Fahy, Leanne;
(2022)
Barriers and facilitators to engagement in psychological therapy in first episode psychosis: a meta-ethnography and qualitative comparative analysis (QCA).
Doctoral thesis (D.Clin.Psy), UCL (University College London).
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Abstract
Aims: Engagement in psychological therapy during a first episode of psychosis (FEP) has been found to involve emotional, social, practical, and service level factors. This qualitative comparative analysis (QCA) aims to identify which factors are most relevant to service users as barriers and facilitators to engagement in FEP. Method: QCA combines qualitative and quantitively methodology by utilising set theory to understand configurations of factors which are necessary and sufficient for engagement in psychological therapy. This aims to find the shortest possible expression of potential combinations of conditions (barriers and facilitators) that are sufficient for the outcome of engagement. Themes from the concurrent meta-ethnography review of 22 studies were utilised in this QCA. Results: The QCA found that ‘Emotional distress’ was most relevant to service users as a barrier to engagement and that ‘Destigmatizing’ and ‘Therapist interpersonal approach and skills’ were most relevant to service users as facilitators to engagement. Conclusions: QCA builds upon qualitative methodology by identifying the themes which are most frequently referred to across multiple studies. Strengths, limitations, and further directions are discussed.
| Type: | Thesis (Doctoral) |
|---|---|
| Qualification: | D.Clin.Psy |
| Title: | Barriers and facilitators to engagement in psychological therapy in first episode psychosis: a meta-ethnography and qualitative comparative analysis (QCA) |
| Open access status: | An open access version is available from UCL Discovery |
| Language: | English |
| Additional information: | Copyright © The Author 2022. Original content in this thesis is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) Licence (https://creativecommons.org/licenses/by-nc/4.0/). Any third-party copyright material present remains the property of its respective owner(s) and is licensed under its existing terms. Access may initially be restricted at the author’s request. |
| UCL classification: | UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL |
| URI: | https://discovery-pp.ucl.ac.uk/id/eprint/10156386 |
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