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ArticleTrials2020

Low-Intensity Guided Help Through Mindfulness (LIGHTMIND): study protocol for a randomised controlled trial comparing supported mindfulness-based cognitive therapy self-help to supported cognitive behavioural therapy self-help for adults experiencing depression.

Clara Strauss, Amy Arbon, Michael Barkham, Sarah Byford, Rebecca Crane, Richard de Visser, Margaret Heslin, Anna-Marie Jones, Fergal Jones, Laura Lea and 3 more

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06412341 (A Feasibility Study to Inform an RCT to Evaluate 'Accepting Your Body After Cancer', an Online-delivered, Group-based CBT Body Image Intervention, for Women Who Have Received Treatment for Breast Cancer), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.6field-weighted citation impact, top 21% 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.

NCT06412341 nacompletednot on this mapstarted 2024, after this paper: background citation

A Feasibility Study to Inform an RCT to Evaluate 'Accepting Your Body After Cancer', an Online-delivered, Group-based CBT Body Image Intervention, for Women Who Have Received Treatment for Breast Cancer

TypeinterventionalSponsorUniversity of the West of EnglandRan2024 to 2025Enrolled120ConditionsBreast Cancer FemaleArmsAccepting your Body after Cancer, Macmillan body image booklet
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 9 citations in OpenAlex.

  1. Trial
  2. BMJ open · 2025
    Article
  3. Article
  4. Article
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  6. 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

13 authors at 7 institutions in 1 country.

Clara StraussSchool of Psychology, University of Sussex, Pevensey Building, Falmer, BN1 9QH, UK. c.y.strauss@sussex.ac.uk.
Amy ArbonBrighton and Sussex University Hospitals NHS Trust, Royal Sussex County Hospital, Eastern Road, Brighton, BN2 5BE, UK.
Michael BarkhamClinical Psychology Unit, Department of Psychology, University of Sheffield, S10 2TP, Sheffield, UK.
Sarah ByfordKing's Health Economics Research Group and Health Service and Population Research Department, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, SE5 8AF, UK.
Rebecca CraneCentre for Mindfulness Research and Practice, School of Psychology, Bangor University, Bangor, Gwynedd, LL57 2AS, UK.
Richard de VisserSchool of Psychology, University of Sussex, Pevensey Building, Falmer, BN1 9QH, UK.
Margaret HeslinKing's Health Economics Research Group and Health Service and Population Research Department, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, SE5 8AF, UK.
Anna-Marie JonesSussex Partnership NHS Foundation Trust, R&D Department, Sussex Education Centre, Nevill Avenue, Hove, BN3 7HZ, UK.
Fergal JonesSussex Partnership NHS Foundation Trust, R&D Department, Sussex Education Centre, Nevill Avenue, Hove, BN3 7HZ, UK.
Laura LeaSussex Partnership NHS Foundation Trust, R&D Department, Sussex Education Centre, Nevill Avenue, Hove, BN3 7HZ, UK.
Glenys ParrySchool of Health and Related Research, University of Sheffield, S10 2TP, Sheffield, UK.
Claire RostenSchool of Health Sciences, University of Brighton, Village Way, Brighton, BN1 9PH, UK.
Kate CavanaghSchool of Psychology, University of Sussex, Pevensey Building, Falmer, BN1 9QH, UK.
Sussex Partnership NHS Foundation Trust · GBKing's College London · GBUniversity of Brighton · GBUniversity of Sheffield · GBUniversity of Sussex · GBBangor University · GBCanterbury Christ Church University · GB

Funding

Research for Patient Benefit Programme PB-PG-0815-20056
6 · The paper itself

Abstract

backgroundDepression has serious personal, family and economic consequences. It is estimated that it will cost £12.15 billion to the economy each year in England by 2026. Improving access to psychological therapies (IAPT) is the National Health Service talking therapies service in England for adults experiencing anxiety or depression. Over 1 million people are referred to IAPT every year, over half experiencing depression. Where symptoms of depression are mild to moderate, people are typically offered cognitive behavioural therapy (CBT) self-help (CBT-SH) supported by a psychological well-being practitioner. The problem is that over half of people who complete treatment for depression in IAPT remain depressed despite receiving National Institute of Health and Care Excellent recommended treatment. Furthermore, less than half of IAPT service users complete treatment. This study seeks to investigate the effectiveness of an alternative to CBT-SH. Mindfulness-based cognitive therapy (MBCT) differs from CBT in focus, approach and practice, and may be more effective with a higher number of treatment completions. METHODS/

designThis is a definitive randomised controlled trial comparing supported MBCT self-help (MBCT-SH) with CBT-SH for adults experiencing mild to moderate depression being treated in IAPT services. We will recruit 410 participants experiencing mild to moderate depression from IAPT services and randomise these to receive either an MBCT-based self-help workbook or a CBT-based self-help workbook. Participants will be asked to complete their workbook within 16 weeks, with six support sessions with a psychological well-being practitioner. The primary outcome is depression symptom severity on treatment completion. Secondary outcomes are treatment completion rates and measures of generalized anxiety, well-being, functioning and mindfulness. An exploratory non-inferiority analysis will be conducted in the event the primary hypothesis is not supported. A semi-structured interview with participants will guide understanding of change processes. DISCUSSION: If the findings from this randomised controlled trial demonstrate that MBCT-SH is more effective than CBT-SH for adults experiencing depression, this will provide evidence for policy makers and lead to changes to clinical practice in IAPT services, leading to greater choice of self-help treatment options and better outcomes for service users. If the exploratory non-inferiority analysis is conducted and this indicates non-inferiority of MBCT-SH in comparison to CBT-SH this will also be of interest to policy makers when seeking to increase service user choice of self-help treatment options for depression.

trial registrationCurrent Controlled Trial registration number: ISRCTN 13495752. Registered on 31 August 2017 (www.isrctn.com/ISRCTN13495752).

Indexed as

Self-Help GroupsAdolescentAdultAgedAged, 80 and overAnxietyCognitive Behavioral TherapyCost-Benefit AnalysisDepressionDepressive DisorderEnglandEquivalence Trials as TopicFemaleHumansMaleMiddle AgedCBTCognitive behavioural therapyDepressionMBCTMindfulnessMindfulness-based cognitive therapyRandomised controlled trialRCTSelf-help

Identifiers

PMID32366320
PMCPMC7199325
OpenAlexW3022605631

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.