Development of a Money Advice Intervention Within IAPT

NCT04926675 | Completed

• 1 other identifier: 300734
• Study Type: interventional
• Target: 35
• Locations: 1 country
• Sites: 1

Brief Summary

This study is the second study of a larger project and will begin the process of testing and the development of an integrated intervention on a series of case studies. The combined intervention provides psychological therapy and debt advice in tandem. The treatment pathway is based on interviews and focus groups with service users and staff and the themes that emerged. It will be trialled in the NHS' Improving Access to Psychological Therapies (IAPT) service. Participants routinely accessing this service who have debt issues affecting their mental health will be asked if they'd like to also take up support for their money worries, which will be provided by Citizen's Advice (CA). Researchers will take exit interviews with both service users and staff at the end of the treatment to develop the protocol further. Researchers will also assess measures of mental health and wellbeing that are routinely taken by IAPT to review the intervention.

Conditions

Mental Health Issue; Anxiety; Depression

Outcome Measures

Primary Outcomes (3)

• Reliable recovery - anxiety

  Changes on the Generalized Anxiety Disorder - 7 (GAD-7), from above clinical cut off pre intervention (\> 5) to below cut off post intervention (\<5). The seven items on the scale ask participants to rate on a scale of 0 (not at all) to 3 (nearly everyday) how often they were bothered by each symptom. Total scores can range from 0 - 21, with higher scores indicating more anxiety.

  6-12 weeks

• Reliable recovery - depression

  Patient Health Questionnaire - 9 (PHQ-9), from above clinical cut off pre intervention (\> 5) to below cut off post intervention (\<5). The nine items on the scale ask participants to rate on a scale of 0 (not at all) to 3 (nearly everyday) how often they were bothered by each symptom. Total scores can range from 0 - 27, with higher scores indicating more depressive symptoms.

  6-12 weeks

• Reliable recovery - adjustment

  Work and Social Adjustment Scale - 5 (WSAS-5), from above clinical cut off pre intervention (\> 10) to below cut off post intervention (\<10). The five items on the scale ask participants to rate on a scale of 0 (not at all) to 8 (very severely) how much they feel they are impaired for each task. Total scores can range from 0 - 40, with higher scores indicating more impairment across work and social tasks.

  6 - 12 weeks

Secondary Outcomes (1)

• Financial Outcomes and service satisfaction

  6-12 weeks

Study Arms (1)

Combined intervention

EXPERIMENTAL

Participants accessing one-to-one psychological therapy from the IAPT service will be asked if they have any money worries affecting their mental health. Suitable participants will be offered one-to-one support from a money advisor, who they will access in tandem to their therapy.

Behavioral: Psychological Therapy; Behavioral: Debt Advice

Interventions

Psychological Therapy BEHAVIORAL

Participants will be receiving their one-to-one psychological therapy from IAPT as usual. They typically receive between 6 and 12 sessions with a psychological practitioner.

Combined intervention

Debt Advice BEHAVIORAL

Participants will receive one-to-one support from a Citizen's Advice (CA) money advisor for as long as needed to resolve any money worries currently affecting their mental health.

Combined intervention

Eligibility Criteria

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

You may qualify if:

• IAPT clients referred for 'high-intensity' one-to-one treatment in the South London and Maudsley NHS Trust (SLaM)
• Have mental health problems and experience of money problems that are effecting these
• Can access technology

You may not qualify if:

• Inability to give informed consent due to mental incapacity (as assessed by IAPT therapists)
• Participants whose care team specify concerns regarding taking part in the study.

Sponsors & Collaborators

• King's College London: lead

Study Sites (1)

King's College London

London, SE5 8AF, United Kingdom

Location

MeSH Terms

Conditions

Anxiety Disorders; Depression

Condition Hierarchy (Ancestors)

Mental Disorders; Behavioral Symptoms; Behavior

Study Officials

• Til Wykes, Prof. Dame.

  King's College London

  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: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Model Details: Interventional study of adding money advice to psychological treatment compared to usual treatment from routine data collection

Study Record Dates

• First Submitted: May 28, 2021
• First Posted: June 15, 2021
• Study Start: September 27, 2021
• Primary Completion: June 30, 2023
• Study Completion: June 30, 2023
• Last Updated: October 29, 2024

Record last verified: 2024-10

Data Sharing

• IPD Sharing: Will not share

Locations

GB (1)