Guided Self-help for Anxiety - a Patient Preference Trial

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

134 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-01-29

Study Completion Date

2020-09-30

Brief Summary

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Supporting patients in exerting choice over their treatment is a central aspect of modern healthcare. In Improving Access to Psychological Therapies (IAPT) services, then patients treated at step 2 are only and always offered cognitive-behaviourally informed guided self-help (GSH), when they are deemed suitable for treatment at step 2 of IAPT services (termed CBT-GSH). Step 2 interventions are guided self-help (GSH) delivered by Psychological Wellbeing Practitioners (PWPs). Recently, a new type of GSH has been developed and found to be feasible and effective in IAPT services - this is called cognitive-analytic guided self-help (CAT-GSH). This research aims to test the efficacy of CAT-GSH by comparing outcomes over time achieved in both types of GSH and interviewing participants about their experience of the GSH. The methodology to support patient choice is a patient preference trial. In this method, then patients that meet inclusion criteria for the trial are offered and choose between either CAT-GSH and CBT-GSH. Those patients that are unconcerned with the type of treatment are randomised to either CAT-GSH or CBT-GSH. The primary outcome measure is the Beck Anxiety Inventory. No changes to the standard practice of the PWPs will occur during the trial, the trial will be situated in a standard IAPT service and be a therefore conducted in a routine practice setting.

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Detailed Description

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Conditions

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Anxiety

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Patient Preference Trial

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Randomised CBT

Cognitive Behavioural Therapy Guided Self Help

Group Type EXPERIMENTAL

Cognitive Behavioural Therapy Guided Self Help

Intervention Type OTHER

6-week manualised Cognitive Behavioural Therapy Guided Self Help

Randomised CAT

Cognitive Analytic Therapy Guided Self Help

Group Type EXPERIMENTAL

Cognitive Analytic Therapy Guided Self Help

Intervention Type OTHER

6-week manualised Cognitive Analytic Therapy Guided Self Help

Preference CAT

Cognitive Analytic Therapy Guided Self Help

Group Type EXPERIMENTAL

Cognitive Analytic Therapy Guided Self Help

Intervention Type OTHER

6-week manualised Cognitive Analytic Therapy Guided Self Help

Preference CBT

Cognitive Behavioural Therapy Guided Self Help

Group Type EXPERIMENTAL

Cognitive Behavioural Therapy Guided Self Help

Intervention Type OTHER

6-week manualised Cognitive Behavioural Therapy Guided Self Help

Interventions

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Cognitive Behavioural Therapy Guided Self Help

6-week manualised Cognitive Behavioural Therapy Guided Self Help

Intervention Type OTHER

Cognitive Analytic Therapy Guided Self Help

6-week manualised Cognitive Analytic Therapy Guided Self Help

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* patients have self-referred or been referred by their GP or other health or social care professional for a step 2 intervention for treatment of a common mental health problem,
* patients meet criteria for an anxiety disorder on MINI screening interview assessment and also met caseness on the BAI (as defined by a score of \>10 on the BAI at assessment).
* Patients want to engage in GSH to address the anxiety disorder
* patients are motivated to engage in treatment and can attend six sessions of face-to-face GSH.

Exclusion Criteria

* engaging in any another IAPT step 2 interventions.
* Do not meet criteria for an anxiety disorder as defined by the MINI and the BAI score.
* Meet criteria for depression and a comorbid anxiety disorder, as identified by the BAI and MINI, where the depression is more severe and is the patient's main concern.
* Have a severe/chronic mental health problem and are already involved in psychiatric or secondary care mental health services.
* Have substance misuse issues that would interfere with engagement with the GSH.
* Have a diagnosed learning disability that precludes engagement in GSH.
* Have a diagnosis of social phobia or PTSD

Minimum Eligible Age

18 Years

Maximum Eligible Age

99 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes