TY - JOUR
T1 - Feasibility and Outcomes of Narrative Enhancement and Cognitive Therapy (NECT) for Reducing Self-Stigma Among People With Severe Mental Illness in the Netherlands
T2 - A Pilot Study
AU - Oudejans, Suzan
AU - de Winter, Lars
AU - van Weeghel, Jaap
AU - Sanches, Sarita
AU - Hasson-Ohayon, Ilanit
N1 - Funding Information: Suzan Oudejans and Lars de Winter contributed equally. This research was not funded by external entities. The authors declare that they do not have a conflict of interest Publisher Copyright: © 2022. American Psychological Association
PY - 2022
Y1 - 2022
N2 - Objective: The narrative enhancement and cognitive therapy (NECT) intervention aims to reduce self-stigma among people with severe mental illness. Based on previous studies that showed the intervention’s beneficial outcomes, we conducted an uncontrolled pilot study of NECT in the Netherlands to assess both feasibility in delivering NECT and outcomes of the intervention for self-stigma, hope, recovery, and self-concept clarity. Methods: Feasibility was assessed through uptake and implementation data that included an assessment of enhancing and impeding factors according to surveys with NECT facilitators, and interviews with participants. Outcomes of NECT were studied through scales that assess self-stigma, self-concept clarity, hope, personal recovery, and quality of life. Results: Forty-one participants from five treatment sites participated in the pilot study, among whom 78% were considered “exposed” (i.e., attended at least six sessions). The analysis of enhancing and impeding factors indicated that support from the organization, sense of ownership, expectations of outcomes, and content of the intervention were reported as important in the implementation process. Participants reported decreases in self-stigma and increases in hope during the intervention. Conclusions and Implications for Practice: Assessments of feasibility provided valuable insights regarding ways to improve implementation of the intervention (such as increasing facilitators’ sense of ownership of the intervention). Outcomes ofNECT showed a decrease in self-stigma and improvement of hope among participants in this pilot study, supporting the previously found positive effects of the intervention
AB - Objective: The narrative enhancement and cognitive therapy (NECT) intervention aims to reduce self-stigma among people with severe mental illness. Based on previous studies that showed the intervention’s beneficial outcomes, we conducted an uncontrolled pilot study of NECT in the Netherlands to assess both feasibility in delivering NECT and outcomes of the intervention for self-stigma, hope, recovery, and self-concept clarity. Methods: Feasibility was assessed through uptake and implementation data that included an assessment of enhancing and impeding factors according to surveys with NECT facilitators, and interviews with participants. Outcomes of NECT were studied through scales that assess self-stigma, self-concept clarity, hope, personal recovery, and quality of life. Results: Forty-one participants from five treatment sites participated in the pilot study, among whom 78% were considered “exposed” (i.e., attended at least six sessions). The analysis of enhancing and impeding factors indicated that support from the organization, sense of ownership, expectations of outcomes, and content of the intervention were reported as important in the implementation process. Participants reported decreases in self-stigma and increases in hope during the intervention. Conclusions and Implications for Practice: Assessments of feasibility provided valuable insights regarding ways to improve implementation of the intervention (such as increasing facilitators’ sense of ownership of the intervention). Outcomes ofNECT showed a decrease in self-stigma and improvement of hope among participants in this pilot study, supporting the previously found positive effects of the intervention
KW - Feasibility
KW - Group therapy
KW - Nect
KW - Self-stigma
KW - Severe mental illness
UR - http://www.scopus.com/inward/record.url?scp=85135575537&partnerID=8YFLogxK
U2 - https://doi.org/10.1037/prj0000526
DO - https://doi.org/10.1037/prj0000526
M3 - Article
C2 - 35913854
SN - 1095-158X
JO - Psychiatric Rehabilitation Journal
JF - Psychiatric Rehabilitation Journal
ER -