Clinical trial NCT01132976: The Personal Concerns Inventory Study (PCI)
Official title: The Addition of a Goal-based Motivational Interview to Standardised Treatment as Usual to Reduce Dropouts From a Service for Patients With Personality Disorder: A Feasibility Study
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Personality Disorders
Keywords: Personality disorders
Personal Concerns Inventory
Non completion
Lead sponsor: Nottinghamshire Healthcare NHS Trust
Sponsor class: OTHER_GOV
Collaborators: name: University of Nottingham
name: Bangor University
First posted: 2010-05-28
Enrollment: 76
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Services for people with personality disorders are challenged by how to engage clients in therapy. High non-completion rates have major cost-efficiency implications, but more worrying is that drop-out may be associated with negative outcomes for clients. The investigators have developed a motivational intervention that helps people focus on their valued and attainable life goals and consider how therapy could help with goal attainment.One way to improve retention in treatment is to deliver pre-therapy motivational preparation interviews. The primary aim of our proposed research is to gather information to determine whether a randomised controlled trial of a goal-based motivational intervention is feasible in a community personality disorder treatment service.

Detailed description: The investigators aim to work with community adults with personality disorder. Referrals to Nottinghamshire NHS Trust's community personality disorder service will be eligible for inclusion. After initial assessment for suitability for the service, patients will be randomised to receive the motivational interview plus treatment as usual or treatment as usual only. The investigators aim to recruit 100 participants over 1½ years. The comparison is between a motivational intervention called the Personal Concerns Inventory plus treatment as usual and and treatment as usual only in the client preparation phase. The feasibility measures are (1) the recruitment rate to a goal-based motivational interview plus treatment as usual or treatment as usual only, and (2) the acceptability of the intervention to clients and therapists. The investigators will also develop measures to assess the processes by which the intervention may have an effect, and assess the cost of the intervention compared with treatment as usual.

Eligibility criteria: Inclusion Criteria:

* Referred to the Nottinghamshire Personality Disorder and Development Network
* Opted to attend group sessions within the Nottinghamshire Personality Disorder and Development Network
* Aged 18 or over.
* Proficiency in spoken English
* Capacity to provide valid informed consent

Exclusion Criteria:

* Currently enrolled in another trial

Primary outcomes:
measure: Recruitment
timeFrame: 18 months
measure: Acceptability to patients
timeFrame: 18 months
measure: Acceptability to staff
timeFrame: 18 months
Secondary outcomes:
measure: The Treatment Engagement Rating Scale (TER; Drieschner & Boomsma, 2008)
timeFrame: 20 weeks after intervention
measure: Client Service Receipt Inventory
timeFrame: 20 weeks after intervention
measure: Treatment attendance
timeFrame: 20 weeks after intervention
Other outcomes:
Locations:
city: Nottingham
country: United Kingdom
facility: Nottinghamshire Personality Disorder & Development Network, Mandala Centre
Study officials:
affiliation: University of Nottingham
name: Mary McMurran, Professor
role: PRINCIPAL_INVESTIGATOR
References:
citation: Gibbon S, Khalifa NR, Cheung NH, Vollm BA, McCarthy L. Psychological interventions for antisocial personality disorder. Cochrane Database Syst Rev. 2020 Sep 3;9(9):CD007668. doi: 10.1002/14651858.CD007668.pub3.
citation: Bakari M, Munseri P, Francis J, Aris E, Moshiro C, Siyame D, Janabi M, Ngatoluwa M, Aboud S, Lyamuya E, Sandstrom E, Mhalu F. Experiences on recruitment and retention of volunteers in the first HIV vaccine trial in Dar es Salam, Tanzania - the phase I/II HIVIS 03 trial. BMC Public Health. 2013 Dec 9;13:1149. doi: 10.1186/1471-2458-13-1149.
citation: McMurran M, Cox WM, Whitham D, Hedges L. The addition of a goal-based motivational interview to treatment as usual to enhance engagement and reduce dropouts in a personality disorder treatment service: results of a feasibility study for a randomized controlled trial. Trials. 2013 Feb 17;14:50. doi: 10.1186/1745-6215-14-50.
citation: McMurran M, Cox WM, Coupe S, Whitham D, Hedges L. The addition of a goal-based motivational interview to standardised treatment as usual to reduce dropouts in a service for patients with personality disorder: a feasibility study. Trials. 2010 Oct 14;11:98. doi: 10.1186/1745-6215-11-98.