Firth, N. orcid.org/0000-0003-1984-6869, Delgadillo, J. orcid.org/0000-0001-5349-230X, Kellett, S. et al. (1 more author) (2019) The influence of socio-demographic similarity and difference on adequate attendance of group psychoeducational cognitive behavioural therapy. Psychotherapy Research, 30 (3). pp. 362-374. ISSN 1050-3307
Abstract
Aim: The study aimed to investigate the impact of socio-demographic similarity on the probability of attending an adequate dose of a psychoeducational group intervention (≥4 of 6 sessions). Method: The sample comprised 2071 patients (63% female, 93% White, 15% unemployed, mean age 43) who received the Stress Control intervention in the UK’s national Improving Access to Psychological Therapies (IAPT) programme. Similarity indices were constructed to measure each patient’s similarity to the rest of their group on four characteristics: age, gender, ethnicity, and neighbourhood deprivation (Index of Multiple Deprivation; IMD). Results: Multilevel analysis found that patients with greater IMD similarity to their group had significantly higher probabilities of attending an adequate dose of intervention (p = .026, controlling for absolute IMD). A cumulative effect of age similarity, ethnic similarity, and group size was also found, such that patients who were similar in age and ethnicity to their group had higher probabilities of adequate attendance in larger groups (p = .006). Conclusions: These results suggest that socio-demographic comparison (a.k.a. relational demography) may consciously or unconsciously impact on patients’ attendance at group psychoeducational interventions, particularly regarding indicators of socio-economic similarity. Clinical implications include structuring group composition and/or intervention content to maximise attendance and therefore clinical effectiveness.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2019 Society for Psychotherapy Research. This is an author-produced version of a paper subsequently published in Psychotherapy Research. Uploaded in accordance with the publisher's self-archiving policy. |
Keywords: | similarity; relational demography; deprivation; group intervention; Improving Access to Psychological Therapies; attendance |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > School of Health and Related Research (Sheffield) > ScHARR - Sheffield Centre for Health and Related Research The University of Sheffield > Faculty of Science (Sheffield) > Department of Psychology (Sheffield) |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 25 Apr 2019 14:58 |
Last Modified: | 23 Nov 2021 14:59 |
Status: | Published |
Publisher: | Taylor & Francis |
Refereed: | Yes |
Identification Number: | 10.1080/10503307.2019.1589652 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:145136 |