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

Study Overview
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Brief Summary
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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.

Detailed Description
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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.

Official Title
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Feasibility Randomised Controlled Trial of a One-day CBT Workshop (DISCOVER) for 15-18 Year Olds With Anxiety and/or Depression in Clinic Settings

Conditions
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Anxiety, Depression

Intervention / Treatment
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* Other: One-day CBT workshop
* Other: Usual care


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: aged 15-18 years; fluent in English; currently on a local CAMHS waiting list for treatment based on a referral for emotional difficulties (anxiety and/or depression); willing and able to attend a one-day workshop within clinic; and 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: presenting with acute risk of harm to self or others; have severe learning difficulties; and are unable to provide informed written consent to participate and are unable to complete assessments.

Ages Eligible for Study
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Minimum Age: 15 Years
Maximum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: One-day CBT workshop (+Usual Care)<br>One-day CBT-based workshop (DISCOVER), followed by up to three brief telephone contacts to review goals set in workshop. | Other: One-day CBT workshop<br>* 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.'<br>* Other names: DISCOVER;Other: Usual care<br>* Usual care afforded by local CAMHS services<br>|
| Active Comparator: Usual care<br>Usual care afforded by local CAMHS services | Other: Usual care<br>* Usual care afforded by local CAMHS services<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Mood and Feelings Questionnaire (MFQ) | Assesses symptoms of depression | 8 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Revised Child Anxiety and Depression Scale (RCADS) | Assesses symptoms of anxiety | 8 weeks | 
| Warwick-Edinburgh Mental Well-being Scale (WEMWBS) | Assesses psychological well-being | 8 weeks |