A qualitative process evaluation of classroom-based cognitive behaviour therapy to reduce adolescent depression

Taylor, John A., Phillips, Rhiannon ORCID: https://orcid.org/0000-0002-4256-4598, Cook, Ellen, Georgiou, Lucy, Stallard, Paul and Sayal, Kapil 2014. A qualitative process evaluation of classroom-based cognitive behaviour therapy to reduce adolescent depression. International Journal of Environmental Research and Public Health 11 (6) , pp. 5951-5969. 10.3390/ijerph110605951

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Abstract

Small scale trials indicate that classroom-based Cognitive Behaviour Therapy (CBT) for adolescents has good reach and can help prevent depression. However, under more diverse everyday conditions, such programmes tend not to show such positive effects. This study examined the process of implementing a classroom-based CBT depression prevention programme as part of a large (n = 5,030) randomised controlled trial across eight UK secondary schools which was not found to be effective (PROMISE, ISRCTN19083628). The views of young people (n = 42), teachers (n = 12) and facilitators (n = 16) involved in the Resourceful Adolescent Programme (RAP) were obtained via focus groups and interviews which were thematically analysed. The programme was considered to be well structured and contain useful content, particularly for younger pupils. However, challenges associated with implementation were its age appropriateness for all year groups, its perceived lack of flexibility, the consistency of quality of delivery, the competing demands for teacher time and a culture where academic targets were prioritised over personal, social and health education. Whilst schools are convenient locations for introducing such programmes and allow good reach, the culture around improving well-being of young people in schools, increasing engagement with teachers and young people and sustaining such programmes are issues that need addressing.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Medicine
Subjects:	L Education > LC Special aspects of education R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
Uncontrolled Keywords:	depression; adolescents; prevention; school; programme; evaluation; qualitative
Additional Information:	This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Publisher:	MDPI
Date of First Compliant Deposit:	30 March 2016
Date of Acceptance:	27 May 2014
Last Modified:	03 May 2023 19:53
URI:	https://orca.cardiff.ac.uk/id/eprint/78426

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