Early intervention for depression and anxiety in 16-18-year-olds: Protocol for a feasibility cluster randomised controlled trial of open-access psychological workshops in schools (DISCOVER)

详细信息    查看全文

• 作者：Daniel Michelson^a ; ^b ; ^{daniel.m.d.michelson@kcl.ac.uk" class="auth_mail" title="E-mail the corresponding author} ; Irene Sclare^c ; ^{Irene.Sclare@slam.nhs.uk" class="auth_mail" title="E-mail the corresponding author} ; Daniel Stahl^d ; ^{daniel.r.stahl@kcl.ac.uk" class="auth_mail" title="E-mail the corresponding author} ; Nicola Morant^e ; ^{n.morant@ucl.ac.uk" class="auth_mail" title="E-mail the corresponding author} ; Eva-Maria Bonin^f ; ^{e.bonin@lse.ac.uk" class="auth_mail" title="E-mail the corresponding author} ; June S.L. Brown^g ; ^{june.brown@kcl.ac.uk" class="auth_mail" title="E-mail the corresponding author}
• 关键词：BME ; black and minority ethnic ; CAMHS ; child and adolescent mental health services ; CBT ; cognitive behavioural therapy ; CSQ-8 ; Client Satisfaction Questionnaire &mdash ; 8 ; CSRI ; Client Service Receipt Inventory ; EQ-5D ; EuroQol &mdash ; 5D ; MFQ ; Mood and Feelings Questionnaire ; NHS ; National Health Service ; PQ-LES-Q ; Pediatric Quality of Life Enjoyment and Satisfaction Questionnaire ; QALY ; quality-adjusted life years ; RCADS ; Revised Children's Anxiety and Depression Scale ; RCT ; randomised controll
• 刊名：Contemporary Clinical Trials
• 出版年：2016
• 出版时间：May 2016
• 年：2016
• 卷：48
• 期：Complete
• 页码：52-58
• 全文大小：270 K

文摘

Adolescence is a vulnerable period for the development of mental health problems. The DISCOVER intervention aims to provide accessible, acceptable and cost-effective psychological support for stressed adolescents in inner-city secondary schools. The intervention uses age-appropriate cognitive-behavioural therapy (CBT) methods and materials, delivered in an interactive 1-day workshop with additional telephone support. An open-access entry route allows students to self-refer. This protocol describes a feasibility cluster randomised controlled trial (RCT) comparing DISCOVER with a waitlist control condition. The study will run across 10 clusters (secondary schools) in the inner London Boroughs of Southwark and Lambeth. Participants are students aged over 16 years who are seeking help with anxiety and/or depressive symptoms. Key feasibility parameters relate to the proportion of students willing to participate in the research following publicity events; the proportion of students who complete the intervention; and response rates for outcome measures. Outcome variance estimates and intra-cluster correlations will be obtained for future power calculations. Qualitative methods will be used to explore the acceptability of the intervention and research procedures for students and school staff. The feasibility of an economic evaluation will also be examined. The results will (i) determine the appropriateness of proceeding to a definitive full-scale trial; and (ii) inform the development of an optimised version of the DISCOVER intervention that can be tested within feasible parameters.