The Modular Protocol for Mental Health (MPMH)

NCT ID: NCT03143634

Last Updated: 2020-09-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

43 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-07-18

Study Completion Date

2020-07-31

Brief Summary

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Currently, our best psychological treatments for anxiety and mood disorders only focus on individual diagnoses. So, there are separate treatments for Panic Disorder, or Depressive Disorder, or Social Anxiety, etc. These 'diagnosis-specific' treatments work well for people whose problems fit neatly into a single diagnosis. However, they work far less well for people with complex problems involving multiple diagnoses, and 50% of patients fail to respond well to these existing treatments.

The purpose of this study is to test a new psychological treatment for anxiety and mood problems (the Modular Protocol for Mental Health \[MPMH\]). Instead of focusing on any single diagnosis, MPMH combines the best treatment techniques into 10 modules to target problems common across all of the different mood and anxiety diagnoses (e.g., intense emotions, negative thinking, upsetting memories, distressing habits). MPMH should therefore be a better treatment for the large numbers of individuals whose problems do not fit neatly into a single diagnosis and for whom any treatments targeting a single diagnosis would leave significant difficulties unaddressed.

Detailed Description

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Conditions

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Major Depressive Disorder Generalized Anxiety Disorder Posttraumatic Stress Disorder Social Anxiety Disorder Panic Disorder Agoraphobia Obsessive-Compulsive Disorder Illness Anxiety Disorder

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors
Only the outcome assessor will be masked, as this is a psychological intervention it is not possible to mask the participant, care provider or investigator.

Study Groups

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The Modular Protocol for Mental Health

The Modular Protocol for Mental Health (Psychological Therapy) will last up to 18 regular weekly face-to-face sessions. Treatment follows a standard structured treatment session as per Cognitive Behavioural Therapy. The MPMH Treatment Manual was written by clinical psychologists. The selection and ordering of the modules for treatment will be delivered and determined by the Trial Clinical Psychologist in collaboration with the service-user. The treatment modules include:

M1. Getting Acquainted M2. Understanding Emotions M3. Managing and Tolerating Emotions M4. Behavioural activation M5. Tackling Avoidance M6. Tackling Unhelpful Thoughts M7. Tackling Unhelpful Habits M8. Overcoming Repetitive Thinking M9. Managing Upsetting Memories and Images M10. Relapse Prevention and Future Orientation

Group Type EXPERIMENTAL

The Modular Protocol for Mental Health

Intervention Type BEHAVIORAL

This intervention is based on evidence-based cognitive-behavioural approaches to psychological disorders and offers a flexible approach to treatment delivery that targets the maladaptive processes common to mood and anxiety disorders.

Treatment-as-usual

For Treatment-as-usual (Psychological Therapy), clinicians will be asked to provide whatever treatment they deem appropriate, including psychological services, medication and referral to other services. TAU will be delivered by high-intensity therapists or clinical psychologists.

Group Type PLACEBO_COMPARATOR

Treatment-as-usual

Intervention Type BEHAVIORAL

This intervention will consist of psychological therapies delivered by high-intensity therapists or clinical psychologists.

Interventions

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The Modular Protocol for Mental Health

This intervention is based on evidence-based cognitive-behavioural approaches to psychological disorders and offers a flexible approach to treatment delivery that targets the maladaptive processes common to mood and anxiety disorders.

Intervention Type BEHAVIORAL

Treatment-as-usual

This intervention will consist of psychological therapies delivered by high-intensity therapists or clinical psychologists.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Patients with a primary diagnosis of a unipolar mood, anxiety, stress or obsessive-compulsive disorder with at least one additional comorbid diagnosis according to the DSM-5. The criteria for diagnosis will be based on the Structured Clinical Interview for the DSM (SCID) which assesses disorders according to DSM-5 diagnostic criteria.
* To be eligible participants will also need to score \>10 on either the Patient Health Questionnaire (PHQ-9) or Generalised Anxiety Disorder -7 item scale, GAD-7 (see Study Measures above).

Exclusion Criteria

* Current/past psychosis or bipolar disorder
* Current full diagnosis of substance use disorder
* Organic brain damage
* Complex trauma history or recurrent self-injury requiring specialist services (as deemed by the NHS Clinical Care team)
* Current suicidality that warrants immediate clinical attention and constitutes a current risk of harm to the individual.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Cambridgeshire and Peterborough NHS Foundation Trust

OTHER

Sponsor Role collaborator

Medical Research Council Cognition and Brain Sciences Unit

OTHER_GOV

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Tim Dalgleish, PhD

Role: PRINCIPAL_INVESTIGATOR

Medical Research Council Cognition and Brain Sciences Unit

Locations

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MRC Cognition and Brain Sciences Unit

Cambridge, , United Kingdom

Site Status

Countries

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United Kingdom

References

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Other Identifiers

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MP:MH RfPB PB-PG-0214-33072

Identifier Type: -

Identifier Source: org_study_id

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