Developing a recovery-focused therapy for older people with bipolar disorder: a qualitative focus group study

Objectives As awareness of bipolar disorder (BD) increases and the world experiences a rapid ageing of the population, the number of people living with BD in later life is expected to rise substantially. There is no current evidence base for the effectiveness of psychological interventions for older...

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Main Authors: Steven H Jones, Fiona Lobban, Elizabeth Tyler, Rita Long
Format: Article
Language:English
Published: BMJ Publishing Group 2021-08-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/11/8/e049829.full
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author Steven H Jones
Fiona Lobban
Elizabeth Tyler
Rita Long
author_facet Steven H Jones
Fiona Lobban
Elizabeth Tyler
Rita Long
author_sort Steven H Jones
collection DOAJ
description Objectives As awareness of bipolar disorder (BD) increases and the world experiences a rapid ageing of the population, the number of people living with BD in later life is expected to rise substantially. There is no current evidence base for the effectiveness of psychological interventions for older adults with BD. This focus group study explored a number of topics to inform the development and delivery of a recovery-focused therapy (RfT) for older adults with BD.Design A qualitative focus group study.Setting Three focus groups were conducted at a university in the North West of England.Participants Eight people took part in the focus groups; six older adults with BD, one carer and one friend.Results Participant’s responses clustered into six themes: (1) health-related and age-related changes in later life, (2) the experience of BD in later life, (3) managing and coping with BD in later life, (4) recovery in later life, (5) seeking helping in the future and (6) adapting RfT for older people.Conclusions Participants reported a range of health-related and age-related changes and strategies to manage their BD. Participants held mixed views about using the term ‘recovery’ in later life. Participants were in agreement that certain adaptations were needed for delivering RfT for older adults, based on their experience of living with BD in later life. The data collected as part of the focus groups have led to a number of recommendations for delivering RfT for older adults with BD in a randomised controlled trial (Clinical Trial Registration: ISRCTN13875321).
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spelling doaj.art-b2b6ba9a761c4089a9061de4734425932022-12-21T22:45:46ZengBMJ Publishing GroupBMJ Open2044-60552021-08-0111810.1136/bmjopen-2021-049829Developing a recovery-focused therapy for older people with bipolar disorder: a qualitative focus group studySteven H Jones0Fiona Lobban1Elizabeth Tyler2Rita Long32 Health Research, Lancaster University Faculty of Health and Medicine, Lancaster, UK Spectrum Centre for Mental Health Research, Lancaster University, Lancaster, UK1Division of Health Research, The Spectrum Centre for Mental Health Research, Lancaster University, Lancaster, UKDivision of Health Research, Lancaster University, Lancaster, UKObjectives As awareness of bipolar disorder (BD) increases and the world experiences a rapid ageing of the population, the number of people living with BD in later life is expected to rise substantially. There is no current evidence base for the effectiveness of psychological interventions for older adults with BD. This focus group study explored a number of topics to inform the development and delivery of a recovery-focused therapy (RfT) for older adults with BD.Design A qualitative focus group study.Setting Three focus groups were conducted at a university in the North West of England.Participants Eight people took part in the focus groups; six older adults with BD, one carer and one friend.Results Participant’s responses clustered into six themes: (1) health-related and age-related changes in later life, (2) the experience of BD in later life, (3) managing and coping with BD in later life, (4) recovery in later life, (5) seeking helping in the future and (6) adapting RfT for older people.Conclusions Participants reported a range of health-related and age-related changes and strategies to manage their BD. Participants held mixed views about using the term ‘recovery’ in later life. Participants were in agreement that certain adaptations were needed for delivering RfT for older adults, based on their experience of living with BD in later life. The data collected as part of the focus groups have led to a number of recommendations for delivering RfT for older adults with BD in a randomised controlled trial (Clinical Trial Registration: ISRCTN13875321).https://bmjopen.bmj.com/content/11/8/e049829.full
spellingShingle Steven H Jones
Fiona Lobban
Elizabeth Tyler
Rita Long
Developing a recovery-focused therapy for older people with bipolar disorder: a qualitative focus group study
BMJ Open
title Developing a recovery-focused therapy for older people with bipolar disorder: a qualitative focus group study
title_full Developing a recovery-focused therapy for older people with bipolar disorder: a qualitative focus group study
title_fullStr Developing a recovery-focused therapy for older people with bipolar disorder: a qualitative focus group study
title_full_unstemmed Developing a recovery-focused therapy for older people with bipolar disorder: a qualitative focus group study
title_short Developing a recovery-focused therapy for older people with bipolar disorder: a qualitative focus group study
title_sort developing a recovery focused therapy for older people with bipolar disorder a qualitative focus group study
url https://bmjopen.bmj.com/content/11/8/e049829.full
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