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

King's College London28 enrolled

Overview

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.

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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

OTHER

Masking

SINGLE

Enrollment

Conditions

Anxiety Depression

Interventions

One-day CBT workshopOTHER

One-day long CBT workshop, with between 4-15 participants, facilitated by clinical psychologists. Following introductions, ice breakers and an explanation of the CBT model, CBT techniques are then introduced and practised using a variety of methods. One week after the workshop, any personal goals set during the workshop are reviewed with one of the workshop facilitators in a 'telephone goal review.'

Usual careOTHER

Usual care afforded by local CAMHS services

Eligibility

Sex: ALLMin age: 15 YearsMax age: 18 Years

Medical Language ↔ Plain English

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.

Locations (1)

South London and Maudsley NHS Foundation Trust

London, United Kingdom

Outcomes

Primary Outcomes

Mood and Feelings Questionnaire (MFQ)

Assesses symptoms of depression

Time frame: 8 weeks

Secondary Outcomes

Revised Child Anxiety and Depression Scale (RCADS)

Assesses symptoms of anxiety

Time frame: 8 weeks

Warwick-Edinburgh Mental Well-being Scale (WEMWBS)

Assesses psychological well-being

Time frame: 8 weeks

Data from ClinicalTrials.gov

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