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Fig. 2 | BMC Psychiatry

Fig. 2

From: A qualitative study of the acceptability of cognitive bias modification for paranoia (CBM-pa) in patients with psychosis

Fig. 2

The conceptual relationship of themes. Figure 2 is a conceptual diagram which illustrates the relationship of the themes. Engagement and Programme understanding are inter-related and influence each other. These two factors could each affect the perceived impact of CBM-pa and the application of CBM-pa as a clinical intervention. But those who are both engaged and understood the purpose of the programme (shaded area) are more likely to find CBM-pa beneficial as an intervention. The potential clinical application of CBM-pa depends on its perceived usefulness. But it is also directly affected by participants’ engagement and level of understanding. In turn, participants’ suggestions on the application of CBM-pa could potentially augment the perceived impact of the programme. Challenges and Enablers which included participants’ individual characteristics could moderate the influence of Engagement and Programme understanding on the perceived impact of CBM-pa and its clinical application. For instance, even if participants found the design of CBM-pa engaging, their intrinsic mental state and ability to concentrate could affect the overall effectiveness of CBM-pa

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