Evaluating motivational interventions with PD
Research type
Research Study
Full title
An Evaluation of the Effects of Motivational Intervention on Treatment Engagement in Personality Disordered Patients.
IRAS ID
143592
Contact name
Mary McMurran
Contact email
Sponsor organisation
University of Nottingham
Research summary
This study evaluates a goal-focused motivation intervention intended to enhance treatment engagement. The research is based within Oxleas NHS Foundation Trust forensic outpatient service. The nine participants will be from the Mentalisation Based Therapy (MBT) programme; a 12-18 month group therapy for men with PD and antisocial behaviours.
A multiple baseline single-case experimental design will be used, in which each participant acts as their own control by completing all measures at the start (baseline), after each intervention phase (treatment) and after the conclusion of treatment (follow-up). The hypothesis is that change between baseline and treatment will be observed on measures of engagement.
The first session is to conduct the Personal Concerns Inventory, which helps participants to clarify their personal goals and rate their value and attainability. The second session is a goal counselling session, focusing on the most prioritised goals, exploring obstacles to goal attainment and linking to MBT as a means of overcoming these obstacles. Following this, treatment engagement is expected to improve because people are clearer about what they want from therapy.
Measures include clarity of stated therapy goals, measured by external experts, and commitment to therapy goals, rated by the individual. Treatment engagement will be measured by session attendance, the self-rated Treatment Motivation Questionnaire (TMQ) and the therapist-rated Treatment Engagement Questionnaire (TER).
The study will last for 15 weeks and the TMQ, the TER and participants’ goal ratings will be taken on 6 occasions (baseline, after the first interview, after the second interview and at 15 week follow-up). Treatment attendance will be measured throughout. Additionally, clinical outcomes will be compared at the start and end of the study using the CORE-OM.
Data will be inspected visually using graphs and the reliability and clinical significance of change over time will be calculated. A follow-up interview will explore personal experiences of the intervention.
REC name
East Midlands - Leicester South Research Ethics Committee
REC reference
14/EM/0181
Date of REC Opinion
22 Apr 2014
REC opinion
Further Information Favourable Opinion