Factors related to negative affective attitude | Sample verbatim text responses from therapist participants |
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i) Time, therapist capacity, and resources | • Concerned about time commitments on top of day job • Would this be in addition to my normal caseload or just replace some treatments for the eligible children? • Additional time required in order to provide additional intervention • Potential time implications • Potentially more work • Unclear how much extra time this will take – where time coming from – impact on other children on caseload |
ii) Confidence in and with the new intervention | • Providing a ‘new treatment’ which the [therapist] does not have confidence in – or asking others to deliver – will impact on the effectiveness of the ‘treatment’. • Being randomly allocated without confidence that the treatment could work would not sit comfortably. • If the therapy was new and not already evidence based it might be difficult to agree to take part. • May not feel skilled/confident in the treatment • Not knowing the treatment/client group – I am more confident with some client groups than others. • My concern would be if the type of treatment being offered by the trial would not be what I would usually do and I would have concerns regarding the quality of care and outcomes. |
iii) (Dis)agreement with the benefit of intervention allocation | • I might not agree with the treatment I am implementing, and I might feel bad that the child is not getting the usual interventions. • May be a treatment approach that I don’t agree with or feel may not be the most beneficial to the child • May still clash with professional judgement on what intervention would be most effective |
iv) Loss of autonomy | • Loss of individuality for selection of appropriate treatments • Concerns about possible restrictions when creative problem-solving • That won’t have choice of treatments for a child I see • If after a while it became apparent that the therapy isn’t working/appropriate for the child I would be concerned about the lack of flexibility to change the approach. |