3. eft in the nhs and beyond

13
skills EFT making an impact in the NHS & Beyond Dr Elizabeth Boath Dr Rani Bora & Pat Ballantyne

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Page 1: 3.  eft in the nhs  and beyond

skills

EFT making an impact in the NHS & Beyond

Dr Elizabeth BoathDr Rani Bora & Pat Ballantyne

Page 2: 3.  eft in the nhs  and beyond

What's the evidence base for EFT? 78 research studies of EFT18 randomised controlled trials & more on the way 1 meta analysis (Gilomen & Lee, 2015)4 systematic reviews of EFT

(Feinstein, 2008; Feinstein, 2012; Boath et al., 2011, Church 2013) 2 more systematic reviews coming soon

(Boughey et al, Cowap et al.,)Publications in pressPublications currently being written

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Meta analysis (Gilomen & Lee, 2015)

Limitations of studiesE.g. poor quality studies, lack of clear randomisation

procedures, lack of treatment fidelity measures ‘ These limitations not withstanding, EFT appears to

produce an effect’ (Gilomen & Lee, 2015)

Positive effect for EFT ‘the majority of studies (12) indicate that EFT is better than no

treatment or waitlist controls’ (Gilomen & Lee, 2015)

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Sandwell

Chesterfield

Forth Valley

Devon

Humber

Yorkshire

Poole

Edinburgh

Tyneside

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EFT success in the NHSProfessor Tony Stewart (AKA Tapping Tony!)• Sandwell PCT• First ever dedicated NHS EFT service • Ethical approval and evaluated the service• Outcome measures used by NHS

– CORE10 / WEMWBS / Rosenberg Self-Esteem / HADS

• Subsequently, trained 25 existing counselling staff to continue to deliver the service

Stewart A, Boath E, Carryer A, Walton I, Hill L. Can Emotional Freedom Techniques (EFT) be effective in the treatment of emotional conditions? Results of a service evaluation in Sandwell. Journal of Psychological Therapies in Primary Care 2013;2:71-84.

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39 clients gave consent, and 31 (79.5%) completed therapy 30 (76.9%) female

Mean age 45.37 (range 18-76) 31 (79.5%) White British Mean number of sessions attended was 5.05 (median 4.0; range 2-

17)Clients completing therapy also invited for 3-month follow-up

Sandwell EFT Service Evaluation

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Results – Pre/Post

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Results – 3 Month Follow-Up

MeasurementScale

Mean score Pre-EFT

Mean scoreFollow-up

SD(Difference)

P value(* Significant)

N=

CORE-10 18.71 7.14 6.37 0.003 * 7

WEMWBS 40.00 53.29 11.27 0.021 * 7

Rosenberg Self-Esteem 14.29 22.43 6.45 0.016 * 7

HADS Anxiety 14.25 5.50 4.03 0.068 4

HADS Depression 8.50 2.75 2.50 0.019 * 4

HADS Total 22.75 8.25 5.32 0.068 4

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EFT in the NHS the successes Who, what and where?

Dr Peter Leakey– Chesterfield, North Derbyshire– Retired Head of District Psychology Service / Head of Health Psychology – Didn't ask - just did it!

• His legacy...Very supportive, encouraged innovation – Energy Modalities – logosynthesis, EFT, TAT, NLP etc– Masha Bennett

Research EFT v Sham EFT Both worked! But what that paper doesn't reveal...Sham group came back again and Peter treated them successfully with EFT

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More EFT successesTherese McGoldrick

– NHS Forth Valley– Head of Psychological Services – Team all trained in EFT and EMDR– Pioneered EMDR in Scotland

Research EFT versus EMDR (Eye Movement Desensitisation and Programming in treating PSTD (Karatzias et al., 2011)

– EFT and EMDR both produced significant clinical gains– EMDR larger effect size, but non-significant – What that paper does not reveal...patients preferred EFT

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Hear all about more EFT in the NHS...later

Susie Foster – GP in Yorkshire– Running a weekly EFT clinic in her GP practice– Colleagues supportive, long waits for psychological services– 10 minutes NHS time, 20 minutes own time!– Cost-effective – Homework – Pat Ballantyne’s Tapping scripts

Research on the impact of EFT for patients with chronic pain – ‘Piloting the Pain’ with Gwyneth Moss – Funded by CCG (Clinical Commissioning Group)– Hear all about it later

Therese McGoldrick

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…and there’s more

Dr Rani Bora

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..and last but by no means least

Pat Ballantyne