Clinical trial NCT06934109: Narrative Exposure Therapy for Adults With an Intellectual Disability
Official title: Acceptability and Feasibility of an Adapted Narrative Exposure Therapy (NET) Protocol for Individuals With an Intellectual Disability
Study type: INTERVENTIONAL
Overall status: ACTIVE_NOT_RECRUITING
Phase: NA
Conditions: Trauma, Psychological
Learning Disability
PTSD
Intellectual Disability, Mild
Lead sponsor: University of Nottingham
Sponsor class: OTHER
First posted: 2025-04-18
Enrollment: 12
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: TREATMENT

Brief summary: The goal of this naturalistic single case series design is to investigate if an adapted Narrative Exposure Therapy protocol can be effective, is feasible, and acceptable for adults with a mile learning disability.

Participants will be complete three baseline sessions before taking part in Narrative Exposure Therapy using a manual that has been adapted for people with a learning disability. Trauma symptoms will be measured weekly using the Impact of Events scale adapted for intellectual disabilities. The person's carer will also complete an informant scale related to these symptoms (LANTS-IV). The client will also complete the CORE-LD at pre, and post therapy. Six weeks after the end of the intervention, the client and their carer will be invited to a feedback session to talk about how they found the intervention.


Eligibility criteria: Inclusion Criteria:

* Age 18 and over
* Meet the criteria for having a mild ID as assessed by a clinical psychologist within the team
* English speaking
* Have capacity to consent
* The participant must be experiencing trauma related stress as assessed by themselves, the clinical psychologist and the research team
* Be able to travel to one of the therapy sites
* Carer participant must have ability to reflect and comment on the trauma related stress experienced by the client participant
* Carer must also be 18 years old or older and be English speaking.
* Carer must have known participant for 1 year or more.

Exclusion Criteria:

* They are substance dependent
* They are currently receiving another trauma-focused intervention
* Currently an inpatient
* Carers excluded if they lack capacity to consent to take part in research

Primary outcomes:
measure: Impact of Events Scale for intellectual disabilities (IES-ID)
timeFrame: Completed weekly through baseline and intervention stages, approximately 16 weeks. Then at 6-week follow up (approximately week 22).
measure: Lancaster and Northgate Trauma Scale for Intellectual Disabilities - Informant Version (LANTS-IV; Wigham et al., 2011)
timeFrame: Completed weekly through baseline and intervention stages, approximately 16 weeks. Then at 6-week follow up (approximately week 22).
measure: Clinical Outcome Routine Evaluation-Learning Disabilities (CORE-LD; Brooks et al., 2013)
timeFrame: At baseline week 1 and at 6-week follow-up (approximately week 22).
measure: Change interview (Elliott et al., 2001) with clients and carers
timeFrame: 6-weeks post-intervention. Sessions will be around 30-60 minutes.
Secondary outcomes:
measure: Heart rate
timeFrame: Weekly during the intervention sessions, for approximately 12-weeks.
measure: Post-session therapist reflections
timeFrame: Across the intervention phase, an average of a year
Other outcomes:
Locations:
city: Nottingham
country: United Kingdom
facility: Nottinghamshire Healthcare NHS Foundation Trust
Study officials:
affiliation: University of Nottingham
name: Thomas Schroder
role: PRINCIPAL_INVESTIGATOR
References: