Psychological Intervention, Treatment as Usual
Conditions
Keywords
psychology, cognitive analytic therapy
Brief summary
Five session CAT (Cognitive Analytic Therapy) consultancy was developed for patients whom services 'struggle to help', such as those with diagnoses of personality disorder. Five session CAT consultancy works with both patients and care coordinators, utilising key elements of CAT including reciprocal roles and reformulation to inform care planning and case management. The proposed study expands on the existing evidence base by utilising a comparator; a treatment as usual condition. The proposed mixed methods feasibility study will compare outcomes for both patients and care coordinators to assess the effectiveness of the intervention compared to controls in a community mental health team.
Interventions
OTHERFive session cognitive analytic therapy (CAT) consultancy
Five session consultancy with patients and care coordinators using cognitive analytic therapy
Sponsors
National Health Service, United Kingdom
Amrit Sinha
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
The study will utilise two conditions - intervention and waiting list. Participants on the waiting list will then proceed to the intervention condition.
Eligibility
Sex/Gender
ALL
Age
18 Years to 100 Years
Healthy volunteers
No
Inclusion criteria
1. they are indicated as unsuitable for individual therapy, 2. there is a poor or challenging relationship between the patient and the care coordinator(s) 3. the care coordinator(s) feels a sense of 'stuckness' with the case 4. the patient is chaotic
Exclusion criteria
1. actively psychotic 2. severely misusing substances 3. have poor appointment attendance 4. indicating that they are actively suicidal and unwilling to commit to trying to stay safe.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Personality Structure Questionnaire (PSQ) | Screening (point of referral), start of waiting list (up to 2 weeks), end of waiting list (up to 12 weeks), start of treatment (up to 12 weeks), end of treatment (up to 22 weeks), 8 week follow-up (up to 30 weeks), 12 week follow-up (up to 34 weeks) | Primary outcome measure for patients utilised to measure change across multiple time-points. The PSQ is an 8-item measure of identity disturbance. Each item is rated using a 5-point Likert scale. The maximum score on the scale is 40, indicating a high level of identity disturbance. |
| Perceived competence scale | Screening (point of referral), start of waiting list (up to 2 weeks), end of waiting list (up to 12 weeks), start of treatment (up to 12 weeks), end of treatment (up to 22 weeks), 8 week follow-up (up to 30 weeks), 12 week follow-up (up to 34 weeks) | Primary outcome measure for care coordinators utilised to measure change across multiple time-points. The Perceived Competence Scale is a four item Likert-scale ranging from 1 to 7. The maximum score for each item is 7, and the maximum overall score for the scale is 28, indicating the highest levels of perceived competence. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Clinical Outcomes in Routine Evaluation (CORE-10) | Screening (point of referral), start of waiting list (up to 2 weeks), end of waiting list (up to 12 weeks), start of treatment (up to 12 weeks), end of treatment (up to 22 weeks), 8 week follow-up (up to 30 weeks), 12 week follow-up (up to 34 weeks) | Secondary outcome measure for patients utilised to measure change across multiple time-points. The CORE-10 is a ten item questionnaire which measures psychological distress. The maximum score on this measure is 40, indicating the highest level of psychological distress. |
| Working Alliance Inventory Short-Revised (WAI-SR) | Screening (point of referral), start of waiting list (up to 2 weeks), end of waiting list (up to 12 weeks), start of treatment (up to 12 weeks), end of treatment (up to 22 weeks), 8 week follow-up (up to 30 weeks), 12 week follow-up (up to 34 weeks) | Secondary outcome measure for patients utilised to measure change across multiple time-points. The WAI-SR is a 12 item scale; items are rated using a 5-point Likert scale. The items can be divided into three constructs, measuring goals, tasks and bond. Each of these domains have scores ranging from 5 to 20. Higher scores indicate better working alliance. |
| Doubt Subscale of the Mental Health Professionals Stress Scale (MHPSS) | Screening (point of referral), start of waiting list (up to 2 weeks), end of waiting list (up to 12 weeks), start of treatment (up to 12 weeks), end of treatment (up to 22 weeks), 8 week follow-up (up to 30 weeks), 12 week follow-up (up to 34 weeks) | Secondary outcome measure for care coordinators utilised to measure change across multiple time-points. The doubt subscale is a six-item scale which measures professionals' doubt about their practice. Each item will be scored as 1 if present with a maximum score of 6, indicating high levels of doubt. |
Countries
United Kingdom
Contacts
Primary ContactAmrit Sinha
Outcome results
None listed