Service users experience of psychological interventions in primary care settings: A qualitative meta-synthesis

Clin Psychol Psychother. 2021 Jul 14. doi: 10.1002/cpp.2650. Online ahead of print.ABSTRACTPrimary care mental health services play a crucial role in public mental health by providing local and accessible psychological interventions that meet individuals' needs. Despite growing research investigating service users' perspectives of psychological interventions, a qualitative systematic review in this context is not available. The present meta-synthesis collates the existing articles and gives a thematic synthesis of qualitative studies on service users experience of psychological interventions in primary care. Multiple databases (CINAHL, EMBASE, PsychINFO, MEDLINE and Cochrane Library) were searched for published qualitative studies of service users experiences of psychological interventions delivered in primary care. Articles were included if they met inclusion criteria. Study quality was assessed using the Critical Appraisal Skills Programme tool. All types of psychological interventions were considered across model and delivery format (e.g. face-to-face, computerised programmes, group etc.). NVIVO was used to code the dataset and themes were extracted following thematic synthesis. Twenty-two studies were included. Four analytical themes and ten subthemes emerged. The identified themes were: (1) 'Access and Acceptability: facilitators and barriers', (2) 'Structural aspects'; (3) 'Therapeutic process' and (4) 'Outcomes'. A model of interrelationships between themes is proposed...
Source: Clinical Psychology and Psychotherapy - Category: Psychiatry Authors: Source Type: research