Depression in people with intellectual disability Mental and Behavioural Disorders
Conditions
Interventions
Current interventions as of 24/02/2020:
Participants are randomly assigned to the control or intervention arm of the study using a web based system called Sealed Envelope, which is bas
Sponsors
University College London
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Individuals with ID will need to be: 1. Aged 18 or over 2. Have mild or moderate intellectual disability (ID) (IQ 35 to 69), which will be assessed using the Wechsler Abbreviated Scale of Intelligence 3. A score of 5 or more on the Glasgow Depression Scale for People with learning Disabilities (GDS-LD (42). This score is below the threshold for a diagnosis of depression but will indicate the presence of depressive symptoms 4. Should not be attending education/day service for more than two days a week 5. Be able to provide informed consent Volunteers will need to be: 1. Aged 18 or over 2. Agree to being available once a week for at least one hour over a period of six months
Exclusion criteria
Exclusion criteria: Individuals with ID will be excluded if they have: 1. Severe ID (IQ less than 35 and/or are non-verbal or have very limited communication and comprehension and therefore would not be able to complete the questionnaires) or no ID (IQ above 70) 2. A score below 5 on the GDS-LD 3. Unable to communicate in English 4. Unable to provide consent Volunteers will be excluded if they: 1. Have a criminal record (any documented offence) recorded on their DBS 2. Are unable to provide two references or have unsuitable references
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Current primary outcome measure as of 26/02/2020: 1. Recruitment rate of participants with intellectual disability and volunteers over a six month period 2. The number of matched pairs of volunteers and participants with intellectual disability over a six month period 3. The number of people with intellectual disability and volunteers who drop out of the study by the end of follow up at 12 months and reasons why 4. Adverse events/negative consequences of befriending measured at 6 months 5. Acceptability of the intervention measured by exploring the views of participants, volunteers, carers and befriending services post intervention at 6 months 6. Adherence and fidelity of the intervention assessed by analysing volunteer diaries of meetings (e.g. number of sessions, type of activity) post intervention at 6 months Previous primary outcome measure as of 24/02/2020: 1. Recruitment rate of participants with intellectual disability and volunteers over a six month period 2. The number of matched pairs of volunteers and participants with intellectual disability over a six month period 3. The number of people with intellectual disability and volunteers who drop out of the study by the end of follow up at 12 months and reasons why 4. Adverse events/negative consequences of befriending 5. Acceptability of the intervention 6. Adherence and fidelity of the intervention Previous primary outcome measure: Feasibility outcomes; Timepoint(s): 6 months and 12 months post randomisation 1. Recruitment rate of participants with intellectual disability and volunteers over a six month period 2. The number of matched pairs of volunteers and participants with intellectual disability over a six month period | — |
Secondary
| Measure | Time frame |
|---|---|
| Outcomes in participants with intellectual disability: 1. Depressive symptoms are measured using the Glasgow Depression Scale for people with Learning Disability (GDS-LD) at baseline, 6 months and 12 months. 2. Self-esteem is measured using the adapted Rosenberg self-esteem scale for people with intellectual disabilities at baseline, 6 months and 12 months. 3. Quality of life is measured using the Maslow Assessment of Needs Scale-Learning Disability (MANS-LD) and five items from the adapted World Health Organisation Quality of Life questionnaire (WHO-QOL-8) at baseline, 6 months and 12 months 4. Loneliness and social satisfaction are measured using the Modified Worker Loneliness Questionnaire (MWLQ) at baseline, 6 months and 12 months 5. Social support is measured using the Social Support Self Report for intellectually disabled adults (SSSR) at baseline, 6 months and 12 months 6. Social participation is measured using the Guernsey Community Participation and Leisure Assessment (GCPLA) at baseline, 6 months and 12 months 7. Health related quality of life is measured using the EuroQol-Youth (EQ-5D-Y), which is used to calculate Quality adjusted life years (QALYs), assessed at baseline, 6 months and 12 months 8. Service use and costs assessed using the modified Client Services receipt Inventory (CSRI) at baseline, 6 months and 12 months Outcomes in volunteers: 1. Self-esteem is measured using the Rosenberg self-esteem scale at baseline, 6 months and 12 months 2. Psychological wellbeing and quality of life are measured using the Warwick- Edinburgh mental wellbeing scale (WEMWBS) at baseline, 6 months and 12 months 3. Loneliness is measured using the UCLA loneliness scale at baselines, 6 months and 12 months 4. Attitudes of volunteers is assessed using the Attitudes | — |
Countries
England, United Kingdom
Outcome results
None listed