The Adaptation and Feasibility of Narrative Enhancement and Cognitive Therapy (NECT) for Late-Onset Psychosis

Elaine Y N Ching, Lucy Smyth, Tanisha De Souza, Georgina Charlesworth, Elaine Y N Ching, Lucy Smyth, Tanisha De Souza, Georgina Charlesworth

Abstract

The aim of this study is to adapt and feasibility test the narrative component of Narrative Enhancement and Cognitive Therapy (NECT) for late-onset psychosis. This study followed the development and feasibility phases of the Medical Research Council framework. The original NECT intervention was adapted based on consultations with service users, experts, and clinicians. The evaluation of the feasibility test of the adapted intervention was guided by Orsmond and Cohn (Occup Particip Health 35(3):169-177, 2015)'s model for feasibility studies. The final adaptations consist of language, readability, and delivery. The adapted intervention was tested for feasibility and acceptability with one group of five patients recruited from a National Health Service (NHS) Trust in UK Results were mixed in participant outcomes and a likelihood of acceptability of the intervention. This indicates the need for a larger scale feasibility test to explore the identified benefits and challenges of implementing NECT in NHS or community settings for late-onset psychosis.

Keywords: Late-onset psychosis; Narrative therapy; Psychological intervention.

Conflict of interest statement

The authors report no conflict of interest.

Figures

Fig. 1
Fig. 1
Adaptation consultations and Feasibility Guidance within the MRC framework
Fig. 2
Fig. 2
Process from recruitment to follow-up

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