None listed
Conditions
Brief summary
The updated REACH program is designed for individuals with a mood disorder (bipolar disorder, depression) who have finished psychological therapy. The updated REACH program provides information and teaches pragmatic skills to help maintain well-being, manage stress, and prevent relapse. The aim of this project is to test whether: (a) the study procedures used to evaluate the updated REACH program are feasible, and (b) the updated REACH program is acceptable to users. Feasibility of the study procedures will be examined in terms of the participant recruitment rate, and the satisfactory completion of questionnaires and interviews at all assessment time-points by participants (pre-intervention, 9-week post-intervention commencement, and 6-month follow-up). Acceptability of the program will be examined in terms of participant satisfaction with the program. The project will also allow a preliminary examination of the impact of the updated REACH program on well-being, coping, and relapse. It is anticipated that the study procedures of this project will demonstrate feasibility, and the updated REACH program will have high acceptability.
Interventions
The updated REACH program is a group program designed for individuals with mood disorders (bipolar disorder, depression) who have finished psychological therapy, and would like to take part in a program that provides information and teaches pragmatic skills for maintaining well-being, managing stress, and preventing relapse. The program is based on the principles of responsibility, education, acceptance, connection and hope. The content of the program draws from research in mood disorders and positive psychology and is delivered in a way that is engaging and personal. A psychologist or clinical psychologist with experience in facilitating groups will present the updated REACH program in a group setting (e.g., group of 10 individuals) at the Black Dog Institute. One module of the program is covered in a 2-hour session each week (9 modules in total completed over 9 weeks). Each module includes information, activities, and group discussion about specific topics. Topics covered in the program include: mindfulness, goal setting, risk factors for mood disorders, triggers for relapse, strengths and weaknesses, evoking positive emotions, mood monitoring, expressive writing, stress, coping with stress, challenging unhelpful thoughts, behavioural responses to triggers, identifying a support network, communication and conflict resolution, caring for the carer, problem solving, learning about medications, and communication with a GP or psychiatrist. Adherence will be assessed by the group facilitator in terms of session attendance.
Sponsors
Study design
Eligibility
Inclusion criteria
1) meeting Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM-5; American Psychiatric Association, 2013) criteria for depressive disorder or bipolar disorder either in full or partial remission from the most recent affective episode. 2) Diagnosis received at least one year prior to group start date. 3) 18 years of age or older. 4) Capacity to participate in a group setting. 5) Availability to attend the 9 weekly sessions. 6) Referral from clinician/GP indicating suitability for group (e.g., individual accepts illness, individual has motivation to implement personal change strategies).
Exclusion criteria
1) very severe mood disturbance or suicidality where urgent intervention is required. 2) current psychosis. 3) severe substance use. 4) unable to engage with materials for physical, practical, or other reasons (e.g., very disabling physical problem, unable to comprehend materials) 5) formal concurrent psychotherapy.