Ching, YE; (2017) The Adaptation and Feasibility of the Narrative Component of the Narrative Enhancement and Cognitive Therapy (NECT) for Late-Onset Psychosis. Doctoral thesis (D.Clin.Psy), UCL (University College London).

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Abstract

This thesis focuses on the adaptation and feasibility of the narrative module of an intervention, Narrative Enhancement and Cognitive Therapy (NECT), for people with late-onset psychosis (LOP). Part one of the thesis is a literature review examining the outcomes of adapted psychological interventions for psychosis and exploring the adaptation processes where reported. The 11 papers are presented according to the study design quality, followed by a discussion on the three reported adaptation models and ad-hoc adaptation processes. Part two of the thesis is an empirical study which investigated the adaptation process and feasibility of the narrative module of NECT for people in late-onset psychosis. The intervention was delivered by NHS and evaluated using a feasibility guidance (Orsmond and Cohn, 2015). The recruitment process for this study was jointly conducted with Lucy Smyth (2017). She examined the process and content of life history and present-time narratives of people with late-onset psychosis through semi-structured interviews. Part three is a critical appraisal. It will reflect on the process of conducting the research, including: research design, research governance, group selection, and implementation fidelity.

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