Greenwood, Kathryn E;
Gurnani, Megha;
Ward, Tom;
Vogel, Evelin;
Vella, Claire;
McGourty, Alison;
Robertson, Sam;
... Garety, Philippa; + view all
(2022)
The service user experience of SlowMo therapy: A co-produced thematic analysis of service users’ subjective experience.
Psychology and Psychotherapy: Theory Research and Practice
, 95
(3)
pp. 680-700.
10.1111/papt.12393.
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Abstract
Objectives: SlowMo is the first blended digital therapy for paranoia, showing significant small-moderate reductions in paranoia in a recent large-scale randomized controlled trial (RCT). This study explored the subjective service-user experience of the SlowMo therapy content and design; the experience of the blended therapy approach, including the triangle of the therapeutic alliance; and the experience of the digital aspects of the intervention. // Design: Qualitative co-produced sub-study of an RCT. // Methods: Participants were 22 adult service users with schizophrenia-spectrum psychosis and persistent distressing paranoia, who completed at least one SlowMo therapy session and a 24-week follow-up, at one of 3 sites in Oxford, London, and Sussex, UK. They were interviewed by peer researchers, using a topic guide co-produced by the Patient and Public Involvement (PPI) team. The transcribed data were analysed thematically. Multiple coding and triangulation, and lay peer researcher validation were used to reach a consensus on the final theme structure. // Results: Six core themes were identified: (i) starting the SlowMo journey; (ii) the central role of the supportive therapist; (iii) slowing things down; (iv) value and learning from social connections; (v) approaches and challenges of technology; and (vi) improvements in paranoia and well-being. // Conclusions: For these service users, slowing down for a moment was helpful, and integrated into thinking over time. Learning from social connections reflected reduced isolation, and enhanced learning through videos, vignettes, and peers. The central role of the supportive therapist and the triangle of alliance between service user, therapist, and digital platform were effective in promoting positive therapeutic outcomes.
| Type: | Article |
|---|---|
| Title: | The service user experience of SlowMo therapy: A co-produced thematic analysis of service users’ subjective experience |
| Location: | England |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1111/papt.12393 |
| Publisher version: | https://doi.org/10.1111/papt.12393 |
| Language: | English |
| Additional information: | Copyright © 2022 The Authors. Psychology and Psychotherapy: Theory, Research and Practice published by John Wiley & Sons Ltd on behalf of The British Psychological Society. This is an open access article under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
| Keywords: | Cognitive behaviour therapy; paranoia; patient and, psychosis; public involvement; qualitative; service user experience; schizophrenia-spectrum; reasoning; thematic analysis |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences 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 > Division of Psychiatry |
| URI: | https://discovery-pp.ucl.ac.uk/id/eprint/10174563 |
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