Evidence map›Paper›PMID 36278451›Full record

ArticleBJPsych open2022

A pilot randomised controlled trial to assess the feasibility and acceptability of recovery-focused therapy for older adults with bipolar disorder.

Elizabeth Tyler, Fiona Lobban, Christopher Sutton, Bogdan Hadarag, Sheri Johnson, Colin Depp, Deborah Duncan, Steven H Jones

Open access · goldAbstract read
In one paragraph

Article in BJPsych open, 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
1.2field-weighted citation impact, top 22% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  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

8 authors at 5 institutions in 2 countries.

Elizabeth TylerSpectrum Centre for Mental Health Research, Division of Health Research, Lancaster University, UK.ORCID https://orcid.org/0000-0001-5955-5607
Fiona LobbanSpectrum Centre for Mental Health Research, Division of Health Research, Lancaster University, UK.ORCID https://orcid.org/0000-0001-6594-4350
Christopher SuttonDivision of Population Health, Health Services Research & Primary Care, University of Manchester, UK.
Bogdan HadaragDivision of Health Research, Lancaster University, UK.
Sheri JohnsonDepartment of Psychology, University of California, Berkeley, USA.ORCID https://orcid.org/0000-0002-9945-4816
Colin DeppDepartment of Psychiatry, UC San Diego School of Medicine, University of California, San Diego, USA.
Deborah DuncanDivision of Health Research, Lancaster University, UK.
Steven H JonesSpectrum Centre for Mental Health Research, Division of Health Research, Lancaster University, UK.
Mental Health Research UK · GBLancaster University · GBManchester Academic Health Science Centre · GBUniversity of California, Berkeley · USUniversity of California San Diego · US

Funding

National Institute for Health Research DRF-2014-07-094
6 · The paper itself

Abstract

backgroundDespite increasing evidence for the effectiveness of individual psychological interventions for bipolar disorder, research on older adults is lacking. We report the first randomised controlled trial of psychological therapy designed specifically for older adults with bipolar disorder.

aimsTo evaluate the feasibility and acceptability of recovery-focused therapy, designed in collaboration with older people living with bipolar disorder.

methodA parallel, two-armed, randomised controlled trial comparing treatment as usual with up to 14 sessions of recovery-focused therapy plus treatment as usual, for older adults with bipolar disorder.

resultsThirty-nine participants (67% female, mean age 67 years) were recruited over a 17-month period. Feasibility and acceptability of recruitment, retention (>80% observer-rated outcomes at both 24 and 48 weeks) and intervention processes were demonstrated. The majority of participants started therapy when offered, adhered to the intervention (68% attended all sessions and 89% attended six or more sessions) and reported positive benefits. Clinical assessment measures provide evidence of a signal for effectiveness on a range of outcomes including mood symptoms, time to relapse and functioning. No trial-related serious adverse events were identified.

conclusionsRecovery-focused therapy is feasible, acceptable and has the potential to improve a range of outcomes for people living with bipolar disorder in later life. A large-scale trial is warranted to provide a reliable estimate of its clinical and cost-effectiveness.

Indexed as

Bipolar affective disordersindividual psychotherapypatientspsychosocial interventionsrandomised controlled trial

Identifiers

PMID36278451
PMCPMC9634560
OpenAlexW4307180477

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.