The Personal Concerns Inventory Study (PCI)

Personality Disorders Clinical Trial

— PCI  

Official title:

The Addition of a Goal-based Motivational Interview to Standardised Treatment as Usual to Reduce Dropouts From a Service for Patients With Personality Disorder: A Feasibility Study

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01132976
• Other study ID #: PB-PG-1207-15046
• Status: Completed
• Phase: N/A
• Start date: December 2009
• Est. completion date: July 2012

Study information

• Verified date: March 2024
• Source: Nottinghamshire Healthcare NHS Trust
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Services for people with personality disorders are challenged by how to engage clients in therapy. High non-completion rates have major cost-efficiency implications, but more worrying is that drop-out may be associated with negative outcomes for clients. The investigators have developed a motivational intervention that helps people focus on their valued and attainable life goals and consider how therapy could help with goal attainment.One way to improve retention in treatment is to deliver pre-therapy motivational preparation interviews. The primary aim of our proposed research is to gather information to determine whether a randomised controlled trial of a goal-based motivational intervention is feasible in a community personality disorder treatment service.

Description:

The investigators aim to work with community adults with personality disorder. Referrals to Nottinghamshire NHS Trust's community personality disorder service will be eligible for inclusion. After initial assessment for suitability for the service, patients will be randomised to receive the motivational interview plus treatment as usual or treatment as usual only. The investigators aim to recruit 100 participants over 1½ years. The comparison is between a motivational intervention called the Personal Concerns Inventory plus treatment as usual and and treatment as usual only in the client preparation phase. The feasibility measures are (1) the recruitment rate to a goal-based motivational interview plus treatment as usual or treatment as usual only, and (2) the acceptability of the intervention to clients and therapists. The investigators will also develop measures to assess the processes by which the intervention may have an effect, and assess the cost of the intervention compared with treatment as usual.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 76
• Est. completion date: July 2012
• Est. primary completion date: March 2012
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Referred to the Nottinghamshire Personality Disorder and Development Network

• Opted to attend group sessions within the Nottinghamshire Personality Disorder and Development Network

• Aged 18 or over.

• Proficiency in spoken English

• Capacity to provide valid informed consent

Exclusion Criteria:

• Currently enrolled in another trial

Related Conditions & MeSH terms

• Personality Disorders

Intervention

Behavioral:
• Personal Concerns Inventory
This is a pre-treatment, goal-based motivational interview which helps to patients identify their life goals, and goal-value. The interview will last approximately 2 hours and will be carried out face to face with a therapist across one or two sessions.
• Treatment as usual
No specific motivational interview

Locations

Country	Name	City	State
United Kingdom	Nottinghamshire Personality Disorder & Development Network, Mandala Centre	Nottingham

Sponsors (3)

Lead Sponsor	Collaborator
Nottinghamshire Healthcare NHS Trust	Bangor University, University of Nottingham

Country where clinical trial is conducted

United Kingdom, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Recruitment	A randomised controlled trial will be considered feasible if the recruitment rate to the project is 54% of all referrals (95% CI 54-64).	18 months
Primary	Acceptability to patients	80% of clients find the intervention acceptable in terms of its practicability and usefulness (95% CI 80-91)	18 months
Primary	Acceptability to staff	80% therapists report finding the intervention helpful (95% CI 80-100)	18 months
Secondary	The Treatment Engagement Rating Scale (TER; Drieschner & Boomsma, 2008)	This is a therapist rating scale with items addressing the client's participation, constructive use of sessions, opennness, efforts to change, making sacrifices, goal directedness, and reflection.	20 weeks after intervention
Secondary	Client Service Receipt Inventory	Client self-report of receipt of services	20 weeks after intervention
Secondary	Treatment attendance	Percentage sessions attended of sessions offered	20 weeks after intervention