Psychosis, Suicidal
Conditions
Brief summary
The current study aims to test the acceptability and feasibility of a psychological therapy called Method of Levels (MOL) as an intervention for people in acute psychiatric inpatient units who are experiencing psychosis and/or suicidality.
Interventions
MOL therapy aims to help people develop awareness of their personal goals so they can identify incompatibilities and find potential solutions. In MOL, the therapist uses a specific style to help people focus attention on the problem at hand, long enough to consider the issues from different perspectives, including reflection on the associated emotions. This process is usually very experiential and requires the client to be actively engaged in controlling the focus of the session and decision making.
Sponsors
University of Manchester
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Adults over the age of 18 years * Current service user in an acute inpatient ward in the Greater Manchester area * Capacity to provide informed consent for participating in research * Good command of English language * WS1: Experiencing psychosis (this will be screened for using a clinical cut-off score on the CAPE (Mossaheb et al., 2012)) * WS2: Experiencing suicidality (this will be screened for using a cynical cut-off score on the Suicidal Behaviours Questionnaire - revised (SBQ-R) (Osman et al., 2001))
Exclusion criteria
* Problems of an organic nature or a learning disability that might affect cognitive functioning
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Feasibility of adaptions required | Final follow up meeting with final participant, 3 months after consent | Qualitative record of adaptions required for use of MOL in an acute inpatient setting |
| Proportion of recruited patients retained | End of therapy interview | We will deem the study feasible if least 62% of recruited participants are retained (i.e. receive at least one therapy session and complete the end of therapy measures and interview) |
| Number of participants who receiving the intervention | End of first therapy session, approx. 2 weeks after initial meeting | We will deem the study feasible if 10 participants receive at least one therapy session |
| Acceptability (qualitative) | End of therapy interview | Qualitative interview with participant at end of therapy analysed using Thematic Analysis |
| Results of Novel Client Measure (descriptive) | End of therapy research meeting | Qualitative self-reported perception of what was helpful about the therapeutic environment |
| Results of Outcome Rating Scale (descriptive) | End of therapy research meeting | Qualitative self-report measure assessing areas of life functioning known to change as a result of therapeutic intervention |
| Proportion of approved patients recruited | Study consent meeting, approx. 1 week after initial meeting | We will deem the study feasible if at least 72% of approached people consent to participate |
Other
| Measure | Time frame | Description |
|---|---|---|
| Clinical Outcomes in Routine Evaluation-OM (descriptive) | End of therapy research meeting | Outcome measure assessing idiosyncratic problems and distress |
| Reorganisation of Conflict Scale (descriptive) | End of therapy research meeting | Outcome measure assessing goal conflict reorganisation (a key mechanism of change in MOL) |
| Community Assessment of Psychic Experiences (if experiencing psychosis at point of consent) | End of therapy research meeting | Outcome measure assessing experiences of psychosis |
| Linehan Reasons for Living Inventory (if experiencing suicidality at point of consent) | End of therapy research meeting | Outcome measure assessing experiences of suicidality |
| Psychological Outcomes Profile (descriptive) | End of therapy research meeting | Outcome measure assessing idiosyncratic problems and distress |
Countries
United Kingdom
Outcome results
None listed