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Looking After Me Looking After You: using positive cognitive behavioural techniques to improve emotional well-being

Published online by Cambridge University Press:  08 July 2015

G. E. Bhutani
G. E. Bhutani*
Affiliation:
Lancashire Care NHS Foundation Trust, Bamber Bridge, Preston, Lancashire
*
*Address for correspondence: Dr G. E. Bhutani, Lancashire Care NHS Foundation Trust, Sceptre Point, Sceptre Way, Walton Summit, Bamber Bridge, Preston, Lancashire PR5 6AW, UK (email: gita.bhutani@lancashirecare.nhs.uk).
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Abstract

Stress and anxiety have been identified as among the most common reasons for sickness absence. Therefore, timely work-based well-being interventions are needed. Strengths-based Cognitive-Behaviour Therapy (CBT) approaches are of benefit therapeutically. Guided imagery approaches enable individuals utilize previous positive experiences and construct positive future templates potentially increasing the likelihood of better outcomes. One hundred and seventeen participants from a health service clinical/corporate environment participated in the Looking After Me Looking After You (LAMLAY) programme. It comprised three 3-hour or four 2-hour sessions weekly. Positive imagery and strengths-based cognitive-behavioural approaches were delivered via participant exercises and didactically. Completion rate was 77.8%; seventy-five participants (83% of completers) completed the Warwick–Edinburgh Mental Well-Being Scale (WEMWBS) pre-course (mean 46.4) and post-course (mean 52.4). Significant improvements in well-being were obtained (t = 9.32, d.f. = 74, p<0.0001, d = 0.82). An online follow-up survey demonstrated sustained improved scores on the WEMWBS (F2,223 = 17.04, p<0.001, η = 0.13). Satisfaction ratings indicated high approval levels. Participants’ well-being improved at the end of the LAMLAY programme and was sustained at follow-up. The potential impact of LAMLAY and the potential to deliver cost-effective benefits is discussed. Further development work is required including more systematic investigation over a longer term.

Keywords

CBTLooking After Me Looking After You (LAMLAY)positive imagerypsychological well-beingstaff well-beingWEMWBS
Type
Education and supervision
Information
the Cognitive Behaviour Therapist , Volume 8 , 2015 , e13
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2015 

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References

Recommended follow-up reading reading

Hackman, A, Bennett-Levy, J, Holmes, EA (2011). Oxford Guide to Imagery in Cognitive Therapy. Oxford: Oxford University Press.CrossRefGoogle Scholar
Padesky, CA, Mooney, KA (2012). Strengths-based cognitive-behavioural therapy: a four-step model to build resilience. Clinical Psychology and Psychotherapy 19, 283–90.Google Scholar

References

Black, C (2008). Working for a healthier tomorrow (http://www.dwp.gov.uk/docs/hwwb-working-for-a-healthier-tomorrow.pdf).Google Scholar
Black, C, Frost, D (2011). Health at work – an independent review of sickness absence. Cm 8205. London: The Stationery Office (https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/181060/health-at-work.pdf).Google Scholar
Boorman, S (2009). NHS health & well-being review (http://www.nhshealthandwellbeing.org/pdfs/NHS%20HWB%20Review%20Interim%20Report%20190809.pdf).Google Scholar
Collins, J, Gibson, A, Parkin, S, Parkinson, R, Shave, D, Dyer, C (2012). Counselling in the workplace: how time-limited counselling can effect change in well-being. Counselling and Psychotherapy Research 12, 84–92.Google Scholar
Cooper, R, Stafford, M, Hardy, R, Aihie Sayer, A, Ben-Shlomo, Y, Cooper, C, Craig, L, Deary, IJ, Gallacher, J, McNeill, G, Starr, JM, Kuh, D, Gale, CR, HALCyon Study Team (2014). Physical capability and subsequent positive mental wellbeing in older people: findings from five HALCyon cohorts. Age (Dordrecht) 36, 445–56.Google Scholar
Davoren, MP, Fitzgerald, E, Shiely, F, Perry, IJ (2013). Positive mental health and well-being among a third level student population. PLoS ONE 8, e74921.Google Scholar
DoH (2011). NHS health & well-being improvement framework. Department of Health (http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/documents/digitalasset/dh_128813.pdf).Google Scholar
DoH (2012). Compassion in practice. Department of Health (http://www.england.nhs.uk/wp-content/uploads/2012/12/compassion-in-practice.pdf).Google Scholar
Edwards, D, Burnard, P (2003). A systematic review of stress and stress management interventions for mental health nurses. Journal of Advanced Nursing 42, 169–200.CrossRefGoogle ScholarPubMed
Foresight Mental Capital and Wellbeing Project (2008).Final project report – executive summary. The Government Office for Science, London.Google Scholar
Goodrich, J (2011). Schwartz Center Rounds. Evaluation of the UK pilots. The Kings Fund, London (http://www.kingsfund.org.uk/sites/files/kf/field/field_publication_file/schwartz-center-rounds-pilot-evaluation-jun11.pdf).Google Scholar
Graveling, RA, Crawford, JO, Cowie, H, Amati, C, Vohra, S (2008). A review of workplace interventions that promote mental wellbeing in the workplace. Institute of Occupational Medicine, Edinburgh Google Scholar
Greenberger, D, Padesky, CA (1995). Mind Over Mood: Change How You Feel By Changing the Way You Think. New York: Guilford Press.Google Scholar
Hackman, A, Bennett-Levy, J, Holmes, EA (2011). Oxford Guide to Imagery in Cognitive Therapy. Oxford: Oxford University Press.CrossRefGoogle Scholar
Health & Safety Executive (2013). Health & Safety Executive Annual Statistics Report for Great Britain 2012/13 (http://www.hse.gov.uk/statistics/overall/hssh1213.pdf).Google Scholar
Jones, D, Mitchell, A (2006). Lean thinking for the NHS. NHS Confederation, London.Google Scholar
Lown, BA, Manning, CF (2010). The Schwartz Center Rounds: evaluation of an interdisciplinary approach to enhancing patient-centred communication, teamwork and provider support. Academic Medicine 8, 1073–1081.Google Scholar
Maheswaran, H, Weich, S, Powells, J, Stewart-Brown, S (2012). Evaluating the responsiveness of the Warwick Edinburgh Mental Well-Being Scale (WEMWBS): Group and individual level analysis. Health and Quality of Life Outcomes 10, 56.Google Scholar
Mid Staffordshire NHS Foundation Trust Public Inquiry (2013). Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry (chaired by Robert Francis QC). London: The Stationery Office.Google Scholar
Moritz, S, Hall, C, Martin, K, Vadocz, E (1996). What are confident athletes imagining: An examination of image content. The Sport Psychologist 10, 171–179.Google Scholar
Needleman, J, Buerhaus, P, Pankratz, VS, Leibson, CL, Stevens, SR, Harris, M (2011). Nurse Staffing and Inpatient Hospital Mortality. New England Journal of Medicine 364, 1037–45.CrossRefGoogle ScholarPubMed
NHS Employers (2014). Sickness absence rates continue to fall (http://www.nhsemployers.org/news/2014/08/sickness-absence-rates-continue-to-fall).Google Scholar
NHS England (2014). The friends and family test. Publications Gateway Ref. No. 01787 (http://www.england.nhs.uk/wp-content/uploads/2014/07/fft-imp-guid-14.pdf).Google Scholar
NHS Health Scotland, University of Warwick and University of Edinburgh (2006). Warwick-Edinburgh Mental Well-Being Scale (WEMWBS) (http://www.healthscotland.com/documents/1467.aspx).Google Scholar
NICE (2009). Promoting mental well-being at work. National Institute for Health and Care Excellence (http://www.nice.org.uk/nicemedia/live/12331/45893/45893.pdf).Google Scholar
Orgeta, V, Lo Sterzo, E, Orrell, M (2013). Assessing mental well-being in family carers of people with dementia using the Warwick-Edinburgh Mental Well-Being Scale. International Psychogeriatrics, 25, 1443–51.Google Scholar
Padesky, CA, Mooney, KA (2012). Strengths-based cognitive-behavioural therapy: a four-step model to build resilience. Clinical Psychology and Psychotherapy 19, 283–90.Google Scholar
Perez-De-Albeniz, A, Holmes, J (2000). Meditation: concepts, effects and uses in therapy. International Journal of Psychotherapy 5, 49–58.Google Scholar
Simkiss, DE, Snooks, H, Stallard, N, Kimani, PK, Sewell, B, Fitzsimmons, D, Anthony, R, Winstanley, S, Wilson, L, Phillips, C, Stewart-Brown, SL (2013). Effectiveness and cost-effectiveness of a universal parenting skills programme in deprived communities: multicentre randomised controlled trial. BMJ Open 3, e002851.Google Scholar
Stewart-Brown, S, Tennant, A, Tennant, R, Platt, S, Parkinson, J, Weich, S (2009). Internal construct validity of the Warwick-Edinburgh Mental Well-being Scale (WEMWBS): a RASCH analysis using data from the Scottish Health Education Population Survey. Health and Quality of Life Outcomes 7, 15 Google Scholar
Tabachnik, BG, Fidel, LS (1996). Using Multivariate Statistics, 3rd edn. New York: Harper Collins.Google Scholar
Tarrier, N (2010). Broad Minded Affective Coping (BMAC): a ‘positive’ CBT approach to facilitating positive emotions. International Journal of Cognitive Therapy 3, 64–76.Google Scholar
Tennant, R, Hiller, L, Fishwick, R, Platt, S, Joseph, S, Weich, S, Parkinson, J, Secker, J, Stewart-Brown, S (2007). The Warwick-Edinburgh Mental Well-being Scale (WEMWBS): development and UK validation. Health and Quality of Life Outcomes 2007, 5, 63 Google Scholar
The Health Foundation (2014). Person-centred care (http://www.health.org.uk/areas-of-work/topics/person-centred-care/person-centred-care/).Google Scholar
West, MA, Dawson, JF (2012). Employee engagement and NHS performance. Kings Fund, London.Google Scholar
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