Mental health intervention for transdiagnostic groups in the community

  • Research type

    Research Study

  • Full title

    Feasibility and acceptability of a randomised controlled trial, examining a transdiagnostic DBT-informed skills group intervention delivered by Protocolised Based Intervention Facilitators (P-BIFS) for adults in community mental health settings.

  • IRAS ID

    307316

  • Contact name

    Suzanne Jolley

  • Contact email

    suzanne.jolley@kcl.ac.uk

  • Sponsor organisation

    King's College London

  • Duration of Study in the UK

    0 years, 9 months, 31 days

  • Research summary

    We propose to evaluate a new protocol-based intervention that is informed by Dialectical Behaviour Therapy (DBT), known as a DBT-informed intervention, delivered in routine mental health settings within South London and Maudsley NHS foundation trust. The intervention is delivered to a group of transdiagnostic service users with a severe mental illness (SMI). It is delivered by a pre-professional workforce who will be referred to as Protocol-Based Intervention Facilitators (P-BIFs). Successful delivery by a less expert workforce has potential to increase routine implementation, compared to delivery by expert staff, where costs of both salary and training are higher.

    Dialectical Behaviour Therapy (DBT) is a type of psychological treatment recommended for people with a diagnosis of emotionally unstable personality disorder (EUPD; National Institute for Health and Clinical Excellence [NICE], 2009). Individuals with a diagnosis of EUPD commonly experience difficulties with managing and responding to their emotions. This is known as emotion dysregulation. Difficulties with emotion dysregulation are thought to play a role in many mental health difficulties. The evidence base for using interventions that are informed by DBT, known of as DBT-informed interventions with other mental health diagnoses, is emerging.

    The current research aims to investigate whether it is possible (feasible) to conduct a randomised control trial evaluating the transdiagnostic DBT-informed skills group for individuals representative of SMI presentations seen within community mental health settings. The study will also examine whether it is possible for pre-professional staff to deliver the manualised group intervention.

    Service user participants will be randomised to either a 10-week DBT-informed intervention delivered by the P-BIFs, or a waitlist. Those on the waitlist will access the intervention once their involvement in the study has ended. The study will last for up to 1 year. The maximum duration to complete trial participation from consent to completion will be 18 weeks.

  • REC name

    London - Bromley Research Ethics Committee

  • REC reference

    22/LO/0444

  • Date of REC Opinion

    14 Jul 2022

  • REC opinion

    Further Information Favourable Opinion