Gillian E. Hardy
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View article: Mapping the relation between trials methodology and practice-based evidence in the real world of smaller effects: Generalizability and research recommendations
Mapping the relation between trials methodology and practice-based evidence in the real world of smaller effects: Generalizability and research recommendations Open
Embedding trials within routine practice that uses the same outcome measures enables direct tests of trial generalizability. Recommendations enhancing transparency in trial reporting are made to aid generalizability of trial results to rou…
View article: The Feasibility and Acceptability of Automated Feedback and Deliberate Practice in Psychological Therapies for Anxiety and Depression
The Feasibility and Acceptability of Automated Feedback and Deliberate Practice in Psychological Therapies for Anxiety and Depression Open
Deliberate Practice (DP) for psychological therapists involves using objective, corrective feedback to identify and improve individualised skill deficits, alongside iterative practice opportunities separate from clinical care. Automated, p…
View article: Cognitive-behavioural therapy (CBT) for outpatients with anorexia nervosa: a systematic review and meta-analysis of clinical effectiveness
Cognitive-behavioural therapy (CBT) for outpatients with anorexia nervosa: a systematic review and meta-analysis of clinical effectiveness Open
Anorexia nervosa is commonly treated using outpatient cognitive-behavioural therapy (CBT), but its effectiveness needs to be established. This systematic review and meta-analysis (PROSPERO CRD42023484924) assessed outpatient CBT's effectiv…
View article: How Therapists Operationalise the Experiential Components of Person‐Centred Experiential Therapy in the Treatment of Depression: Generating Psychotherapeutic Exemplars for Training Practitioners
How Therapists Operationalise the Experiential Components of Person‐Centred Experiential Therapy in the Treatment of Depression: Generating Psychotherapeutic Exemplars for Training Practitioners Open
Background Person‐centred experiential therapy (PCET) is an evidence‐based psychological therapy for the treatment of depression delivered within the English NHS Talking Therapies for Anxiety and Depression programme. Process research is n…
View article: The Feasibility and Acceptability of Automated Feedback and Deliberate Practice in Psychological Therapies for Anxiety and Depression
The Feasibility and Acceptability of Automated Feedback and Deliberate Practice in Psychological Therapies for Anxiety and Depression Open
Deliberate Practice (DP) for psychological therapists involves using objective, corrective feedback to identify and improve individualised skill deficits, alongside iterative practice opportunities separate from clinical care. Automated, p…
View article: The identity of clinical associates in psychology: a cross sectional, national survey
The identity of clinical associates in psychology: a cross sectional, national survey Open
Background The Clinical Associate in Psychology (CAP) is a new psychological profession within the National Health Service (NHS) in the United Kingdom. This paper considers the processes developing the CAPs’ professional identity, specific…
View article: What factors facilitate partnerships between higher education and local mental health services for students? A case study collective
What factors facilitate partnerships between higher education and local mental health services for students? A case study collective Open
Background Higher education institutions face challenges in providing effective mental health services for diverse student needs. In the UK, discrepancies between healthcare and education service provision create barriers for students and …
View article: Applying precision methods to treatment selection for moderate/severe depression in person-centered experiential therapy or cognitive behavioral therapy
Applying precision methods to treatment selection for moderate/severe depression in person-centered experiential therapy or cognitive behavioral therapy Open
Objective: To develop two prediction algorithms recommending person-centered experiential therapy (PCET) or cognitive–behavioral therapy (CBT) for patients with depression: (1) a full data model using multiple trial-based and routine varia…
View article: The identity of Clinical Associates in Psychology: a cross sectional, national survey
The identity of Clinical Associates in Psychology: a cross sectional, national survey Open
Background: The Clinical Associate in Psychology (CAP) is a new psychological profession within the National Health Service (NHS) in the United Kingdom. This paper considers the processes developing the CAPs’ professional identity, specifi…
View article: Resilience_database_FINALforpublicationJan2022.xlsx
Resilience_database_FINALforpublicationJan2022.xlsx Open
Dataset linked to Resilience Paper submitted to be published in JOOP.
View article: Person‐centred experiential therapy: Perceptions of trainers and developers
Person‐centred experiential therapy: Perceptions of trainers and developers Open
Background Top‐up training in person‐centred experiential therapy (PCET) was developed in 2011 and is offered, through four university centres, to counsellors working in Improving Access to Psychological Therapies (IAPT) services in Englan…
View article: Acceptability and Effectiveness of NHS-Recommended e-Therapies for Depression, Anxiety, and Stress: Meta-Analysis
Acceptability and Effectiveness of NHS-Recommended e-Therapies for Depression, Anxiety, and Stress: Meta-Analysis Open
Background There is a disconnect between the ability to swiftly develop e-therapies for the treatment of depression, anxiety, and stress, and the scrupulous evaluation of their clinical utility. This creates a risk that the e-therapies rou…
View article: Out of pocket expenses in obsessive compulsive disorder
Out of pocket expenses in obsessive compulsive disorder Open
Future economic evaluations involving participants with OCD should include out of pocket expenses, but careful consideration of alternative approaches to the collection and costing of this data is needed.
View article: Usability, Acceptability, and Effectiveness of Web-Based Conversational Agents to Facilitate Problem Solving in Older Adults: Controlled Study
Usability, Acceptability, and Effectiveness of Web-Based Conversational Agents to Facilitate Problem Solving in Older Adults: Controlled Study Open
Background The usability and effectiveness of conversational agents (chatbots) that deliver psychological therapies is under-researched. Objective This study aimed to compare the system usability, acceptability, and effectiveness in older …
View article: Acceptability and Effectiveness of NHS-Recommended e-Therapies for Depression, Anxiety, and Stress: Meta-Analysis (Preprint)
Acceptability and Effectiveness of NHS-Recommended e-Therapies for Depression, Anxiety, and Stress: Meta-Analysis (Preprint) Open
BACKGROUND There is a disconnect between the ability to swiftly develop e-therapies for the treatment of depression, anxiety, and stress, and the scrupulous evaluation of their clinical utility. This creates a risk that the e-therapies ro…
View article: Usability, Acceptability, and Effectiveness of Web-Based Conversational Agents to Facilitate Problem Solving in Older Adults: Controlled Study (Preprint)
Usability, Acceptability, and Effectiveness of Web-Based Conversational Agents to Facilitate Problem Solving in Older Adults: Controlled Study (Preprint) Open
BACKGROUND The usability and effectiveness of conversational agents (chatbots) that deliver psychological therapies is under-researched. OBJECTIVE This study aimed to compare the system usability, acceptability, and effectiveness in old…
View article: e-Therapies in England for stress, anxiety or depression: how are apps developed? A survey of NHS e-therapy developers
e-Therapies in England for stress, anxiety or depression: how are apps developed? A survey of NHS e-therapy developers Open
Objective To document the quality of web and smartphone apps used and recommended for stress, anxiety or depression by examining the manner in which they were developed. Design The study was conducted using a survey sent to developers of N…
View article: The relationship between expected engagement and talking therapy outcome
The relationship between expected engagement and talking therapy outcome Open
The aim of the study was to investigate whether client‐reported expected engagement with therapy predicted therapy outcome. It was hypothesized that higher expected engagement with cognitive behavioural therapy (CBT) or person‐centred expe…
View article: How Does Therapy Harm? A Model of Adverse Process Using Task Analysis in the Meta-Synthesis of Service Users' Experience
How Does Therapy Harm? A Model of Adverse Process Using Task Analysis in the Meta-Synthesis of Service Users' Experience Open
Background: Despite repeated discussion of treatment safety, there remains little quantitative research directly addressing the potential of therapy to harm. In contrast, there are numerous sources of qualitative evidence on clients' negat…
View article: Training for Mental Health Professionals on the Use of Implementation Intentions
Training for Mental Health Professionals on the Use of Implementation Intentions Open
Free training materials for mental health professionals to help their clients to achieve their goals.
View article: Collaborative case management to aid return to work after long-term sickness absence: a pilot randomised controlled trial
Collaborative case management to aid return to work after long-term sickness absence: a pilot randomised controlled trial Open
Background Despite high levels of employment among working-age adults in the UK, there is still a significant minority who are off work with ill health at any one time (so-called ‘sickness absence’). Long-term sickness absence results in s…
View article: Supervisor practice when guiding therapists working with depression: the impact of supervisor and patient characteristics
Supervisor practice when guiding therapists working with depression: the impact of supervisor and patient characteristics Open
Currently recommended psychotherapies for depression are not always delivered in a consistent manner. There is an assumption that the use of clinical supervision will ensure reliable treatment and patient recovery. However, there is limite…
View article: Risk factors for negative experiences during psychotherapy
Risk factors for negative experiences during psychotherapy Open
Patients require clear information, choice, involvement in decision-making, explicit contracting and clarity about sessions and progress. Opportunities for patient feedback should be the norm, where the therapist and service are vigilant f…
View article: Low-intensity cognitive-behaviour therapy interventions for obsessive-compulsive disorder compared to waiting list for therapist-led cognitive-behaviour therapy: 3-arm randomised controlled trial of clinical effectiveness
Low-intensity cognitive-behaviour therapy interventions for obsessive-compulsive disorder compared to waiting list for therapist-led cognitive-behaviour therapy: 3-arm randomised controlled trial of clinical effectiveness Open
International Standard Randomized Controlled Trial Number (ISRCTN) Registry ISRCTN73535163.
View article: Clinical effectiveness, cost-effectiveness and acceptability of low-intensity interventions in the management of obsessive–compulsive disorder: the Obsessive–Compulsive Treatment Efficacy randomised controlled Trial (OCTET)
Clinical effectiveness, cost-effectiveness and acceptability of low-intensity interventions in the management of obsessive–compulsive disorder: the Obsessive–Compulsive Treatment Efficacy randomised controlled Trial (OCTET) Open
Background The Obsessive–Compulsive Treatment Efficacy randomised controlled Trial emerged from a research recommendation in National Institute for Health and Care Excellence obsessive–compulsive disorder (OCD) guidelines, which specified …
View article: E-therapies in England for stress, anxiety or depression: what is being used in the NHS? A survey of mental health services
E-therapies in England for stress, anxiety or depression: what is being used in the NHS? A survey of mental health services Open
Objective To document the range of web and smartphone apps used and recommended for stress, anxiety or depression by the National Health Service (NHS) in England. Design The study was conducted using Freedom of Information (FOI) requests a…