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Background:
Communication

Trainee Therapists’ Perceptions of a Blended Intervention to Promote Resilience after a Natural Disaster: A Qualitative Case Study

by
Vera Békés
1,*,
Geneviève Belleville
2,
Jessica Lebel
2,
Marie-Christine Ouellet
2,
Zhaoyi Chen
1,
Charles M. Morin
2,
Nicolas Bergeron
3,4,
Tavis S. Campbell
5,
Sunita Ghosh
6,
Stephane Bouchard
7,
Stéphane Guay
4,8 and
Frank P. MacMaster
9
1
Ferkauf Graduate School, Yeshiva University, 1165 Morris Park Ave, The Bronx, NY 10461, USA
2
School of Psychology, Laval University, 2325 Rue de l’Université, Québec, QC G1V 0A6, Canada
3
Département de Psychiatrie, Centre Hospitalier de l’Université de Montréal, 1000 Rue St-Denis, Montréal, QC H2X 0C1, Canada
4
Department of Psychiatry and Addiction, University of Montreal, 2900 Edouard Montpetit Blvd., Montreal, QC H3T 1J4, Canada
5
Department of Psychology, University of Calgary, 2500 University Dr. NW, Calgary, AB T2N 1N4, Canada
6
Faculty of Medicine and Dentistry, University of Alberta, 116 St & 85 Ave, Edmonton, AB T6G 2R3, Canada
7
Département de Psychoéducation et de Psychologie, Université du Québec en Outaouais, CISSS de l’Outaouais, 283 Alexandre-Taché Blvd., Gatineau, QC J8X 3X7, Canada
8
School of Criminology, University of Montreal, 2900 Edouard Montpetit Blvd., Montreal, QC H3T 1J4, Canada
9
Addictions and Mental Health Strategic Clinical Network, Alberta Children’s Hospital, 28 Oki Drive NW, Calgary, AB T3B 6A8, Canada
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2022, 11(15), 4361; https://doi.org/10.3390/jcm11154361
Submission received: 23 March 2022 / Revised: 22 June 2022 / Accepted: 18 July 2022 / Published: 27 July 2022
(This article belongs to the Special Issue Clinical Applications of Cyberpsychology and Virtual Reality for Mental Disorders)
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Abstract

Background: Natural disasters happen in an increased frequency, and telemental health interventions could offer easily accessible help to reduce mental health symptoms experienced by survivors. However, there are very few programs offered to natural disaster survivors, and no research exists on therapists’ experiences with providing blended interventions for natural disaster survivors. Aims: Our qualitative case study aims to describe psychologists’ experiences with an online, therapist-assisted blended intervention for survivors of the Fort McMurray wildfires in Alberta, Canada. Method: The RESILIENT intervention was developed in the frames of a randomized controlled trial to promote resilience after the Fort McMurray wildfires by providing survivors free access to a 12-module, therapist-assisted intervention, aiming to improve post-traumatic stress, insomnia, and depression symptoms. A focus group design was used to collect data from the therapists, and emerging common themes were identified by thematic analysis. Results: Therapists felt they could build strong alliances and communicate emotions and empathy effectively, although the lack of nonverbal cues posed some challenges. The intervention, according to participating therapists, was less suitable for participants in high-stress situations and in case of discrepancy between client expectations and the intervention content. Moreover, the therapists perceived specific interventions as easy-to-use or as more challenging based on their complexity and on the therapist support needed for executing them. Client engagement in the program emerged as an underlying theme that had fundamental impact on alliance, communication, and ultimately, treatment efficiency. Therapist training and supervision was perceived as crucial for the success of the program delivery. Conclusions: Our findings provided several implications for the optimalization of blended interventions for natural disaster survivors from our therapists’ perspective.
Keywords: telemental health; therapist; blended intervention; alliance; focus group; thematic analysis telemental health; therapist; blended intervention; alliance; focus group; thematic analysis

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MDPI and ACS Style

Békés, V.; Belleville, G.; Lebel, J.; Ouellet, M.-C.; Chen, Z.; Morin, C.M.; Bergeron, N.; Campbell, T.S.; Ghosh, S.; Bouchard, S.; et al. Trainee Therapists’ Perceptions of a Blended Intervention to Promote Resilience after a Natural Disaster: A Qualitative Case Study. J. Clin. Med. 2022, 11, 4361. https://doi.org/10.3390/jcm11154361

AMA Style

Békés V, Belleville G, Lebel J, Ouellet M-C, Chen Z, Morin CM, Bergeron N, Campbell TS, Ghosh S, Bouchard S, et al. Trainee Therapists’ Perceptions of a Blended Intervention to Promote Resilience after a Natural Disaster: A Qualitative Case Study. Journal of Clinical Medicine. 2022; 11(15):4361. https://doi.org/10.3390/jcm11154361

Chicago/Turabian Style

Békés, Vera, Geneviève Belleville, Jessica Lebel, Marie-Christine Ouellet, Zhaoyi Chen, Charles M. Morin, Nicolas Bergeron, Tavis S. Campbell, Sunita Ghosh, Stephane Bouchard, and et al. 2022. "Trainee Therapists’ Perceptions of a Blended Intervention to Promote Resilience after a Natural Disaster: A Qualitative Case Study" Journal of Clinical Medicine 11, no. 15: 4361. https://doi.org/10.3390/jcm11154361

APA Style

Békés, V., Belleville, G., Lebel, J., Ouellet, M.-C., Chen, Z., Morin, C. M., Bergeron, N., Campbell, T. S., Ghosh, S., Bouchard, S., Guay, S., & MacMaster, F. P. (2022). Trainee Therapists’ Perceptions of a Blended Intervention to Promote Resilience after a Natural Disaster: A Qualitative Case Study. Journal of Clinical Medicine, 11(15), 4361. https://doi.org/10.3390/jcm11154361

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