Psychosis, Schizophrenia Spectrum Disorders
Conditions
Brief summary
The goal of this case series study is to learn if culturally-adapted cognitive-behavioural therapy is practical, acceptable and safe among Black Sub-Saharan African and Caribbean people experiencing psychosis. The main question it aims to answer is: Is culturally-adapted CBT for psychosis feasible, acceptable to and safe for Black Sub-Saharan African and Caribbean people experiencing psychosis? Participants will be asked to: * Answer some questionnaires about how things are at the moment * Attend up to 16 sessions of therapy * Answer the same questionnaires to see what has changed, if anything * Complete a semi-structured interview about their expectations and experience of therapy
Interventions
BEHAVIORALCulturally-adapted cognitive-behavioural therapy
Cognitive-behavioural therapy for psychosis culturally-adapted for Black Sub-Saharan African and Caribbean people using a dedicated, integrated treatment manual
Sponsors
University of Manchester
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
16 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Service users who identify as Black British, Black Caribbean, Black African, African-Caribbean or Mixed African/Caribbean with at least one parent and/or grandparent born in a Sub-Saharan African or Caribbean country * People with a current ICD-10 schizophrenia spectrum disorder diagnosis, or who are currently receiving or have received support from an Early Intervention in Psychosis team * 16 years or older * Sufficient understanding of English to complete study measures and engage with CBTp
Exclusion criteria
* Current, primary diagnosis of substance use disorder * Organic aetiology of psychosis * Lacking capacity to provide full informed consent * Currently experiencing a mental health crisis (i.e., are open to a home-based treatment team; are currently under Section of the Mental Health Act or have been under Section in the past 3 months) or immediate high risk to self or others (i.e., current suicidal intent or plans; unmanaged and intense non-suicidal self-injury) * Currently receiving CBTp or received CBTp within the preceding 3 months * Unwilling to participate in culturally-adapted CBTp
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Semi-structured qualitative interview: Service user acceptability | End of therapy (16 weeks) | Service user satisfaction as assessed by qualitative interview. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Working Alliance Inventory-Short Form Revised | End of therapy (16 weeks) | Acceptability measured sessionally using the Working Alliance Inventory-Short Form Revised (Hatcher \& Gillaspy, 2006) |
| Adverse Events Checklist | Each therapy session (16 weeks) | Safety monitored sessionally using an Adverse Events Checklist developed for this study |
| Subjective Experience of Psychosis Scale | End of therapy (16 weeks) | Subjective distress measured by the Subjective Experience of Psychosis Scale (Haddock et al., 2011) |
| Questionnaire about the Process of Recovery | End of therapy (16 weeks) | Perceived recovery measured by the Questionnaire about the Process of Recovery (Law et al., 2014) |
| Depression, Anxiety and Stress Scales | End of therapy (16 weeks) | Emotional wellbeing measured by the Depression, Anxiety and Stress Scales (Lovibond \& Lovibond, 1995) |
Countries
United Kingdom
Contacts
CONTACTPeter Panayi
Outcome results
None listed