Assessment attendance and treatment engagement with talking and internet-enabled therapies of people with and without a long-term physical health condition: analysis of Talking Therapies service data
Background Research indicates that treatment outcomes are poorer for people with long-term physical health conditions (LTCs) in Talking Therapies services (formerly known as Improving Access to Psychological Therapies). However, the impact of having an LTC on attendance at assessment and treatment...
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| Format: | Article |
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Cambridge University Press
2025-01-01
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| Series: | BJPsych Open |
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| Online Access: | https://www.cambridge.org/core/product/identifier/S2056472424008469/type/journal_article |
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| author | Emma Jenkinson Ruth A. Hackett Rona Moss-Morris Grace Wong Jon Wheatley Mirko Cirkovic Joanna Hudson |
| author_facet | Emma Jenkinson Ruth A. Hackett Rona Moss-Morris Grace Wong Jon Wheatley Mirko Cirkovic Joanna Hudson |
| author_sort | Emma Jenkinson |
| collection | DOAJ |
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Background
Research indicates that treatment outcomes are poorer for people with long-term physical health conditions (LTCs) in Talking Therapies services (formerly known as Improving Access to Psychological Therapies). However, the impact of having an LTC on attendance at assessment and treatment appointments within Talking Therapies remains unclear. Internet-enabled therapies may be one way to overcome barriers to treatment engagement in Talking Therapies. However, their effect on engagement and the influence of LTC status on receipt of internet-enabled therapies is unknown.
Aims
To explore the association between LTC status and assessment attendance, treatment engagement and internet-enabled therapy receipt within Talking Therapies services, and whether receipt of internet-enabled treatment bolsters engagement.
Method
We used anonymous patient-level data from two inner London Talking Therapies services during January to December 2022 (n = 17 095 referrals). Binary logistic regression models were constructed to compare differences between LTC and non-LTC groups on (a) assessment attendance, (b) engagement and (c) internet-enabled therapy receipt. In our regression models, we controlled for key clinical and demographic covariates.
Results
There were no differences between patients with or without an LTC in assessment attendance or treatment engagement, after controlling for covariates. Across the whole sample, receiving internet-enabled treatment increased engagement. People with an LTC were less likely to receive an internet-enabled treatment.
Conclusions
Having an LTC does not negatively affect assessment attendance and engagement with talking therapies. However, receiving an internet-enabled treatment bolstered engagement in our regression models. People with an LTC were less likely to receive internet-enabled treatment.
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| format | Article |
| id | doaj-art-0e8f790634bd40a9929cf7f9c08fd042 |
| institution | Kabale University |
| issn | 2056-4724 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | BJPsych Open |
| spelling | doaj-art-0e8f790634bd40a9929cf7f9c08fd0422025-02-11T14:21:03ZengCambridge University PressBJPsych Open2056-47242025-01-011110.1192/bjo.2024.846Assessment attendance and treatment engagement with talking and internet-enabled therapies of people with and without a long-term physical health condition: analysis of Talking Therapies service dataEmma Jenkinson0https://orcid.org/0000-0002-6257-0506Ruth A. Hackett1https://orcid.org/0000-0002-5428-2950Rona Moss-Morris2https://orcid.org/0000-0002-2927-3446Grace Wong3Jon Wheatley4Mirko Cirkovic5Joanna Hudson6https://orcid.org/0000-0003-0672-2621Institute of Psychology Psychiatry and Neuroscience, King’s College London, UKInstitute of Psychology Psychiatry and Neuroscience, King’s College London, UKInstitute of Psychology Psychiatry and Neuroscience, King’s College London, UKSouth London and Maudsley NHS Foundation Trust, London, UKHomerton University Hospital NHS Foundation Trust, London, UKHomerton University Hospital NHS Foundation Trust, London, UKInstitute of Psychology Psychiatry and Neuroscience, King’s College London, UK Background Research indicates that treatment outcomes are poorer for people with long-term physical health conditions (LTCs) in Talking Therapies services (formerly known as Improving Access to Psychological Therapies). However, the impact of having an LTC on attendance at assessment and treatment appointments within Talking Therapies remains unclear. Internet-enabled therapies may be one way to overcome barriers to treatment engagement in Talking Therapies. However, their effect on engagement and the influence of LTC status on receipt of internet-enabled therapies is unknown. Aims To explore the association between LTC status and assessment attendance, treatment engagement and internet-enabled therapy receipt within Talking Therapies services, and whether receipt of internet-enabled treatment bolsters engagement. Method We used anonymous patient-level data from two inner London Talking Therapies services during January to December 2022 (n = 17 095 referrals). Binary logistic regression models were constructed to compare differences between LTC and non-LTC groups on (a) assessment attendance, (b) engagement and (c) internet-enabled therapy receipt. In our regression models, we controlled for key clinical and demographic covariates. Results There were no differences between patients with or without an LTC in assessment attendance or treatment engagement, after controlling for covariates. Across the whole sample, receiving internet-enabled treatment increased engagement. People with an LTC were less likely to receive an internet-enabled treatment. Conclusions Having an LTC does not negatively affect assessment attendance and engagement with talking therapies. However, receiving an internet-enabled treatment bolstered engagement in our regression models. People with an LTC were less likely to receive internet-enabled treatment. https://www.cambridge.org/core/product/identifier/S2056472424008469/type/journal_articleAdjustment disordersdepressive disordersanxiety- or fear-related disordersmental health servicesprimary care |
| spellingShingle | Emma Jenkinson Ruth A. Hackett Rona Moss-Morris Grace Wong Jon Wheatley Mirko Cirkovic Joanna Hudson Assessment attendance and treatment engagement with talking and internet-enabled therapies of people with and without a long-term physical health condition: analysis of Talking Therapies service data BJPsych Open Adjustment disorders depressive disorders anxiety- or fear-related disorders mental health services primary care |
| title | Assessment attendance and treatment engagement with talking and internet-enabled therapies of people with and without a long-term physical health condition: analysis of Talking Therapies service data |
| title_full | Assessment attendance and treatment engagement with talking and internet-enabled therapies of people with and without a long-term physical health condition: analysis of Talking Therapies service data |
| title_fullStr | Assessment attendance and treatment engagement with talking and internet-enabled therapies of people with and without a long-term physical health condition: analysis of Talking Therapies service data |
| title_full_unstemmed | Assessment attendance and treatment engagement with talking and internet-enabled therapies of people with and without a long-term physical health condition: analysis of Talking Therapies service data |
| title_short | Assessment attendance and treatment engagement with talking and internet-enabled therapies of people with and without a long-term physical health condition: analysis of Talking Therapies service data |
| title_sort | assessment attendance and treatment engagement with talking and internet enabled therapies of people with and without a long term physical health condition analysis of talking therapies service data |
| topic | Adjustment disorders depressive disorders anxiety- or fear-related disorders mental health services primary care |
| url | https://www.cambridge.org/core/product/identifier/S2056472424008469/type/journal_article |
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