Therapist Effects & Professional Practice Variability in IAPT

  • Research type

    Research Study

  • Full title

    Therapist effects and variability in professional approaches and its impact on patient outcomes

  • IRAS ID

    197276

  • Contact name

    Nick Firth

  • Contact email

    nick.firth@shef.ac.uk

  • Sponsor organisation

    University of Sheffield

  • Duration of Study in the UK

    0 years, 11 months, 14 days

  • Research summary

    The current study seeks to compare differences in the outcomes of patients after receiving psychological treatment, looking at two main factors. One factor is the influence of different individual therapists, known as a "therapist effect". The other factor is the influence of the specific model of therapy (in this study, comparing cognitive behavioural therapy [CBT] with counselling).

    The study aims to examine data from a psychological service that is part of the national Improving Access to Psychological Therapies (IAPT) initiative. The study aims to use routinely collected anonymised data that was collected between June 2010 and October 2013. Eligible data from this sample comprises around 5000 patients seen by around 65 therapists.

    Particular outcome variables of interest are
    1) scores on two psychological outcome measures (the Patient Health Questionnaire-9 (PHQ-9) and Generalized Anxiety Disorder-7 (GAD-7))
    2) whether the patient completed therapy or ended the therapy early, sometimes known as "dropping out".

    The data will be analysed using a statistical approach called "multilevel modelling". This approach focuses on the differences between therapists, after controlling for differences between patients.

  • REC name

    Yorkshire & The Humber - South Yorkshire Research Ethics Committee

  • REC reference

    16/YH/0028

  • Date of REC Opinion

    4 Mar 2016

  • REC opinion

    Favourable Opinion