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Note: This record shows only 22 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register.
Register: ISRCTN
Last refreshed on: 19 February 2018
Main ID:  ISRCTN73188383
Date of registration: 20/02/2013
Prospective Registration: No
Primary sponsor: King's College London (UK)
Public title: The GOALS study: evaluation of a brief cognitive-behavioural therapy (CBT) treatment to support people with psychosis to reach personal goals
Scientific title: The GOALS Study: a randomised controlled trial of a brief CBT intervention to promote recovery in psychosis
Date of first enrolment: 01/02/2013
Target sample size: 65
Recruitment status: Completed
URL:  http://isrctn.com/ISRCTN73188383
Study type:  Interventional
Study design:  Randomised interventional; Design type: Screening (Screening)  
Phase:  Not Applicable
Countries of recruitment
United Kingdom
Contacts
Name: Helen    Waller
Address:  16 De Crespigny Park SE5 8AF London United Kingdom
Telephone: -
Email: helen.waller@slam.nhs.uk
Affiliation: 
Name:    
Address: 
Telephone:
Email:
Affiliation: 
Key inclusion & exclusion criteria
Inclusion criteria: 1. Male & Female; Upper Age Limit 65 years ; Lower Age Limit 18 years
2. Diagnosis of a Schizophrenia Spectrum Disorder or currently experiencing positive psychotic symptoms (e.g. with diagnosis of personality disorder, bipolar affective disorder or psychotic depression)
3. Accessing adult community mental health services (both early intervention or longer-term)
4. Symptoms of anxiety-related avoidance and / or depression (above clinical cut-offs)
5. Sufficient command of the English language to complete questionnaires

Exclusion criteria: 1. Currently refusing all medication
2. Currently or recently (in last 3 months) receiving psychological therapy (CBT)
3. Primary diagnosis of an organic mental health problem
4. Primary diagnosis of substance dependency
5. Clients under the care of staff who are trained in the intervention will be excluded in order to reduce the potential for leakage of delivery of the intervention to the treatment of usual condition, should they be allocated to the control group. However, we will ensure that any eligible clients are offered access to the intervention following completion of the trial follow-up should they wish


Age minimum:
Age maximum:
Gender: Both
Health Condition(s) or Problem(s) studied
Psychosis ? early intervention and recovery
Mental and Behavioural Disorders
Unspecified nonorganic psychosis
Intervention(s)
Treatment as Usual Group: Participants in the TAU group will continue to receive all the treatment and support they currently receive, including input from their GP and psychiatrist and will be seen by their care co-ordinator at least monthly.

Treatment Group: Participants allocated to the treatment group will receive the brief CBT intervention. The manualised intervention comprises two evidence-based CBT interventions, which have been adapted for people with psychosis ? graded exposure (GE) for anxious avoidance and behavioural activation (BA) for depression. Participants will meet with a trained member of staff for nine hour-long sessions (8 weekly sessions and 1 ?booster? session at 1 month post-intervention). The intervention aims to support participants to achieve personal recovery goals (increasing activity and social engagement), through targeting symptoms of depression or anxiety.
Primary Outcome(s)
Levels of daily activity, measured by the Time Budget Measure (Jolley et al., 2006) at the end of treatment and follow-up
Secondary Outcome(s)
1. Global distress (Clinical Outcomes in Routine Evaluation - Outcome Measure, Evans et al., 2000); Timepoint(s): 0, 8 and 16 weeks
2. Patient-reported outcomes (CHOICE Measure, Greenwood et al., 2010); Timepoint(s): 0, 8 and 16 weeks
3. Psychotic symptoms (Positive and Negative Syndromes Scale, Kay et al., 1987; Psychotic Rating Scal; Timepoint(s): 0, 8 and 16 weeks
4. Symptoms of anxiety and depression (Hospital Anxiety and Depression Scale, Zigmond & Snaith, 2003); Timepoint(s): 0, 8 and 16 weeks
5. Well-being (Warwick-Edinburgh Mental Well-being Scale, Tennant et al., 2007); Timepoint(s): 0, 8 and 16 weeks
6. Anxious avoidance (Mobility Inventory, Chambless et al., 1985); Timepoint(s): 0, 8 and 16 weeks
Secondary ID(s)
13538
Source(s) of Monetary Support
Research for Patient Benefit Programme; Grant Codes: PB-PG-0711-25010
Secondary Sponsor(s)
Ethics review
Status:
Approval date:
Contact:
NRES Committee London, 19/12/2012, ref:12/LO/1523
Results
Results available: Yes
Date Posted:
Date Completed: 01/08/2015
URL:
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