Macleod, Diana C (2011) Investigating issues influencing the decision to discuss the content and meaning of voices with people who hear voices Applying the Theory of Planned Behaviour. DClinPsy thesis, University of Sheffield.
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Literature Review: Sixteen qualitative and quantitative articles pertaining to professionals’ attitudes and responses towards hallucinations in those they care for were reviewed. Professionals’ attitudes may be lagging behind the current evidence base, as there seems to be ambivalence towards discussing the content of hallucinations and conflicting evidence as to whether this intervention is being offered. Five studies aimed to change professionals’ attitudes and responses by using voice simulation experiences and demonstrated positive outcomes such as increased positive attitudes. In general there was a scarcity of literature on the topic. No studies included carers or used a model to investigate the field therefore the present study addressed this. Research Report. Objectives: Part 1. To investigate pertinent issues when discussing the content of voices with people who hear voices. Part 2. To find out what predicts Intention to discuss the content and meaning of voices. Design: Part 1. Interview study with carers and health and social care staff. Part 2. A cross-sectional questionnaire study with carers and health and social care staff. Methods: Part 1. Interviews were conducted with 3 carers and 10 staff who care for people who hear voices. These were based upon a Theory of Planned Behaviour (TPB) framework and assessed 1) advantages/disadvantages; 2) barriers/facilitators; 3) those who approve/disapprove and 4) feelings when discussing the content of voices. The interviews were categorised into the most frequently occurring issues in relation to each of the four areas. Part 2: A TPB questionnaire was constructed based upon the categories identified from the interviews in part 1. This was completed by 142 carers and health and social care staff. Results: A hierarchical multiple regression analysis found the TPB was able to significantly predict Intention to discuss the content of voices. No other variables added significantly to the model of prediction. The final model accounted for 58.8 % of variance in Intention. Conclusions: The TPB is an effective model in predicting Intention to discuss the content of voices. Intervention studies targeting the issues highlighted could be used to increase Intentions to discuss the content of voices with people who hear voices.
|Item Type:||Thesis (DClinPsy)|
|Department:||The University of Sheffield > Faculty of Science (Sheffield) > Psychology (Sheffield)|
|Deposited By:||Miss Diana C Macleod|
|Deposited On:||19 Oct 2011 11:36|
|Last Modified:||19 Oct 2011 11:36|
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