Evidence map›Paper›PMID 40186222›Full record

ArticlePilot and feasibility studies2025

Support for young people who are distressed by hearing voices: protocol for an uncontrolled feasibility evaluation of a psychological intervention package delivered within secondary schools (the ECHOES study).

Mark Hayward, Mary John, Sarah Parry, Anna-Marie Bibby-Jones, Faith Orchard, Fiona Malpass, Clare Dixon, Akira Naito

Abstract read
In one paragraph

Article in Pilot and feasibility studies, 2025. 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
–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

2 citing papers in PubMed.

  1. Article
  2. 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.

Mark HaywardUniversity of Sussex, Brighton Bn1 9rh and Research and Development Department, Sussex Partnership NHS Foundation Trust, Hove, BN3 7HZ, UK. mih21@sussex.ac.uk.ORCID http://orcid.org/0000-0001-6567-7723
Mary JohnResearch & Development Department, Sussex Partnership NHS Foundation Trust, Hove, BN3 7HZ, UK.
Sarah ParryYoung People'S Mental Health Research Centre, Pennine Care NHS Foundation Trust, 225 Old Street, Lancashire, Ashton-Under-Lyne, OL6 7SR, UK.
Anna-Marie Bibby-JonesResearch & Development Department, Sussex Partnership NHS Foundation Trust, Hove, BN3 7HZ, UK.
Faith OrchardSchool of Psychology, University of Sussex, Brighton, BN1 9RH, UK.
Fiona MalpassVoice Collective, Barnes House, 9-15 Camden Road, London, Mind in Camden, NW1 9LQ, UK.
Clare DixonResearch & Development Department, Sussex Partnership NHS Foundation Trust, Hove, BN3 7HZ, UK.
Akira NaitoResearch & Development Department, Sussex Partnership NHS Foundation Trust, Hove, BN3 7HZ, UK.

Funding

Research for Patient Benefit Programme 204939
6 · The paper itself

Abstract

backgroundHearing voices is a common experience for young people and can cause significant distress. There are no evidence-based psychological interventions for distressing voices in young people, although a focus on coping strategies has been suggested as a useful approach. We have developed and evaluated a brief 1:1 coping intervention for young people who hear distressing voices. This intervention has been successfully piloted within Child and Adolescent Mental Health Services (CAMHS), together with a psychoeducational workshop for parents. The 1:1 intervention and the workshop will be combined into an intervention package and offered within schools to maximise accessibility.

methodsThis study will be an uncontrolled feasibility evaluation addressing the following questions: is the intervention package acceptable to young people, those who support them, and staff and practitioners within secondary schools? What is the optimum content, structure, and duration for the intervention package? Is delivery of the intervention package feasible for the practitioners and what are their requirements for training and supervision? What tools can be used to evaluate the impact of the intervention package? The study will be guided by the MRC Framework for the development of complex interventions and consist of an iterative process over four phases: phase 1-adaptation of the intervention package with young people, parents, and school staff; phase 2-delivery of the intervention package through Mental Health Support Teams to students, supporters who have been nominated by the students and school staff; phase 3-analysis of quantitative and qualitative data collected from participants and practitioners; phase 4-further adaptation of the intervention package with young people, parents and school staff. DISCUSSION: If the findings from the study suggest that a future trial is warranted, a feasibility Randomised Controlled Trial will be designed to establish the parameters for a definitive trial.

trial registrationCurrent Controlled Trials ISRCTN registration number: 16395888. Registered on 11 January 2024. 10.1186/ISRCTN16395888.

Indexed as

CopingFeasibilitySchoolsVoice hearingYoung people

Identifiers

PMID40186222
PMCPMC11971772

What OpenQuestion holds

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Registered trials

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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.