Implementing complex psychological interventions for people with COPD delivered by respiratory health care professionals: a qualitative stakeholder interview study

Vari Wileman*, Vickie Rowland, Stephanie J. C. Taylor, Elizabeth Steed, Hilary Pinnock, M. J. Kelly, Ratna Sohanpal

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract / Description of output

Implementing psychological interventions in healthcare services requires an understanding of the organisational context. We conducted an interview study with UK National Health Service stakeholders to understand the barriers and facilitators for implementing psychological interventions for people with chronic obstructive pulmonary disorder (COPD). We used TANDEM as an exemplar intervention; a psychological intervention recently evaluated in a randomised controlled trial. 20 participants providing care and/or services to people with COPD were purposively sampled from NHS primary/secondary care, and commissioning organisations. Participants were recruited via professional networks and referrals. Verbatim transcripts of semi-structured interviews were analysed using thematic analysis. Four themes were identified: 1. Living with COPD and emotional distress affects engagement with physical and psychological services; 2. Resource limitations affects service provision in COPD; 3. Provision of integrated care is important for patient well-being; and 4. Healthcare communication can be an enabler or a barrier to patient engagement. People need support with physical and psychological symptoms inherent with COPD and healthcare should be provided holistically. Respiratory healthcare professionals are considered able to provide psychologically informed approaches, but resources must be available for training, staff supervision and service integration. Communication between professionals is vital for clear understanding of an intervention’s aims and content, to facilitate referrals and uptake. There was widespread commitment to integrating psychological and physical care, and support of respiratory healthcare professionals’ role in delivering psychological interventions but significant barriers to implementation due to concerns around resources and cost efficiency. The current study informs future intervention development and implementation.
Original languageEnglish
Article number35
Number of pages9
Journalnpj Primary Care Respiratory Medicine
Volume33
DOIs
Publication statusPublished - 25 Oct 2023

Keywords / Materials (for Non-textual outputs)

  • COPD
  • implementation
  • stakeholders
  • psychological intervention
  • mental health

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