Feeling Safe-Netherlands: recovery-oriented cognitive behaviour therapy to promote wellbeing and feeling safer

A comparison of the effects of the combination of Feeling Safe and peer counselling (the Feeling Safe-NL Programme) and regular cognitive behaviour therapy for people with threat beliefs.

Status

Recruiting

Phases

Unknown

Study type

Interventional

Source

ISRCTN

Registry ID

ISRCTN25766661

Enrollment

190

Registered

2022-07-07

Start date

2022-03-01

Completion date

Unknown

Last updated

2025-09-08

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Threat beliefs held with at least 60% conviction and low wellbeing in people who are help-seeking or in outpatient care. Mental and Behavioural Disorders

Interventions

Participants are randomly assigned to CBTp or the Feeling Safe-NL Programme using our independent randomisation bureau. In both arms, people will receive approximately 20 therapy sessions over a perio

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: 1. Help-seeking or in outpatient care. 2. Experience threat beliefs held with at least 60% conviction (PSYRATS-Del). 3. Wellbeing of 43 or less (WEMWBS). 4. Sixteen years or older.

Exclusion criteria

Exclusion criteria: 1. Insufficient understanding of the Dutch language. 2. Currently receiving individual therapy or peer counselling with a frequency of at least once every month. 3. Unable to understand and sign the informed consent form.

Design outcomes

Primary

Measure	Time frame
Wellbeing as measured by the Warwick-Edinburgh Mental Well-Being Scale (WEMWBS). This will be measured at baseline, 6-month follow-up (post-treatment), 12-month follow-up, and 18-month follow-up.	—

Secondary

Measure	Time frame
Measured at baseline, 6-month follow-up (post-treatment), 12-month follow-up, and 18-month follow-up: 1. Conviction and distress level of the main threat belief (Psychotic Symptom Rating Scale, PSYRATS) 2. General paranoid ideation (Revised-Green et al. Paranoid Thought Scale, R-GPTS) 3. Patient chosen therapy outcomes (Choice in Outcome in Cognitive Behaviour Therapy for psychosis, CHOICE) 4. Activity (time budget).	—

Measure

Time frame

Measured at baseline, 6-month follow-up (post-treatment), 12-month follow-up, and 18-month follow-up: 1. Conviction and distress level of the main threat belief (Psychotic Symptom Rating Scale, PSYRATS) 2. General paranoid ideation (Revised-Green et al. Paranoid Thought Scale, R-GPTS) 3. Patient chosen therapy outcomes (Choice in Outcome in Cognitive Behaviour Therapy for psychosis, CHOICE) 4. Activity (time budget).

—

Countries

Netherlands

Contacts

Public ContactEva Tolmeijer

eva.tolmeijer@vu.nl+31 (0)651014004

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 10, 2026