Patient experiences of online psychosexual therapy service during covid in an nhs health psychology service

新冠疫情期间,患者在英国国家医疗服务体系 (NHS) 健康心理服务机构接受在线性心理治疗服务的体验

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Abstract

OBJECTIVES: The psychosexual therapy service within a Health Psychology service in Derbyshire, NHS, was established in May, 2020 and due to Covid-19 the service offering was virtual and patients attending the service were offered online psychosexual therapy. A service evaluation was carried out to explore and understand patients experiences of online psychosexual therapy and resources, in addition to further inform service development of online therapeutic work beyond Covid. METHODS: Data was collected between December 2020 – March 2021. Qualitative data collection via phone calls using a semi-structured interview schedule were completed by a Volunteer Assistant Psychologist and a Clinical Psychologist. Data was analysed using Thematic Analysis as outlined by Braun and Clarke (2013).7 participants who had recently been discharged from the NHS Psychosexual Service for a range of psychosexual presentations. RESULTS: There were mixed results on the experience of online therapy, some finding it more accessible and some struggling to open up without face to face contact. An overall positive experience of the relationship with the therapist was experienced, with many reporting the help has taught them how to continue working on their issues outside of therapy. Feedback highlighted individual differences in resource preference. The gap between sessions appeared to suit most patients and facilitated home practice. CONCLUSIONS: Four action points were generated in response to the findings. (1) An enquiry is needed into the functioning of online therapy technology. (2) Online therapy could be made an option for individuals even after the restoration of face-to-face therapy (3) Maintain and improve the inclusivity of the service. (4) Resources focusing on active participation and normalising could be continued to be offered. The report shows promising results of online PST to be successful in alleviating patient's distress around psychosexual issues. Further research into online psychosexual therapy would be beneficial to further inform clinical outcomes and practice. CONFLICTS OF INTEREST: No

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