{"id":2022,"date":"2021-07-13T12:46:48","date_gmt":"2021-07-13T11:46:48","guid":{"rendered":"https:\/\/sites.manchester.ac.uk\/equity\/?p=2022"},"modified":"2021-07-15T09:21:11","modified_gmt":"2021-07-15T08:21:11","slug":"developing-the-equity-behaviour-change-intervention","status":"publish","type":"post","link":"https:\/\/sites.manchester.ac.uk\/equity\/2021\/07\/13\/developing-the-equity-behaviour-change-intervention\/","title":{"rendered":"Developing the EQUITy behaviour change intervention"},"content":{"rendered":"

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During the first phase of the EQUITy programme we conducted several studies and gained a comprehensive understanding of the barriers and enablers associated with the delivery of telephone treatment at Step 2 care in Improving Access to Psychological Therapies (IAPT) services. So\u2026 What do we do with the wealth of evidence we collected?<\/strong><\/p>\n

 <\/p>\n

As part of the second phase of the EQUITy programme we aimed to develop an intervention to enhance the quality and ease of delivering telephone-based psychological interventions. So\u2026 How do we translate <\/strong>our understanding into a successful intervention to be use in routine clinical practice?<\/strong><\/p>\n

 <\/p>\n

Our intervention development journey included three stages:<\/p>\n

    \n
  1. Synthesising the evidence we gathered from the first phase of the EQUITY programme<\/li>\n
  2. Meeting with people that will use the intervention in practice (i.e. patients, practitioners and service managers\/clinical leads\/academics involved in training practitioners)<\/li>\n
  3. Making decisions to finalise the intervention and making sure is practical<\/li>\n<\/ol>\n

     <\/p>\n

    First stage: <\/strong>Synthesising evidence<\/p>\n

    In a programme team meeting, we synthesised the evidence gathered from the first phase of the EQUITY programme and to do this we followed an approach called behaviour change wheel (Michie, Atkins, & West, 2014). In brief, this approach focuses on the identification of key behaviours that need to change and from whom to successfully achieve a specific aim. The aim of our intervention was to improve quality of care of psychological treatments delivered by telephone and increase engagement from patients towards this mode of delivery. During the meeting, we identified the key behaviours that were needed to promote changes from mental health services, practitioners and patients and those were then included in a questionnaire.<\/p>\n

    \u00a0<\/strong><\/p>\n

    Second stage: <\/strong>Meeting with people that will use the intervention in practice<\/p>\n

    Using the questionnaire developed on the first stage, we met and discussed the proposed intervention with people that was going to use the telephone intervention in practice, i.e. patients, practitioners and key informants (e.g. service managers, clinical leads, academics involved in training practitioners). We met with each of these three groups independently and we identified \u2018essential\u2019 elements for inclusion in the intervention for each of these groups.<\/p>\n

     <\/p>\n

    Third stage. <\/strong>Making decisions to finalise the intervention and making sure is practical<\/p>\n

    In a programme team meeting, we discussed views from the three groups (patients, practitioners and key informants) and elements considered \u2018key\u2019 by a majority of groups were then included in the final intervention. We then considered how to make the intervention accessible, practical and easy to implement in practice.<\/p>\n

     <\/p>\n

    The EQUITy intervention that was developed as part of the second phase of the research programme was then tested in a feasibility study involving three IAPT services. We received feedback from patients and professionals (i.e. practitioners and service leads) and make changes following their advice. So\u2026 What does the EQUITy intervention package include?<\/strong><\/p>\n

    \u00a0<\/strong><\/p>\n

    The EQUITy intervention package is comprised of three elements:<\/u><\/p>\n

    \"\"<\/p>\n

     <\/p>\n

     <\/p>\n

     <\/p>\n

     <\/p>\n

     <\/p>\n

     <\/p>\n

     <\/p>\n

     <\/p>\n

    Each of the three elements are equally important<\/u>; they interact with each other, and the implementation of the three is most likely to enhance the quality of psychological interventions delivered by telephone.<\/p>\n

     <\/p>\n

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    Related<\/h1>\n

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    What do we know about interaction in telephone therapy?<\/h2><\/div><\/div><\/a>
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    EQUITy Patient and Public Involvement Blog<\/h2><\/div><\/div><\/a>
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    A case of misalignment<\/h2><\/div><\/div><\/a><\/div>
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    During the first phase of the EQUITy programme we conducted several studies and gained a comprehensive understanding of the barriers and enablers associated with the delivery of telephone treatment at Step 2 care in Improving Access to Psychological Therapies (IAPT) services. So\u2026 What do we do with the wealth of evidence we collected?   As […]<\/p>\n","protected":false},"author":1814,"featured_media":2027,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"

    During the first phase of the EQUITy programme we conducted several studies and gained a comprehensive understanding of the barriers and enablers associated with the delivery of telephone treatment at Step 2 care in Improving Access to Psychological Therapies (IAPT) services. So\u2026 What do we do with the wealth of evidence we collected?<\/strong><\/p>

    As part of the second phase of the EQUITy programme we aimed to develop an intervention to enhance the quality and ease of delivering telephone-based psychological interventions. So\u2026 How do we translate <\/strong>our understanding into a successful intervention to be use in routine clinical practice?<\/strong><\/p>

    Our intervention development journey included three stages:<\/p>

    1. Synthesising the evidence we gathered from the first phase of the EQUITY programme<\/li>
    2. Meeting with people that will use the intervention in practice (i.e. patients, practitioners and service managers\/clinical leads\/academics involved in training practitioners)<\/li>
    3. Making decisions to finalise the intervention and making sure is practical<\/li><\/ol>

      \u00a0<\/p>

      First stage: <\/strong>Synthesising evidence<\/p>

      In a programme team meeting, we synthesised the evidence gathered from the first phase of the EQUITY programme and to do this we followed an approach called behaviour change wheel (Michie, Atkins, & West, 2014). In brief, this approach focuses on the identification of key behaviours that need to change and from whom to successfully achieve a specific aim. The aim of our intervention was to improve quality of care of psychological treatments delivered by telephone and increase engagement from patients towards this mode of delivery. During the meeting, we identified the key behaviours that were needed to promote changes from mental health services, practitioners and patients and those were then included in a questionnaire.<\/p>

      Second stage: <\/strong>Meeting with people that will use the intervention in practice<\/p>

      Using the questionnaire developed on the first stage, we met and discussed the proposed intervention with people that was going to use the telephone intervention in practice, i.e. patients, practitioners and key informants (e.g. service managers, clinical leads, academics involved in training practitioners). We met with each of these three groups independently and we identified \u2018essential\u2019 elements for inclusion in the intervention for each of these groups.<\/p>

      Third stage. <\/strong>Making decisions to finalise the intervention and making sure is practical<\/p>

      In a programme team meeting, we discussed views from the three groups (patients, practitioners and key informants) and elements considered \u2018key\u2019 by a majority of groups were then included in the final intervention. We then considered how to make the intervention accessible, practical and easy to implement in practice.<\/p>

      The EQUITy intervention that was developed as part of the second phase of the research programme was then tested in a feasibility study involving three IAPT services. We received feedback from patients and professionals (i.e. practitioners and service leads) and make changes following their advice. So\u2026 What does the EQUITy intervention package include?<\/strong><\/p>

      \u00a0<\/p>

      The EQUITy intervention package is comprised of three elements:<\/u><\/p>

      \"\"<\/p>

      \u00a0<\/p>

      Each of the three elements are equally important<\/u>; they interact with each other, and the implementation of the three is most likely to enhance the quality of psychological interventions delivered by telephone.<\/p>

      1. Guidelines for Services, Team Workshop and Implementation meetings<\/strong><\/p><\/li><\/ol>

        This component comprises a \u2018Guidelines for Services\u2019 booklet, two team workshops and implementation meeting updates. The team workshops and implementation meetings will involve collaborative working between researchers and services to get the most out of the EQUITy intervention and facilitate its implementation in routine practice. The \u2018Guidelines for Services\u2019 booklet focuses on 5 key areas and is aimed to facilitate\/help guide implementation of changes.<\/p>

        1. Telephone Training for Practitioners<\/strong><\/li><\/ol>

          This component involves a two 3-hour sessions designed to enhance skills and encourage practitioners for delivering psychological treatments by telephone. The telephone training is a mix of teaching and activities, including interactive presentations, audiovisual clips, small group exercises, skills practice exercises (including role-play) and live demonstrations of good practice.<\/p>

          1. Resources for Patients<\/strong><\/li><\/ol>

            This component comprises a leaflet, a poster and an appointment card that were designed to increase awareness and facilitate telephone treatment. The leaflet and the poster include information about telephone treatment, e.g. what to expect, what happens at the initial session and between sessions, who delivers the intervention, equal quality and personalised care when treatment is delivered by telephone or face-to-face. The appointment card includes details of practitioner and date\/time for each of the treatment sessions. The patient resources were developed in collaboration with the Lived Experienced Advisory Panel (LEAP).<\/p>","_et_gb_content_width":"","_exactmetrics_skip_tracking":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-2022","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorised"],"_links":{"self":[{"href":"https:\/\/sites.manchester.ac.uk\/equity\/wp-json\/wp\/v2\/posts\/2022","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sites.manchester.ac.uk\/equity\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/sites.manchester.ac.uk\/equity\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/sites.manchester.ac.uk\/equity\/wp-json\/wp\/v2\/users\/1814"}],"replies":[{"embeddable":true,"href":"https:\/\/sites.manchester.ac.uk\/equity\/wp-json\/wp\/v2\/comments?post=2022"}],"version-history":[{"count":16,"href":"https:\/\/sites.manchester.ac.uk\/equity\/wp-json\/wp\/v2\/posts\/2022\/revisions"}],"predecessor-version":[{"id":2053,"href":"https:\/\/sites.manchester.ac.uk\/equity\/wp-json\/wp\/v2\/posts\/2022\/revisions\/2053"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/sites.manchester.ac.uk\/equity\/wp-json\/wp\/v2\/media\/2027"}],"wp:attachment":[{"href":"https:\/\/sites.manchester.ac.uk\/equity\/wp-json\/wp\/v2\/media?parent=2022"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sites.manchester.ac.uk\/equity\/wp-json\/wp\/v2\/categories?post=2022"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sites.manchester.ac.uk\/equity\/wp-json\/wp\/v2\/tags?post=2022"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}