Non-randomised feasibility study of training workshops for Talking Therapies service high-intensity therapists to optimise depression and anxiety outcomes for individuals with co-morbid personality difficulties: a study protocol

Pilot and Feasibility Studies

Study Protocol

David Kessler¹  Paul A. Moran¹  Katrina Turner¹  Michelle Farr²  John Campbell³  Emma Wood⁴  Mona Sylianou⁴  Gemma Sumner⁴  Mary Ryan⁵  Katie Marchant⁵  Laura A. Warbrick⁶  Barnaby D. Dunn⁶  Richard Sharpe⁷  Megan Parkin⁸ 

[1] Bristol Medical School, University of Bristol, Bristol, UK;Bristol Medical School, University of Bristol, Bristol, UK;The National Institute for Health and Care Research Applied Research Collaboration West (NIHR ARC West) at University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK;College of Medicine and Health, University of Exeter, Exeter, UK;Everyturn Mental Health, Newcastle Upon Tyne, UK;Mood Disorders Centre, University of Exeter, EX4 4QQ, Exeter, UK;Mood Disorders Centre, University of Exeter, EX4 4QQ, Exeter, UK;College of Medicine and Health, University of Exeter, Exeter, UK;Public Health Cornwall, Truro, UK;Royal Devon University Healthcare NHS Foundation Trust, Tiverton, UK;

关键词: Personality difficulties;    NHS Talking Therapies;    IAPT;    Therapist training;    Feasibility study;    Mixed methods;    Cognitive behavioural therapy;   

DOI  :  10.1186/s40814-023-01394-z

 received in 2023-01-06, accepted in 2023-09-11,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundThe NHS Talking Therapies for Anxiety and Depression programme (‘TTad’; formerly Improving Access to Psychological Therapies ‘IAPT’) delivers high-intensity cognitive behavioural therapy (CBT) to over 200,000 individuals each year for common mental health problems like depression and anxiety. More than half of these individuals experience comorbid personality difficulties, who show poorer treatment outcomes. TTad therapists report feeling unskilled to work with clients with personality difficulties, and enhancing the training of TTad therapists may lead to improved treatment outcomes for individuals presenting with secondary personality difficulties alongside depression and anxiety.MethodsThis is a pre-post non-randomised mixed-method feasibility study, exploring the feasibility and acceptability of a 1-day training workshop for high-intensity (HI) CBT therapists. The workshop is focused on understanding and assessing personality difficulties and adapting HICBT treatments for anxiety and depression to accommodate client needs. The feasibility and acceptability of the workshop and the evaluation procedures will be investigated. It will be examined to what extent the workshop provision leads to improvements in therapist skills and confidence and explored to what extent the training has the potential to enhance clinical outcomes for this client group.DiscussionThis feasibility study will provide data on the acceptability and feasibility of delivering brief therapist training to adapt usual HICBT to optimise care for individuals with secondary personality difficulties seeking treatment in TTad services for a primary problem of depression and/or anxiety. The study will also evaluate proof of concept that such an approach has the potential to improve clinical outcomes for those with secondary personality difficulties and report any possible harms identified. The study will inform the design of a future randomised controlled trial designed to test the effectiveness and cost-effectiveness of the training.Trial registrationISRCTN81104604. Submitted on 6th June 2022. Registration date: 3rd January 2023.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

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