Browsing by Author "Alharbi, Hind Saleh M"

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Development and Evaluation of a Low Intensity Cognitive Behavioural Therapy Intervention for Common Mental Health Problems Within Muslim Communities
(University of Exeter, 2023-12-12) Alharbi, Hind Saleh M; Farrand, Paul
Background: Muslims experience the lowest recovery rate from mental health difficulties across all religious groups. However, there are many barriers at the level of Islam, Culture, systematic and provider, that prevent Muslims from access mental health treatment. Culturally adapting Low-intensity Cognitive Behaviour Therapy (LI CBT) may represent an acceptable solution. Methods: Informed by the MRC Complex Intervention framework (Skivington et al., 2021) alongside supplementary guidelines informing intervention development a Problem Solving LI CBT intervention for the treatment of depression in Sunni Muslims in the Kingdom of Saudi Arabia (KSA) and the United Kingdom (UK) was developed. Stages I & II: Problem identification & Identification of evidence: A systematic review with a thematic synthesis was conducted to help understand the barriers that prevent adult Muslims residents in different countries from accessing psychological services and appreciate the acceptability of CBT in Muslim communities. Stage III: Determination of needs: A qualitative study (23 participants, 13 from KSA and 10 from UK) undertaken to explore suitable adaptations to CBT for Sunni Muslims in the UK and KSA. Stage IV: Modelling process and outcomes: Using the findings from Stages I – III, with input from an Islamic expert, and proof-reader helped to co-develop a Problem Solving LI CBT intervention. A qualitative study (20 participants, 9 Adult Saudi group, 3 Imams group, 8 Service related group) was also completed to refine the Problem Solving intervention to further enhance the acceptability of the intervention and inform implementation plans. Stage V: Intervention design: All results collected were used to inform final refinement of the intervention and inform the design undertaken by a professional design company with the intervention mapped using TIDieR guidelines (Hoffman et al., 2014). Results: Stage I: Four levels of barriers were identified as preventing Muslims from accessing Mental health services (Individual, Cultural, Provider, Management). Stage II: Recognised the importance of cultural adaptation to accommodate Muslim beliefs. Stage III: three groups based on acceptance of CBT and its integration with Islamic treatment appeared within Sunni Muslims in the KSA and UK, four levels of barriers (Islamic, Cultural, Individual, and Provider) were identified, in addition, LI CBT emerged as a potential solution. Stage IV: Developed a Problem Solving LI CBT intervention in Arabic for Sunni Muslims in KSA, and in English for Sunni Muslims in the UK, A qualitative study yielded three themes (Islamic, cultural, and implementation) identifying a general acceptance towards the problem solving intervention. Stage V: Described the Problem Solving LI CBT intervention mapped using TIDieR guidelines. Conclusions: This PhD developed a Problem Solving LI CBT intervention based on a deep understanding of Sunni Muslims in the KSA and UK, and highlighted the important of understanding differences between Muslim communities based on the different culture and Islamic sects.
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