Cognitive Analytic-Informed Guided Self-help for Depression
NCT ID: NCT05344326
Last Updated: 2023-12-06
Study Results
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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UNKNOWN
NA
13 participants
INTERVENTIONAL
2022-11-07
2024-05-31
Brief Summary
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Detailed Description
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1\) Develop a CAT-informed GSH manual (CAT-GSH) for depression Phase Two
1. Pilot CAT-SH within IAPT setting
2. To explore the impact of CAT-GSH on outcomes
3. To investigate the acceptability of CAT-GSH
Method Stage One Past research and consultation meetings will be consolidated into a matrix. This will inform the development of the treatment manual.
Stage Two A mixed-methods, small N case series design will be utilized to pilot the CAT-GSH manual within IAPT services. Three Psychological Wellbeing Practitioners (PWP) and 10 service users will be recruited from Barnsley IAPT service. The PWPs will be provided a two-day training course before the study begins. This will cover information regarding the CAT-GSH, data management, and the protocol. To recruit 10 service user participants, it is predicted the first 60 people on the Barnsley IAPT waiting list would need to be screened to account for eligibility criteria, preference, and attrition.
Participants will be offered to complete CAT-GSH if:
1. Depression is the main problem
2. They score above the clinical cut off (10 points) on the Patient Health Questionnaire (PHQ9; Kroenke and Spitzer, 2002)
3. Aged between 18 - 65
4. Would prefer to use CAT-GSH over other interventions
5. Consent to participate in study
6. Can engage with reading materials
The exclusion criteria will be:
1. Patients who would normally be 'stepped up' due to complexity and risk
2. Patients are receiving other therapies
3. Substance users unable to abstain during sessions The exclusion criteria are in line with IAPT step-two treatment guidance and support.
The participants will be invited to an assessment session where they will be informed about the research, be provided with information sheets and consent sheets. The participants will have time to contact the researchers if they have any questions about the research.
If they provide informed consent, they will be provided with six, fortnightly CAT-GSH sessions facilitated by the PWPs. In these sessions, they will also complete three outcome measures. The patient health questionnaire, the generalized anxiety disorder assessment, and the work and social adjustment scale.
They will receive a follow-up session, with the PWP, where they will also complete the outcome measures and review their care. They will also arrange an interview with the primary research to explore their experiences of CAT-GSH. This will follow an interview schedule. The PWPs will also attend a separate, PWP group interview where they will also reflect on their experiences of delivering GSH. This will be provided by the researcher.
The analysis stage of the process will then begin as the researchers explore the outcome measure data and the interview data.
Conditions
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Study Design
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NA
SINGLE_GROUP
TREATMENT
NONE
Study Groups
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CAT-GSH
Participants, who provide informed consent, will be provided an assessment session, six fortnightly CAT-GSH sessions, and one follow-up session.
Cognitive Analytic Therapy - Guided Self Help (CAT-GSH)
CAT-GSH is a novel intervention designed to help those with depression by focusing on the relationships within their life. GSH is used in step two of IAPT services and is typically six fortnightly sessions where the PWP helps the service user complete the self help manual.
Interventions
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Cognitive Analytic Therapy - Guided Self Help (CAT-GSH)
CAT-GSH is a novel intervention designed to help those with depression by focusing on the relationships within their life. GSH is used in step two of IAPT services and is typically six fortnightly sessions where the PWP helps the service user complete the self help manual.
Eligibility Criteria
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Inclusion Criteria
* They score above the clinical cut off (10 points) on the Patient Health Questionnaire (PHQ9; Kroenke and Spitzer, 2002)
* Aged between 18 - 65
* Would prefer to use CAT-GSH over other interventions
* Consent to participate in study
* Can engage with reading materials
Exclusion Criteria
* Patients are receiving other therapies
* Substance users unable to abstain during sessions
18 Years
65 Years
ALL
No
Sponsors
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University of Sheffield
OTHER
Responsible Party
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Principal Investigators
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Rebecca Kelly
Role: PRINCIPAL_INVESTIGATOR
University of Sheffield
Locations
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Barnsley IAPT Service
Barnsley, , United Kingdom
Countries
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Central Contacts
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Facility Contacts
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Helen Carter
Role: primary
Other Identifiers
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175377
Identifier Type: -
Identifier Source: org_study_id