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The Meaning Behind Responses And Changes In The IAPT Outcome Measures: Seeking Perspectives Of IAPT Service Users And Clinicians

Lee, Huen Tung Pandora; (2020) The Meaning Behind Responses And Changes In The IAPT Outcome Measures: Seeking Perspectives Of IAPT Service Users And Clinicians. Doctoral thesis (D.Clin.Psy), UCL (University College London). Green open access

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Abstract

The conceptual introduction of this thesis reviewed the existing literature and studies of responses to questionnaire measures of mental health and wellbeing. In the conceptual introduction I found that a range of factors can impact on the response process but also highlighted the lack of a unified theory and approach in this area. The empirical paper details a three-phase qualitative study on service users’ and clinicians’ views of the meaning behind responses and changes in questionnaires used in the IAPT setting. I identified a range of personal, interpersonal, contextual and questionnaire factors that influenced questionnaire responses. The study supported the acceptability of the Global Rating of Improvement measure and the utility in using this alongside the symptom measures to capture a holistic sense of wellbeing. Clinicians and service users might hold different understanding of the questionnaire scores, and the study emphasised the importance of taking a collaborative approach to interpret responses and changes of questionnaire scores for them to be clinically meaningful and beneficial. I subsequently proposed a conceptual framework of questionnaire response in a clinical setting to illustrate the findings and guide future research in this area. The critical appraisal includes further thoughts and personal reflections on this study and the wider research topic.

Type: Thesis (Doctoral)
Qualification: D.Clin.Psy
Title: The Meaning Behind Responses And Changes In The IAPT Outcome Measures: Seeking Perspectives Of IAPT Service Users And Clinicians
Event: UCL (University College London)
Open access status: An open access version is available from UCL Discovery
Language: English
Additional information: Copyright © The Author 2020. Original content in this thesis is licensed under the terms of the Creative Commons Attribution 4.0 International (CC BY 4.0) Licence (https://creativecommons.org/licenses/by/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.
Keywords: Questionnaire Response, Measures, Subjective Sense of Wellbeing, Cognitive Interviewing, Global Rating of Improvement, Service User And Clinician Perspectives, IAPT
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 > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
URI: https://discovery.ucl.ac.uk/id/eprint/10111848
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