COMPASS Study: an Online Cognitive-behavioural Therapy (CBT) Program Treating Anxiety and Low Mood in Long-term Conditions During the COVID-19 Pandemic

NCT ID: NCT04535778

Last Updated: 2022-03-31

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

NA

Total Enrollment

194 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-11-16

Study Completion Date

2022-01-01

Brief Summary

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This study is a single-centre, interventional randomised controlled trial.

Participants will be individually randomised to receive either COMPASS online CBT + "usual care" (standard LTC charity support), or usual care only. Randomisation will be stratified by recruiting charity site to ensure a balance of participants with different LTCs across the intervention and control arm. Randomisation will occur using a 1:1 allocation ratio managed by RECAP software.

Participants randomised to COMPASS will receive access to the online program. It consists of 11 online modules which target challenges associated with living with LTC(s) and includes, amongst other things, psycho-education, patient examples, interactive tasks and goal setting. Participants are linked to a therapist; 'guide', who will provide 6 x 30 minute support sessions delivered fortnightly in the format preferred by the client (phone and/or in-site message).

Participants allocated to the usual care control arm will receive the usual care that is available to them via their charity. All charities include a helpline which can be accessed via telephone or email. The helplines at all charities offer one-off emotional and/or informational support provided by people trained in active listening and/or counselling skills. Additional support avenues that can be accessed may include online support groups, local community support groups and informational resources.

Detailed Description

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Conditions

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Treatment of Illness-related Distress in Physical LTCs

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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COMPASS

Participants will be treated with an online CBT program that is specifically tailored to illness-related distress in the context of long-term conditions. Participants will also have access to the standard charity resources.

Group Type EXPERIMENTAL

COMPASS

Intervention Type BEHAVIORAL

An 11 module, therapist-supported online CBT program.

Standard charity resources

Participants will be directed to the standard resources provided by the charities involved in the study.

Group Type ACTIVE_COMPARATOR

Standard charity resources

Intervention Type BEHAVIORAL

Resources provided by the charities involved, including supportive listening, online support groups, information resources and local community support groups.

Interventions

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COMPASS

An 11 module, therapist-supported online CBT program.

Intervention Type BEHAVIORAL

Standard charity resources

Resources provided by the charities involved, including supportive listening, online support groups, information resources and local community support groups.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Aged 18 or over
* Have responded to sign posting advise from the LTC charity or responded to an advert placed on a LTC charity website expressing their interest in taking part in the study.
* Speak English to a sufficiently high standard to allow them to interact with digital CBT programs.
* Live in the UK and can provide contact details of their registered general practitioner
* Have an email address to allow them to register with a digital CBT program and have a basic understanding of the internet.
* Scores ≥3 on the shortened patient health questionnaire (PHQ-4) self-report measure of depression and anxiety in relation to their LTC and/or the COVID-19 pandemic.

Exclusion Criteria

* Evidence of alcohol and/or drug dependency, cognitive impairment, severe mental health disorders, including bipolar disorder or psychosis
* Acute suicidal risk requiring a level of support that cannot be provided by therapists who are supporting patients remotely in their use of digital health interventions.
* Receiving active psychological treatment. Active psychological treatment is defined as receiving treatment from a psychologist/counselor/therapist or engaging with other online psychological treatment interventions.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Multiple Sclerosis Society

OTHER

Sponsor Role collaborator

Psoriasis Association

UNKNOWN

Sponsor Role collaborator

Crohn's & Colitis UK

UNKNOWN

Sponsor Role collaborator

Kidney Care UK

OTHER

Sponsor Role collaborator

Shift.ms

UNKNOWN

Sponsor Role collaborator

King's College London

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Rona Moss-Morris

Role: PRINCIPAL_INVESTIGATOR

King's College London

Locations

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Health Psychology Section

London, , United Kingdom

Site Status

Countries

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United Kingdom

References

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Picariello F, Hulme K, Seaton N, Hudson JL, Norton S, Wroe A, Moss-Morris R. A randomized controlled trial of a digital cognitive-behavioral therapy program (COMPASS) for managing depression and anxiety related to living with a long-term physical health condition. Psychol Med. 2024 Jun;54(8):1796-1809. doi: 10.1017/S0033291723003756. Epub 2024 Feb 14.

Reference Type DERIVED
PMID: 38350600 (View on PubMed)

Hulme K, Hudson JL, Picariello F, Seaton N, Norton S, Wroe A, Moss-Morris R. Clinical efficacy of COMPASS, a digital cognitive-behavioural therapy programme for treating anxiety and depression in patients with long-term physical health conditions: a protocol for randomised controlled trial. BMJ Open. 2021 Oct 25;11(10):e053971. doi: 10.1136/bmjopen-2021-053971.

Reference Type DERIVED
PMID: 34697123 (View on PubMed)

Other Identifiers

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20347

Identifier Type: -

Identifier Source: org_study_id

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