Mindfulness-Based Crisis Interventions for patients with psychotic symptoms on acute psychiatric wards amBITION study: protocol for a feasibility randomised controlled trialReportar como inadecuado




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Pilot and Feasibility Studies

, 2:43

First Online: 05 August 2016Received: 28 October 2015Accepted: 09 June 2016DOI: 10.1186-s40814-016-0082-y

Cite this article as: Jacobsen, P., Peters, E. & Chadwick, P. Pilot Feasibility Stud 2016 2: 43. doi:10.1186-s40814-016-0082-y

Abstract

BackgroundInpatient psychiatric care is a scarce and expensive resource in the National Health Service NHS, with chronic bed shortages being partly driven by high re-admission rates. People often need to go to a hospital when they have a mental health crisis due to overwhelming distressing psychotic symptoms, such as hearing voices hallucinations or experiencing unusual beliefs delusions. Brief talking therapies may be helpful for people during an acute inpatient admission as an adjunct to medication in reducing re-admission rates, and despite promising findings from trials in the USA, there have not yet been any clinical trials on this kind of intervention within NHS settings.

Methods-designThe amBITION study is a feasibility randomised controlled trial RCT of a manualised brief talking therapy Mindfulness-Based Crisis Intervention MBCI. Inpatients on acute psychiatric wards are eligible for the study if they report at least one positive psychotic symptom and are willing and able to engage in a talking therapy. In addition to treatment as usual TAU, participants will be randomly allocated to receive either MBCI or a control intervention social activity therapy SAT which will be based on doing activities on the ward with the therapist. The primary objective of the study is to find out whether it is possible to carry out this kind of trial successfully within UK inpatient settings and to find out whether patients and staff find it an acceptable intervention. The secondary objective is to collect pilot data on primary and secondary outcome measures, including re-admission rates at 6-month follow-up. This will provide information on the appropriateness of re-admission as the primary outcome measure for future efficacy trials, as well as data on the acceptability and utility of the clinical self-report measures.

DiscussionThe results of the feasibility trial will indicate whether a subsequent efficacy pilot trial is warranted and, if so, will provide vital information for the planning of such a trial e.g. pilot data on expected effect sizes. If future research finds that MBCI is an effective and safe intervention, then patients will benefit from access to better treatment within inpatient care which would reduce re-admission rates. This trial therefore addresses an area of urgent concern for service users, clinicians and the wider NHS.

Trial registrationCurrent controlled trials ISRCTN37625384

KeywordsRandomised controlled trial Crisis intervention Inpatients Psychosis Psychological therapy Mindfulness 



Autor: Pamela Jacobsen - Emmanuelle Peters - Paul Chadwick

Fuente: https://link.springer.com/







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