Inpatient Distress Tolerance Group Intervention Pilot

NCT03712332 | Completed

• 1 other identifier: CAHSS1808/04
• Study Type: interventional
• Target: 21
• Locations: 1 country
• Sites: 1

Brief Summary

Research suggests that a low capacity to tolerate distress is a common underlying factor in the development and maintenance of a range of mental health problems. This study aims to pilot a mindfulness-based distress tolerance (DT) group intervention in an acute inpatient setting to assess the acceptability and feasibility of the intervention for both staff facilitating and patients receiving the intervention. The study also aims to explore if the proposed intervention can help improve DT through developing mindful acceptance of emotions.

Conditions

Inpatients

Keywords

Distress tolerance; transdiagnostic

Outcome Measures

Primary Outcomes (2)

• Acceptability and Feasibility Qualitative Interview

  A semi-structured face to face interview to gather information about participants experiences of the intervention.

  Post Intervention (Start of week 5)

• Attendance/Attrition Rates

  Attendance/attrition rates as a measure of how acceptable/feasible the intervention is to participants.

  twice a week at each group session for up to three weeks

Secondary Outcomes (7)

• Distress Tolerance Scale (Simons & Gaher, 2005)

  Pre-intervention (day 0), every day during baseline (days 1-7), every day for up to three weeks during intervention (days 8-28), and post-intervention (Start of week 5)

• Computerised Mirror tracing persistence task (MTPT-C; Strong et al., 2003)

  Pre intervention meeting (day 0) and Post intervention (usually start of week 5)

• Philadelphia Mindfulness Scale - acceptance subscale (PHLMS; Cardaciotto et al., 2008)

  Pre-intervention (day 0), every day during baseline (days 1-7), every day for up to three weeks during intervention (days 8-28), and post-intervention (Start of week 5)

• The clinical Outcome in Routine Evaluation Outcome Measure (CORE-OM, Evans et al., 2002).

  Pre intervention (day 0) and post intervention (usually start of week 5)

• Clinical Outcomes in Routine Evaluation Questionnaire (CORE-10; Connell & Barkham, 2007).

  Every day during baseline (days 1-7) and every day for up to three weeks during intervention (days 8-28)

Study Arms (1)

Distress Tolerance Group

EXPERIMENTAL

6 session inpatient distress tolerance group intervention twice a week for 1.5 hours for up to three weeks.

Behavioral: Distress Tolerance Group

Interventions

Distress Tolerance Group BEHAVIORAL

The intervention is a distress tolerance skills-based group informed by mindfulness and acceptance principles and dialectical behavioural therapy (DBT).

Distress Tolerance Group

Eligibility Criteria

• Age: 16 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Current in-patient in the specific psychiatric ward in which the research is taking place
• Speak sufficient English to participate in talking therapy

You may not qualify if:

• Participants who are participating in any other current intervention research
• Participants who do not have the capacity to consent, including participants who have a significant cognitive deficit that would make it difficult for them to engage with the group material (e.g. dementia or learning disability)

Sponsors & Collaborators

• University of Edinburgh: lead
• NHS Lanarkshire: collaborator

Study Sites (1)

Hairmyres Hospital

East Kilbride, South Lanarkshire, G75 8RG, United Kingdom

Location

Study Officials

• Emma L Boyd

  NHS Lanarkshire

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: A basic two-phase AB case series design will be used. All participants will complete a seven day baseline phase, followed by the intervention phase of up to three weeks.

Study Record Dates

• First Submitted: October 16, 2018
• First Posted: October 19, 2018
• Study Start: February 18, 2019
• Primary Completion: December 31, 2020
• Study Completion: December 31, 2020
• Last Updated: April 28, 2021

Record last verified: 2021-04

Data Sharing

• IPD Sharing: Will not share

Locations

GB (1)