Acceptability and Feasibility of MOL in Acute Inpatient Units

Study Overview
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Brief Summary
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The current study aims to test the acceptability and feasibility of a psychological therapy called Method of Levels (MOL) as an intervention for people in acute psychiatric inpatient units who are experiencing psychosis and/or suicidality.

Official Title
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Is Method of Levels (MOL) Therapy an Acceptable and Feasible Psychological Intervention for People in Acute Mental Health Inpatient Services: A Case Series.

Conditions
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Psychosis, Suicidal

Intervention / Treatment
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* Other: Method of Levels therapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Adults over the age of 18 years Current service user in an acute inpatient ward in the Greater Manchester area Capacity to provide informed consent for participating in research Good command of English language WS1: Experiencing psychosis (this will be screened for using a clinical cut-off score on the CAPE (Mossaheb et al., 2012)) WS2: Experiencing suicidality (this will be screened for using a cynical cut-off score on the Suicidal Behaviours Questionnaire - revised (SBQ-R) (Osman et al., 2001)) Exclusion Criteria: Problems of an organic nature or a learning disability that might affect cognitive functioning

Ages Eligible for Study
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Minimum 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: Treatment
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: MOL therapy<br>Participants with Psychosis and/or Suicidality receiving MOL therapy | Other: Method of Levels therapy<br>* MOL therapy aims to help people develop awareness of their personal goals so they can identify incompatibilities and find potential solutions. In MOL, the therapist uses a specific style to help people focus attention on the problem at hand, long enough to consider the issues from different perspectives, including reflection on the associated emotions. This process is usually very experiential and requires the client to be actively engaged in controlling the focus of the session and decision making.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Proportion of approved patients recruited | We will deem the study feasible if at least 72% of approached people consent to participate | Study consent meeting, approx. 1 week after initial meeting | 
| Proportion of recruited patients retained | We will deem the study feasible if least 62% of recruited participants are retained (i.e. receive at least one therapy session and complete the end of therapy measures and interview) | End of therapy interview | 
| Number of participants who receiving the intervention | We will deem the study feasible if 10 participants receive at least one therapy session | End of first therapy session, approx. 2 weeks after initial meeting | 
| Acceptability (qualitative) | Qualitative interview with participant at end of therapy analysed using Thematic Analysis | End of therapy interview | 
| Results of Novel Client Measure (descriptive) | Qualitative self-reported perception of what was helpful about the therapeutic environment | End of therapy research meeting | 
| Results of Outcome Rating Scale (descriptive) | Qualitative self-report measure assessing areas of life functioning known to change as a result of therapeutic intervention | End of therapy research meeting | 
| Feasibility of adaptions required | Qualitative record of adaptions required for use of MOL in an acute inpatient setting | Final follow up meeting with final participant, 3 months after consent |