Evidence map›Paper›PMID 30103785›Full record

Trial reportTrials2018

Balancing ACT: evaluating the effectiveness of psychoeducation and Acceptance and Commitment Therapy (ACT) groups for people with bipolar disorder: study protocol for pilot randomised controlled trial.

Emma O'Donoghue, Abigail Clark, Matthew Richardson, John Hodsoll, Sunil Nandha, Eric Morris, Fergus Kane, Deirdre O'Keeffe, Lucy Butler, Suzanne Jolley

Open access · goldAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Trials, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.8field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 2 countries.

Emma O'DonoghueSouth London and Maudsley NHS Foundation Trust, London, SE5 8AZ, UK. Emma.ODonoghue@slam.nhs.uk.ORCID http://orcid.org/0000-0001-6549-9031
Abigail ClarkSouth London and Maudsley NHS Foundation Trust, London, SE5 8AZ, UK.
Matthew RichardsonSouth London and Maudsley NHS Foundation Trust, London, SE5 8AZ, UK.
John HodsollDepartment of Biostatistics, King's College London, Institute of Psychiatry, Psychology and Neuroscience, London, SE5 8LY, UK.
Sunil NandhaSouth London and Maudsley NHS Foundation Trust, London, SE5 8AZ, UK.
Eric MorrisLaTrobe University, Melbourne, Australia.
Fergus KaneDepartment of Psychology, King's College London, Institute of Psychiatry, Psychology and Neuroscience, London, SE5 8AF, UK.
Deirdre O'KeeffeSouth London and Maudsley NHS Foundation Trust, London, SE5 8AZ, UK.
Lucy ButlerSouth London and Maudsley NHS Foundation Trust, London, SE5 8AZ, UK.
Suzanne JolleySouth London and Maudsley NHS Foundation Trust, London, SE5 8AZ, UK.
South London and Maudsley NHS Foundation Trust · GBKing's College London · GBLa Trobe University · AU

Funding

Guy's and St Thomas' Charity EFT151106
6 · The paper itself

Abstract

backgroundBipolar disorder is a chronic and disabling psychiatric condition, characterised by recurrent episodes of mania, hypomania and depression. It places a heavy burden on sufferers and families, with high societal and healthcare costs. Many service users with a diagnosis of bipolar disorder also experience prominent psychotic symptoms, with differential diagnoses of schizoaffective disorder, and relapses characterised by repeated manic psychotic episodes and grandiosity. Such presentations require specific adaptations to standard bipolar disorder interventions in order to address their psychosis, alongside mood regulation, with a particular emphasis on impulsivity, irritability, disinhibition and elation. The Balancing ACT study aims to evaluate an innovative group intervention combining Acceptance and Commitment Therapy and psychoeducation approaches (ACT/PE) with individuals experiencing bipolar disorder and/or symptoms within community psychosis services.

methodsThe Balancing ACT study is a randomised controlled trial comparing Balancing ACT groups (ACT/PE) plus routine care to routine care alone. Balancing ACT (ACT/PE) comprises ten group sessions, each lasting 2 hours, delivered weekly. The primary outcome is psychological wellbeing; secondary outcomes are mental health relapses (measured by service use averages for the 12 months pre baseline and 3 months post baseline). We will also measure mood, distress, recovery and psychological change processes. Participants will be randomised in a 1:1 ratio, after baseline assessment. Outcomes will be assessed by trained assessors blind to treatment condition at 0, 10 and 14 weeks. Recruitment began in April 2017 and is on-going until the end of October 2017. DISCUSSION: The Balancing ACT study will contribute to the currently limited evidence base for psychological interventions for people experiencing bipolar disorder and/or symptoms in the context of community psychosis services.

trial registrationISRCTN73327972 . Registered on 27 March 2017. Balancing ACT: evaluating the effectiveness of psychoeducation and Acceptance and Commitment Therapy (ACT) groups for people with bipolar disorder.

Indexed as

Acceptance and Commitment TherapyBipolar DisorderClinical ProtocolsHumansLondonMental HealthMindfulnessPatient Education as TopicPilot ProjectsPsychotherapy, GroupQuality of LifeResearch DesignTime FactorsTreatment OutcomeAcceptance and Commitment Therapy (ACT)Bipolar disorderCommunity mental healthPsychoeducationPsychosis

Identifiers

PMID30103785
PMCPMC6090792
OpenAlexW2886085808

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.