Richiello, M;
Mawdsely, G;
Gutman, L;
(2022)
Using the Behaviour Change Wheel to identify barriers and enablers to the delivery of webchat counselling for young people.
Counselling and Psychotherapy Research
, 22
(1)
pp. 130-139.
10.1002/capr.12410.
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Abstract
Webchat counselling is increasingly utilised to deliver mental health services to young people. Despite potential barriers to its delivery, a systematic investigation has not yet been conducted. This qualitative study examined barriers and enablers to the delivery of webchat counselling through text communication and identified possible strategies to tackle these, on behalf of counsellors volunteering for an online charity offering psychological support to young people aged below 25. The current investigation was conducted using the Behaviour Change Wheel, a validated and systematic framework employed to guide intervention development and optimisation. Qualitative interviews were carried out with eight volunteers. Thematic analysis identified 11 core themes. Barriers were lack of online communication skills, lack of training to work online with young people, technical difficulties, reduced technical supervision during out-of-office hours, duration of webchat counselling sessions, perceived level of effectiveness, perceived establishment of a therapeutic relationship and perceived confidence in delivering webchat counselling. Enablers were familiarity with technology, flexibility and the absence of physical characteristics. These themes were perceived by counsellors as barriers or enablers depending on factors such as experience with technology and work shifts. Using the Behaviour Change Wheel (BCW), intervention functions and behaviour change techniques to address these barriers and optimise the service were identified, such as providing counsellors with training to work online with young people, learning new presence techniques to foster emotional connectedness between counsellors and clients, adding time to sessions to compensate for time taken to complete questionnaires and increasing technical support and supervision during out-of-office hours.
| Type: | Article |
|---|---|
| Title: | Using the Behaviour Change Wheel to identify barriers and enablers to the delivery of webchat counselling for young people |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1002/capr.12410 |
| Publisher version: | https://doi.org/10.1002/capr.12410 |
| Language: | English |
| Additional information: | © 2021 The Authors. Counselling and Psychotherapy Research published by John Wiley & Sons Ltd on behalf of British Association for Counselling and Psychotherapy. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices 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/10125527 |
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