Therapy Contamination as a Measure of Therapist Treatment Adherence in a Trial of Cognitive Behaviour Therapy versus Befriending for Psychosis

Bendall, Sarah; Allott, Kelly; Jovev, Martina; Marois, Marie-Josée; Killackey, Eóin; Gleeson, John; Álvarez‐Jiménez, Mario; McGorry, Patrick D.; Jackson, Henry

doi:10.1017/s1352465813000921

Cited by 15 publications

(18 citation statements)

References 21 publications

(54 reference statements)

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“…Participants in the comparison condition receive sessions based upon a neutral social contact, involving shared activity and discussion about non-mental health topics such as current affairs, recent events and activities in the participant’s life, and the participant’s interests. This is a manualised intervention, the structure of which is based upon the befriending protocol of Bendall et al [ 52 ], a credible and acceptable comparison condition [ 53 ], which has been used as a control condition to match for therapist time in a number of psychosocial intervention trials [ 54 – 56 ]. In this trial the standard protocol is augmented by use of the tablet computer to browse Internet sites related to participants’ interests, and as a potential means of facilitating discussion.…”

Section: Methodsmentioning

confidence: 99%

Randomised controlled trial of a digitally assisted low intensity intervention to promote personal recovery in persisting psychosis: SMART-Therapy study protocol

et al. 2016

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BackgroundPsychosocial interventions have an important role in promoting recovery in people with persisting psychotic disorders such as schizophrenia. Readily available, digital technology provides a means of developing therapeutic resources for use together by practitioners and mental health service users. As part of the Self-Management and Recovery Technology (SMART) research program, we have developed an online resource providing materials on illness self-management and personal recovery based on the Connectedness-Hope-Identity-Meaning-Empowerment (CHIME) framework. Content is communicated using videos featuring persons with lived experience of psychosis discussing how they have navigated issues in their own recovery. This was developed to be suitable for use on a tablet computer during sessions with a mental health worker to promote discussion about recovery.Methods/DesignThis is a rater-blinded randomised controlled trial comparing a low intensity recovery intervention of eight one-to-one face-to-face sessions with a mental health worker using the SMART website alongside routine care, versus an eight-session comparison condition, befriending. The recruitment target is 148 participants with a schizophrenia-related disorder or mood disorder with a history of psychosis, recruited from mental health services in Victoria, Australia. Following baseline assessment, participants are randomised to intervention, and complete follow up assessments at 3, 6 and 9 months post-baseline. The primary outcome is personal recovery measured using the Process of Recovery Questionnaire (QPR). Secondary outcomes include positive and negative symptoms assessed with the Positive and Negative Syndrome Scale, subjective experiences of psychosis, emotional symptoms, quality of life and resource use. Mechanisms of change via effects on self-stigma and self-efficacy will be examined.DiscussionThis protocol describes a novel intervention which tests new therapeutic methods including in-session tablet computer use and video-based peer modelling. It also informs a possible low intensity intervention model potentially viable for delivery across the mental health workforce.Trial registrationNCT02474524, 24 May 2015, retrospectively registered during the recruitment phase.

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Section: Methodsmentioning

confidence: 99%

Randomised controlled trial of a digitally assisted low intensity intervention to promote personal recovery in persisting psychosis: SMART-Therapy study protocol

et al. 2016

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“…Treatment will commence simultaneously, with one group receiving the ACT programme and the second group receiving an equivalent number of sessions based on the Befriending protocol (Bendall et al, 2003). The sessions will be delivered by two clinical psychologists (one per group) with clinical experience in working with people with TBI.…”

Section: Methodsmentioning

confidence: 99%

“…The active control will be based on the Befriending protocol (Bendall, Killackey, Jackson, & Gleeson, 2003). Befriending controls for a number of variables which may confound treatment programmes and has been found to have a moderate effect in reducing depressive symptoms and emotional distress in a number of different populations (Mead, Lester, Chew-Graham, Gask, & Bower, 2010).…”

Section: Treatment Programmesmentioning

confidence: 99%

“…In addition, treatment sessions will be audio recorded and random samples of sessions (25%) reviewed by trained independent assessors for treatment fidelity. The ACT Core Competency Rating Scale (Hayes & Strosahl, 2004) and the Befriending fidelity scale (Bendall et al, 2003) will be used to check that the ACT treatment sessions and Befriending intervention are delivered, respectively, in accordance with the manualised programmes. Fidelity in receipt of intervention is particularly relevant with TBI patients as they are exhibiting cognitive impairment and may struggle with comprehension. Each session will commence with a review of the previous week's session and participants will be given written notes of the session and homework tasks to complete.…”

Section: Intervention Fidelitymentioning

confidence: 99%

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Acceptance and Commitment Therapy (ACT) for Psychological Adjustment after Traumatic Brain Injury: Reporting the Protocol for a Randomised Controlled Trial

et al. 2012

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Following a severe traumatic brain injury (TBI) there is a complex presentation of psychological symptoms which may impact on recovery. Validated treatments addressing these symptoms for this group of people are limited. This article reports on the protocol for a single-centre, two-armed, Phase II Randomised Control Trial (RCT) to address the adjustment process following a severe TBI. Participants will be recruited from Liverpool Brain Injury Rehabilitation Unit and randomly allocated to one of two groups, Acceptance and Commitment Therapy (ACT) or an active control (Befriending). The active treatment group utilises the six core processes of ACT with the intention of increasing participation and psychological flexibility and reducing psychological distress. A number of primary and secondary outcome measures, administered at assessment, post-treatment and 1-month follow-up, will be used to assess clinical outcomes. The publication of the protocol before the trial results are available addresses fidelity criterion (intervention design) for RCTs. This ensures transparency in the RCT and that it meets the guidelines according to the CONSORT statement. The protocol has also been registered on the Australian New Zealand Clinical Trials Registry ACTRN12610000851066. AbstractFollowing a severe traumatic brain injury (TBI) there is a complex presentation of psychological

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“…All treatment sessions will be audio-recorded and session component checklists will be completed following each session for controlling the content and dose of therapy each participant receives. A random sample (20% of participants; evenly spread across the three treatment groups) of session recordings will be independently rated for treatment fidelity using an adapted version of the ACE Treatment Integrity Measure (ATIM) [49]. Every treatment session delivered to the 20% of participants selected will be rated.…”

Section: Methodsmentioning

confidence: 99%

Study protocol: a randomised controlled trial of a telephone delivered social wellbeing and engaged living (SWEL) psychological intervention for disengaged youth

et al. 2019

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Background Internationally, from 12.2–23.4% of youth (aged 16–24 years) are not in employment, education or training (NEET). These disengaged youth are more likely to experience social exclusion, increased psychological distress and poor quality of life. Youth at risk of disengagement are less likely to access traditional support services, requiring development of innovative interventions. Methods The trial is a single blind, three arm, randomised controlled trial evaluating the effectiveness of a telephone delivered psychological intervention for disengaged youth (12–25 years). Participants will be randomised to receive either (i) SWEL, (ii) Befriending, or (iii) Single Session Psycho-Education. Therapy will be over an 8 week period with a minimum of four and maximum of eight sessions for the SWEL or Befriending conditions, or a single session for the Psycho-Education condition. Outcomes will be assessed at baseline and at 2, 8 and 14-month follow-up with the primary outcome being re-engagement in education, training or employment. Discussion This large, multi-site, randomised controlled trial will inform the delivery of services for young people at risk of disengaging from education or training. The provision of psychological therapy by telephone increases access by youth – especially those in rural and remote areas - both to the trial and the treatment, if adopted by services. The outcomes of this trial could have meaningful societal impact for a vulnerable population. It is expected that recruitment, intervention and retention will present challenges for the trial given the focus on disengaged youth. Trial registration ANZCTR, ACTRN12614001212640 , Registered 18 Nov 2014. Retrospectively registered. Ethics and dissemination Ethics approval has been obtained from the participating institutions. Results of the trial will be submitted for publication in peer reviewed journals and findings presented at scientific conferences and to key service providers and policy makers.

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Therapy Contamination as a Measure of Therapist Treatment Adherence in a Trial of Cognitive Behaviour Therapy versus Befriending for Psychosis

Cited by 15 publications

References 21 publications

Randomised controlled trial of a digitally assisted low intensity intervention to promote personal recovery in persisting psychosis: SMART-Therapy study protocol

Randomised controlled trial of a digitally assisted low intensity intervention to promote personal recovery in persisting psychosis: SMART-Therapy study protocol

Acceptance and Commitment Therapy (ACT) for Psychological Adjustment after Traumatic Brain Injury: Reporting the Protocol for a Randomised Controlled Trial

Study protocol: a randomised controlled trial of a telephone delivered social wellbeing and engaged living (SWEL) psychological intervention for disengaged youth

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