Anxiety Clinical Trial
Official title:
Effectiveness and Feasibility of Using the Progressive Goal Attainment Program in Anxiety and Mood Disorders
The purpose of the present study is to determine the effectiveness and feasibility of the Progressive Goal Attainment Program (PGAP) with individuals with anxiety and mood disorders. PGAP has been suggested as an effective therapy to reduce psychosocial barriers and help individuals return to life roles including readiness to return to work. PGAP has been shown to be effective with some chronic health conditions however has not been specifically studied in mental health populations. The study consists of 10 one hour weekly therapy sessions that focus on reducing psychosocial risk factors that result in disability through the use of goal setting, activity planning and activation, monitoring and challenging thoughts about return to work, and problem solving. Participants will also be asked to complete short self-report questionnaires as well as a semi-structured interview about the participants anxiety, mood, impact of disability, and current functioning at the beginning of session one and within two weeks after session 10. Two short questionnaires will also be completed at each session measuring the degree to which the participants daily life impacts and is affected by anxiety or mood symptoms.
The purpose of the present study is to determine the effectiveness of the Progressive Goal
Attainment Program (PGAP) with individuals with anxiety and mood disorders. PGAP has been
suggested as an effective therapy to reduce psychosocial barriers and help individuals return
to life roles including readiness to return to work. PGAP has been shown to be effective with
some chronic health conditions however has not been specifically studied in mental health
populations.
The study consists of 10 one hour weekly therapy sessions with a clinician and follow the
PGAP manual. The therapy sessions focus on reducing psychosocial risk factors that result in
disability through the use of goal setting, activity planning, activation and re-engagement
in activities, monitoring and challenging thoughts about return to work, and problem solving.
Participants are also encouraged to participate in homework which involves daily activity
planning, participating in planned activities, and tracking the activities completed.
Participants will also be asked to complete short self-report questionnaires as well as a
semi-structured interview about the participants anxiety, mood, impact of disability, and
current functioning at the beginning of session one and within two weeks after session 10.
Two short questionnaires will also be completed at each session measuring the degree to which
the participants daily life impacts and is affected by anxiety or mood symptoms.
Our first hypothesis is that participants who receive PGAP will report significant reductions
in functional disability as measured by self-report as well as by interview, decreases in
self-reported work avoidance, increases in work readiness, and decreases in self-reported
symptoms of anxiety and depression. Our second hypothesis is that mean reductions in the
above-noted outcome variables will be similar in magnitude to those reported in published
studies that have examined PGAP in chronic medically ill populations. Retention rates and
satisfaction of the therapy will also be assessed to determine feasibility of implementing
the program on a larger scale.
To examine the effectiveness of PGAP with participants with an anxiety or a mood disorder,
the investigators will conduct a series of dependent sample t-tests on the outcome variables
pre and post intervention. The investigators will also compare mean changes on the outcome
variables to those in the published literature. The investigators will calculate retention
rates with the aim of retaining more than 75% of participants, which is comparable to
retention and drop out rates for psychotherapy trials with participants completing at least 8
out of 10 sessions or having returned to employment. Feasibility will also be measured by
looking at satisfaction ratings. A minimal standard will be an average satisfaction rating
across participants of midpoint (neutral) or above in terms of the therapy received.
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