Barriers to providing low-intensity cognitive behavioural therapy to individuals with schizophrenia by home-visiting nurses in Japan: a qualitative descriptive study of nurses' experiences
Related Experiment Video
Updated: Sep 16, 2025
Development of a Virtual Reality Assessment of Everyday Living Skills
Published on: April 23, 2014
Yuki Taga-Shikuri1, Hiroki Tanoue2, Yoshifumi Kido3
1Graduate School of Nursing Science, University of Miyazaki, Miyazaki, Japan; School of Nursing, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan.
Background:
Although cognitive behavioural therapy (CBT) is recommended for managing individuals with schizophrenia, it has been underutilised in clinical practice. Low-intensity CBT (fewer sessions provided by non-specialists) is expected to offer a partial solution; however, its implementation within community-based care settings remains limited.
Aims:
To explore the difficulties and barriers faced by home-visiting nurses when providing low-intensity CBT to individuals with schizophrenia.
Methods:
A qualitative descriptive study was conducted through semi-structured interviews with six nurses in Japan who had experience in delivering low-intensity CBT, including CBTs for psychosis (CBt-p) and individualised metacognitive training for psychosis (MCT+). Data were analysed using a qualitative descriptive method.
Results:
Three main categories of difficulties/barriers were identified: 'Difficulties in learning low-intensity CBT', 'Difficulties in applying low-intensity CBT to individual clients' and 'Difficulties in providing low-intensity CBT due to the unique structures and functions of home-visiting nursing'.
Conclusions:
The findings suggest the need for refining the implementation manuals with simplified terminology and familiar examples; creating a work environment that allows continuous consultation with supervisors and mutual learning; revising reimbursement systems under the national health insurance scheme to allow for longer visit times; and training non-specialist nurses as co-therapists to ensure the continuity of care.
More Related Videos
08:08Author Spotlight: Capturing Infant-Caregiver Interactions Through Synchronized Multimodal Data Collection
Published on: May 31, 2024
11:21Methodology for Establishing a Community-Wide Life Laboratory for Capturing Unobtrusive and Continuous Remote Activity and Health Data
Published on: July 27, 2018
Related Concept Videos
01:21Barriers to Effective Communication II
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
01:29Psychological and Sociocultural Causes of Schizophrenia
01:30Negative and Cognitive Symptoms of Schizophrenia
Negative Symptoms
Negative symptoms of schizophrenia manifest as deficits in normal emotional and behavioral functioning, profoundly impacting daily life. Individuals with schizophrenia often display a flat affect, characterized by a near-total absence of emotional expression,...
01:30Community Based Intervention
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
01:30Specialized Care Centers and Settings-II
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
01:28Drug Therapy
Antianxiety Medications