological interventions for bipolar disorders is limited, with only three studies available (Chadwick, Kaur, Swelam, Ross, & Ellett, 2011; O'Connor, Gordon, Graham, Kelly, & O'Grady Walshe, 2008; Poole, Smith, & Simpson, 2015).”
From What are People's Experiences of a Novel Cognitive Behavioural Therapy for Bipolar Disorders? A Qualitative Investigation with Participants on the TEAMS Trial. (2017) · cites this paper as Poole, Smith, & Simpson, 2015
Two studies reported on psychoeducation which emphasised relapse prevention, which is not the emphasis of TEAMS owing to its focus on current problems, quality of life and sense of purpose.
“Additionally, two studies reported on psychoeducation which emphasised relapse prevention (O'Connor et al., 2008; Poole et al., 2015), which is not the emphasis of TEAMS owing to its focus on current problems, quality of life and sense of purpose.”
From What are People's Experiences of a Novel Cognitive Behavioural Therapy for Bipolar Disorders? A Qualitative Investigation with Participants on the TEAMS Trial. (2017) · cites this paper as Poole et al., 2015
Participants' experiences were often strongly affected by the psychotherapy being delivered within a group modality.
“Participants' experiences were often strongly affected by the psychotherapy being delivered within a group modality (O'Connor et al., 2008; Poole et al., 2015).”
From What are People's Experiences of a Novel Cognitive Behavioural Therapy for Bipolar Disorders? A Qualitative Investigation with Participants on the TEAMS Trial. (2017) · cites this paper as Poole et al., 2015
These findings are consistent with reports from participants in psychoeducation and CBT for depression.
“These findings are consistent with reports from participants in psychoeducation (Poole et al., 2015) and CBT for depression (Wiles et al., 2014).”
From What are People's Experiences of a Novel Cognitive Behavioural Therapy for Bipolar Disorders? A Qualitative Investigation with Participants on the TEAMS Trial. (2017) · cites this paper as Poole et al., 2015
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Cites
Using thematic analysis in psychology
Braun, V., & Clarke, V. (2006) · Qualitative Research in Psychology · doi:10.1191/1478088706qp063oa · Cited by 194,414
Psychoeducation Manual for Bipolar Disorder
Colom, F., Vieta, E., & Scott, J. (2006) · doi:10.1017/cbo9780511543685 · Cited by 215
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Cited by
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Rahmani, F., Ebrahimi, H., Ranjbar, F., Razavi, S. S., & Asghari, E. (2016) · Journal of Caring Sciences · doi:10.15171/jcs.2016.030 · Cited by 30
Joyce, E., Tai, S., Gebbia, P., & Mansell, W. (2017) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.2040 · Cited by 13
Metadata
- Authors
- Poole, R., Smith, D., & Simpson, S.
- Affiliations
- Cardiff University (GB)
- MRC/CSO Social and Public Health Sciences Unit (GB)
- Corresponding author
- Poole, Ria
- Venue
- BMC Psychiatry
- Published
- 2015-08-01
- Volume
- 15
- Issue
- 1
- Pages
- 184-184
- ISSN
- 1471-244X (ISSN-L)
- PMC
- PMC4522139
- OpenAlex
- W1855861305
- Cited by
- 45
- References
- 3
- Citations by year
- 2025: 2 · 2024: 4 · 2023: 1 · 2022: 7 · 2021: 2 · 2020: 11 · 2019: 3 · 2018: 5 · 2017: 4 · 2016: 5 · 2015: 1
- FWCI
- 4.06
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- BMC Psychiatry (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, other-oa)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- ORCA Online Research @Cardiff (Cardiff University) (acceptedVersion)
- ENLIGHTEN (Jurnal Bimbingan dan Konseling Islam) (acceptedVersion)
- ORCA Online Research @Cardiff (Cardiff University) (submittedVersion)
- Funders
- Cardiff University
- Medical Research Council (MC_PC_13027, MC_UU_12017/14)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Health Sciences › Health Professions › General Health Professions › Mental Health and Patient Involvement
- Keywords
- bipolar disorder, group psychoeducation, patient perspectives, feasibility, acceptability, social support, drug acceptance, access to mental health care, family involvement, barriers to engagement
- MeSH terms
- Adult, Attitude to Health, Bipolar Disorder, Feasibility Studies, Female, Humans, Male, Patient Education as Topic, Psychotherapy, Group, Comprehension, Qualitative Research
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