Patients Referred for Routine Psychological Therapy Clinical Trial
— MEMOSOfficial title:
Measuring and Monitoring Patient Informed Clinical Outcomes In Psychological Therapy Supervision - A Stepped Wedge Cluster Randomised Controlled Trial
| Verified date | April 2019 |
| Source | NHS Greater Glasgow and Clyde |
| Contact | n/a |
| Is FDA regulated | No |
| Health authority | |
| Study type | Interventional |
Providing feedback on patient progress to therapists improves clinical outcomes for patients,
particularly those who are failing to improve with therapy. The encouraging research has been
carried out by a small group of researchers, largely working in the United States health care
context. The samples studied have been young people attending university counselling
services, suffering from mild mental health disorders. The group studies are therefore not
similar to patients seen for psychological therapy in the NHS. Also given that therapists are
not necessarily alert to treatment failure, have an overly optimistic view of their patients
progress even when provided with evidence to the contrary, clinical supervision may be a more
effective method through which to provide patient informed clinical outcomes than directly to
therapists themselves.
We will assess if providing feedback through the supervision process is more effective than
providing this information to therapists themselves in terms of improving clinical outcomes,
particularly for patients who are failing to improve with routine NHS Psychological therapy.
| Status | Completed |
| Enrollment | 470 |
| Est. completion date | September 2014 |
| Est. primary completion date | September 2014 |
| Accepts healthy volunteers | No |
| Gender | All |
| Age group | 18 Years and older |
| Eligibility |
Inclusion Criteria: Patients Able to give informed consent Male or female (>18 years of age) Requiring psychological treatment or therapy in routine Mental Health Services Able and competent to understand and complete CORE questionnaires Supervisors and their therapists Able to give written informed consent Any NHS Greater Glasgow and Clyde applied psychologist who is supervising therapists offering routine psychological therapy to patients in NHS Greater Glasgow and Clyde and whose therapists agree to take part in the study. Exclusion Criteria: Patients Below the age of 18 years Inability to give written informed consent Inability to understand and complete CORE questionnaires Supervisors and their therapists Those supervisors and therapists who are unlikely to be able to stay in the study for its duration. |
| Country | Name | City | State |
|---|---|---|---|
| United Kingdom | NHS Greater Glasgow and Clyde | Glasgow |
| Lead Sponsor | Collaborator |
|---|---|
| NHS Greater Glasgow and Clyde | University of Glasgow |
United Kingdom,
Davidson KM, Rankin ML, Begley A, Lloyd S, Barry SJ, McSkimming P, Bell L, Allan C, Osborne M, Ralston G, Bienkowski G, Mellor-Clark J, Walker A. Assessing Patient Progress in Psychological Therapy Through Feedback in Supervision: the MeMOS* Randomized Controlled Trial (*Measuring and Monitoring clinical Outcomes in Supervision: MeMOS). Behav Cogn Psychother. 2017 May;45(3):209-224. doi: 10.1017/S1352465817000029. Epub 2017 Feb 7. — View Citation
| Type | Measure | Description | Time frame | Safety issue |
|---|---|---|---|---|
| Primary | Overall CORE-OM score | Change from baseline at discharge and 6 months follow-up in the primary outcome will be compared between the supervision groups using a repeated measure analysis with appropriate correlation structure, including a random effect for therapist and fixed effects for baseline overall CORE-OM score and any other appropriate demographics. | ||
| Secondary | CORE 10 |