Introduction: There is little evidence of the use of guided self-help as an intervention for people with intellectual disability. The Self-Assessment and INTervention, is a guided self-help tool designed specifically for this group. There are three linked studies within this thesis that aim to; [1] develop a guided self help intervention [2] test its reliability and validity and [3] pilot it in practice using a single case experimental design. Method: The SAINT was developed using Delphi methodology and focus groups and has demonstrated good reliability and validity. The pilot was conducted in two parts; part 1 had 15 recruits to test the intervention, whilst part 2 (which aimed to replicate the findings over an extended period) had three recruits, including two from part 1. A Nurse visited each participant weekly to facilitate the intervention. Results: Reliability testing was completed on 59 participants. The SAINT showed significant correlation at the p <0.001 levels, (2-tailed) with the GDS-LD (r = 0.619), GAS-ID (Worries) (r = 0.496), with test-retest correlation (N=25), 0.881 at the p < 0.01 level (2-tailed) and a Cronbach Alpha score of = 0.828 suggesting good internal consistency and reliability. From part 1 twelve out of fifteen people completed the intervention, of these nine (75%) demonstrated a decreased symptom scores in both, of the intervention phases for depression and three (25%) for anxiety. In part 2, both participants from part one replicated positive results; as did the new participant. For all cases anxiety improved in both intervention phases N=3 (100%), as did depression in n=2, (66.6%). Those with a history of affective disorders (n=8) showed the most consistent improvement. Summary: The SAINT has shown itself as a potentially viable and valid treatment option. It has shown a decrease in mean symptom scores for the majority of participants; which more importantly were replicated over an extended period in part 2 of the pilot for two participants.
| Identifer | oai:union.ndltd.org:bl.uk/oai:ethos.bl.uk:628451 |
| Date | January 2014 |
| Creators | Chaplin, Eddie |
| Publisher | King's College London (University of London) |
| Source Sets | Ethos UK |
| Detected Language | English |
| Type | Electronic Thesis or Dissertation |
| Source | https://kclpure.kcl.ac.uk/portal/en/theses/is-guided-selfhelp-a-treatment-option-for-people-with-intellectual-disability(7a3467a8-8a57-4a0a-b298-7ea9be1243bc).html |
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