Feasibility Trial of a One-day CBT Workshop ("DISCOVER") for 15-18 Year Olds With Anxiety and/or Depression in Clinics

King's College London

Status: Completed

Conditions: Depression; Anxiety

Treatments: Other: Usual care; Other: One-day CBT workshop

Study type: Interventional

Funder types: Other

Identifiers

NCT02752945

16/LO/0231 (Other Identifier)

192806

R&D2016/021 (Other Identifier)

Details and patient eligibility

About

This is a feasibility trial designed to test the feasibility and acceptability of a one-day Cognitive Behavioural Therapy (CBT) workshop intervention ("DISCOVER") for young people aged between 15-18 years, who are on local child and adolescent mental health services (CAMHS) waiting lists, awaiting treatment for difficulties with anxiety and/or depression. Participants will be randomised to receive either the DISCOVER workshop (in addition usual care) or to continue usual care.

Full description

Sclare and colleagues (2015) have developed an open-access intervention ("DISCOVER") for 16-18 year olds experiencing emotional problems, in the form of one-day CBT-based workshops, delivered in schools. DISCOVER has been tested in schools and preliminary outcomes have shown to be positive. Given the lengthy waiting lists of some CAMHS services, the present study seeks to explore whether the DISCOVER programme can be implemented in clinic settings, with a broader age range of 15-18 year olds, with the aim of providing young people with some form of help, whilst they are awaiting more individualised treatment. Fifteen to eighteen year olds awaiting treatment for anxiety and/or depression will be recruited from local CAMHS waiting lists, and randomised to receive either the DISCOVER workshop, delivered in clinic (in addition to usual care), or to continue usual care. The study will assess the feasibility, acceptability and range of outcomes of DISCOVER in clinic settings.

Enrollment: 28 patients

Sex: All

Ages: 15 to 18 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. aged 15-18 years;
2. fluent in English;
3. currently on a local CAMHS waiting list for treatment based on a referral for emotional difficulties (anxiety and/or depression);
4. willing and able to attend a one-day workshop within clinic; and
5. their position on the waiting list must indicate that they are unlikely to receive a CAMHS treatment appointment in the 8 weeks following the workshop.

Exclusion criteria

1. presenting with acute risk of harm to self or others;
2. have severe learning difficulties; and
3. are unable to provide informed written consent to participate and are unable to complete assessments.

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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28 participants in 2 patient groups

One-day CBT workshop (+Usual Care)

Experimental group

Description:

One-day CBT-based workshop ("DISCOVER"), followed by up to three brief telephone contacts to review goals set in workshop.

Treatment:

Other: One-day CBT workshop

Other: Usual care

Usual care

Active Comparator group

Description:

Usual care afforded by local CAMHS services

Treatment:

Other: Usual care