Psychosis Mental and Behavioural Disorders
Conditions
Interventions
Design: This feasibility study will use a within-participants, repeated measures design. An initial six-month control period will be implemented in participating services, comprising treatment as usua
Sponsors
University of Southampton
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Over the age of 18 years 2. Meet criteria for NHS IAPT services (i.e. have a primary diagnosis of mild to moderate anxiety or depression) 3. Meet one or more of the two item ARMS screen 4. Able to engage in IAPT provision of care 5. Capacity to consent as determined by their assessing clinician
Exclusion criteria
Exclusion criteria: 1. Unsuitable for IAPT services (e.g. due to severity of illness or organic problems) 2. Lack capacity to consent as determined by their assessing clinician 3. Meet EIP/CMHT threshold criteria (e.g. due to severity of illness) 4. At significant risk to themselves or others 5. Participating in any other interventional research
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The following primary outcome measures are completed pre- and post-therapy: 1. Eligibility rate measured using the number of positive responses on the two-item at-risk mental states (ARMS) screen 2. Problem indicator measured using the frequency of problem descriptors in the routine clinical data captured at assessment 3. Acceptability measured via the rates for consent, therapy completion and completion of measures using the IAPT Minimum Data Set Measures: Generalised Anxiety Disorder Questionnaire (GAD-7), Patient Health Questionnaire (PHQ-9), Work and Social Adjustment Scale (WSAS), Anxiety Disorder Specific Measures (ADSM), and Phobia Scales 4. Data on acceptability will also be sought via qualitative feedback on intervention from clinicians and patients | — |
Secondary
| Measure | Time frame |
|---|---|
| The following secondary outcome measures are completed pre- and post-therapy: 1. Anxiety-specific measures that differ by presentation: IAPT CORE Minimum Data Set: GAD-7; PHQ-9; WSAS; ADSM; Phobia scales 2. At-risk mental states (ARMS) measures: two-Item screen, 16-Item Prodromal Questionnaire (PQ-16) 3. Relational measures: Psychosis Attachment Measure (PAM)-R 26-item measure of attachment, Experience in Close Relationships Scale (ECR)-12 12-item measure of attachment, and the Dysfunctional Working Models of Self and Others (DWM-S Adapted) 35-item measure of beliefs about self and others | — |
Countries
England, United Kingdom
Contacts
Public ContactKatherine Newman-Taylor
Outcome results
None listed