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This multi-site study evaluated facilitator perspectives of a group-based program that brings together the common elements of cognitive behaviour therapy for psychosis (CBTp) with the knowledge and values of the peer led hearing voices networks (HVN). Twenty-two group facilitators were asked to complete a 58-item online survey which measured the usefulness, most important skills, benefits, acceptability and effectiveness of the Coping with Voices program. Aligning with a mixed-methods approach the survey consisted of open and closed-ended questions. The closed-ended questions were analysed using descriptive analysis and open-ended questions were analysed using thematic analysis. The majority of facilitators reported the overall normalisation of voices and the use of a range of normalising strategies as the most useful aspects of the program. The most important skills used by facilitators were being understanding, non-judgemental and respectful and creating a safe space to discuss topics. The least important skills used by facilitators were using personal disclosure and motivational interviewing. Facilitators' comments illustrated a strong interest in using digital technologies in the preparation and delivery of the program. This study contributes to a growing body of evidence that suggests hearing voices groups are beneficial, feasible and worthwhile. [ABSTRACT FROM AUTHOR]

This is the second of two papers that investigated the effectiveness of a group-based program known as 'Coping with Voices'. The first paper reported on the group facilitators experience of delivering the program. This second paper reports the findings from the participants. Of the 61 participants that gave informed consent to participate in the study 19 did not attend a group, so this provided a natural quasi-control group. The study compared pre and post primary measures for the 42 participants who attended a group. 29 group attendees also provided qualitative data. Secondary measures were measured longitudinally for all 61 participants. Individuals who participated in the program were compared to those individuals who did not. For the 42 voice hearers who attended Coping with Voices, the quantifiable data showed a significant reduction in negative beliefs about voices, voice severity, distress about voices and the perceived power of the voices. Participant feedback was overwhelmingly positive. The secondary measures show a significant reduction in the number of hospital admissions and an improvement in basis life skills for group attendees versus non-attendees at 12 months follow up. Overall, these findings suggest 'Coping with Voices' is feasible, acceptable and worthwhile. [ABSTRACT FROM AUTHOR]