UCL logo

UCL Discovery

UCL home » Library Services » Electronic resources » UCL Discovery

Group membership and staff turnover affect outcomes in group CBT for persistent pain

Williams, A.C. de C.; Potts, H.W.W.; (2010) Group membership and staff turnover affect outcomes in group CBT for persistent pain. Pain , 148 (3) pp. 481-486. 10.1016/j.pain.2009.12.011. Green open access

[img]
Preview
PDF - Requires a PDF viewer such as GSview, Xpdf or Adobe Acrobat Reader
130Kb

Abstract

The effects of two contextual factors, group membership and staff turnover, on the outcome of group cognitive behavioral therapy (CBT) for persistent pain were investigated. The data came from end of treatment and one month follow-up assessments of 3050 individuals who attended an intensive group programme over sixteen years. Intraclass correlations (ICC) showed significant intragroup effects on self-efficacy (ICC = 0.16 at end of treatment; 0.12 at one month), catastrophizing (ICC = 0.06; 0.13) and distance walked (ICC = 0.20; 0.19). This underlines the importance of modelling group membership when analyzing data from group interventions. Linear regression showed that high periods of staff turnover were significantly related to poorer outcomes on self-efficacy and distance walked at end of treatment, with the effect on self-efficacy persisting to one month follow-up. Having demonstrated significant contextual effects in an existing data set, further research is needed to explore the mechanisms by which these effects operate.

Type:Article
Title:Group membership and staff turnover affect outcomes in group CBT for persistent pain
Open access status:An open access version is available from UCL Discovery
DOI:10.1016/j.pain.2009.12.011
Publisher version:http://dx.doi.org/10.1016/j.pain.2009.12.011
Language:English
Keywords:Outcomes, group cognitive behavioral therapy, persistent pain, therapist variables
UCL classification:UCL > School of Life and Medical Sciences > Faculty of Brain Sciences > Psychology and Language Sciences (Division of) > Clinical, Educational and Health Psychology
UCL > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health Care > CHIME

View download statistics for this item

Archive Staff Only: edit this record