Evidence map›Paper›PMID 36088373›Full record

ArticlePilot and feasibility studies2022

Crisis-focused Cognitive Behavioural Therapy for psychosis (CBTp) in acute mental health inpatient settings (the CRISIS study): protocol for a pilot randomised controlled trial.

Lisa Wood, Claire Williams, Vanessa Pinfold, Fiona Nolan, Anthony P Morrison, Nicola Morant, Brynmor Lloyd-Evans, Glyn Lewis, Barbara Lay, Rebecca Jones and 2 more

Abstract read
In one paragraph

Article in Pilot and feasibility studies, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
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

12 authors.

Lisa WoodDivision of Psychiatry, University College London, 149 Tottenham Court Road, London, W1T 7NF, UK. l.wood@ucl.ac.uk.ORCID http://orcid.org/0000-0001-6640-8218
Claire WilliamsAcute and Rehabilitation Directorate, North East London NHS Foundation Trust, Goodmayes Hospital, Barley Lane, Ilford, IG3 8XJ, UK.
Vanessa PinfoldMcPin Foundation, 7-14 Great Dover St, London, SE1 4YR, UK.
Fiona NolanHealth Education England, 32 Russell Square, London, WC1B 5DN, UK.
Anthony P MorrisonPsychosis Research Unit, Greater Manchester Mental Health NHS Trust, Harrop House, Prestwich Hospital, Bury New Road, Manchester, M25 3BL, UK.
Nicola MorantDivision of Psychiatry, University College London, 149 Tottenham Court Road, London, W1T 7NF, UK.
Brynmor Lloyd-EvansDivision of Psychiatry, University College London, 149 Tottenham Court Road, London, W1T 7NF, UK.
Glyn LewisDivision of Psychiatry, University College London, 149 Tottenham Court Road, London, W1T 7NF, UK.
Barbara LayPsychiatrische Dienste Aargau AG, Klinik für Psychiatrie und Psychotherapie, Evaluation Lehre und Forschung, Königsfelderstrasse 1, 5210, Windisch, Switzerland.
Rebecca JonesDivision of Psychiatry, University College London, 149 Tottenham Court Road, London, W1T 7NF, UK.
Kathryn GreenwoodSchool of Psychology, University of Sussex, Pevensey Building, Falmer, BN1 9QH, UK.
Sonia JohnsonDivision of Psychiatry, University College London, 149 Tottenham Court Road, London, W1T 7NF, UK.

Funding

National Institute for Health Research ICA-CL-2018-04-ST2-013
6 · The paper itself

Abstract

backgroundCognitive Behavioural Therapy for psychosis (CBTp) has an established evidence base and is recommended by clinical guidelines to be offered during the acute phases of psychosis. However, few research studies have examined the efficacy of CBTp interventions specifically adapted for the acute mental health inpatient context with most research trials being conducted with white European community populations.

aimsThe aim of this study is to conduct a pilot randomised controlled trial (RCT), which incorporates the examination of feasibility markers, of a crisis-focused CBTp intervention adapted for an ethnically diverse acute mental health inpatient population, in preparation for a large-scale randomised controlled trial. The study will examine the feasibility of undertaking the trial, the acceptability and safety of the intervention and the suitability of chosen outcome measures. This will inform the planning of a future, fully powered RCT.

methodsA single-site, parallel-group, pilot RCT will be conducted examining the intervention. Drawing on principles of coproduction, the intervention has been adapted in partnership with key stakeholders: service users with lived experience of psychosis and of inpatient care (including those from ethnic minority backgrounds), carers, multi-disciplinary inpatient clinicians and researchers. Sixty participants with experience of psychosis and in current receipt of acute mental health inpatient care will be recruited. Participants will be randomly allocated to either the crisis-focused CBTp intervention or treatment as usual (TAU). DISCUSSION: Findings of this pilot RCT will indicate whether a larger multi-site RCT is needed to investigate the efficacy of the intervention. If the initial results demonstrate that this trial is feasible and the intervention is acceptable, it will provide evidence that a full-scale effectiveness trial may be warranted.

trial registrationThis trial has been prospectively registered on the ISRCTN registry ( ISRCTN59055607 ) on the 18th of February 2021.

Indexed as

CBTpCognitive behavioural therapyCrisis interventionInpatientsPsychosisRandomised controlled trial

Identifiers

PMID36088373
PMCPMC9463503

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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.