Psychosis Mental and Behavioural Disorders
Conditions
Interventions
Stratified block randomisation and varying block size, randomized by group (clinician or service user), and site (London or Sussex):
Intervention: pre-Cognitive Behaviour Therapy (CBT
Sponsors
Sussex Partnership NHS Foundation Trust
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Service users with a current psychotic disorder diagnosis (F20-F29 ICD-10 diagnoses) as evidenced by their clinical notes and/or discussion with lead psychiatric professional. 2. NHS clinicians who work with psychosis service users 3. Age 16-65 4. Some level of ambivalence towards CBT for psychosis as identified by likelihood of referring, taking up CBTp on a Likert rating scale
Exclusion criteria
Exclusion criteria: 1. Insufficient grasp of the English language to enable questionnaire completion 2. Cognitive impairment or learning disability which precludes engagement with the study materials
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Likelihood of offering/referring or taking CBT, measured by a single Likert scale (0-10) immediately post intervention and at one month follow-up 2. Feasibility of recruitment within the NHS (numbers recruited, consented) during the trial recruitment period August 2017- January 2018 3. Feasibility of use of the package in the NHS, measured using qualitative interviews with thematic analysis of 6 service users and 6 clinicians (3 each in Sussex and London) who have used the package; and evaluation form and activity data on use of the package, during the follow-up period September 2017 - February 2018 | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Knowledge and attitudes towards CBTp, measured using new questionnaires developed and validated with service users and clinicians during phase 1a and b of the current study, immediately post intervention and at one month follow-up 2. Illness perceptions, measured using the adapted illness perceptions questionnaire,immediately post intervention and at one month follow-up 3. Attitudes and Behaviours towards CBTp implementation, measured using the NOMAD tool (clinicians only), immediately post intervention and at one month follow-up 4. Psychological wellbeing, measured using the CHOICE short-form measure of psychological wellbeing (service users only) immediately post intervention and at one month follow-up 5. Empowerment, measured using Rogers' Empowerment scale, immediately post intervention and at one month follow-up 6. CBT-related activities in the preceding month, based on both interview and case notes screen, collected at baseline and at one month follow-up | — |
Countries
United Kingdom
Outcome results
None listed