Positive PsychoTherapy in Acquired Brain Injury (ABI) Rehabilitation

Not Applicable

Completed

• Conditions: Emotional Distress; Acquired Brain Injury
• Interventions: Other: Psychotherapy

• Registration Number: NCT01867684
• Lead Sponsor: NHS Greater Glasgow and Clyde

Brief Summary

Stroke, head injury and other forms of brain injury are a major cause of physical, psychological and social disability in the adult population. Psychological distress is common following brain injury, but the evidence base for specific psychotherapeutic methods in this population is limited, and standard treatment approaches may not be suitable. Recently there has been a growing interest in positive psychology - the study of wellbeing, positive emotions and characteristics, and personal growth. The investigators believe that positive psychotherapy interventions may be beneficial after acquired brain injury, to reduce psychological morbidity. Because such interventions have not previously been applied in this population, the investigators propose to conduct a pilot randomised controlled trial to examine the feasibility of a brief positive psychotherapy intervention in an out-patient setting. This project will produce essential information to allow us to plan future full-scale clinical trials in this area.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2013-05-20
• Study First Submitted QC: 2013-06-03
• Study First Posted: 2013-06-04
• Study Start: 2013-07
• Primary Completion: 2014-05
• Study Completion: 2014-10
• Status Verified: 2015-01
• Last Update Submitted: 2015-01-07
• Last Update Posted: 2015-01-08

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 37

Inclusion Criteria

• Aged 18 years or over;
• Diagnosis of stroke or acquired brain injury (confirmed clinically and/or radiologically);
• Between 3 and 12 months post-injury at time of recruitment;
• Presence of emotional distress (score in moderate or above range on at least one sub-scale of the Depression Anxiety Stress Scales; DASS-21);
• Medically stable;
• Able to consent to research.

Exclusion Criteria

• Significant communication impairments that would preclude participation;
• Diagnosis of mild traumatic brain injury (due to the known additional complexities contributing to outcome in this population);
• Comorbid developmental learning disability or degenerative neurological condition.

Pre-injury history of mood disorder will not lead to exclusion.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Psychotherapy	Psychotherapy	Brief psychotherapy intervention delivered over 8 weeks in addition to standard care.

Primary Outcome Measures

Name	Time	Method
Treatment adherence at 20 weeks from baseline	20 weeks
Sample retention at 20 weeks from baseline	20 weeks
Recruitment rate at 20 weeks from baseline	20 weeks

Secondary Outcome Measures

Name	Time	Method
Changes in Modified Caregiver Strain Index (MCSI) scores at 20 weeks from baseline	20 weeks
Change in Depression Anxiety Stress Scales (DASS-21) scores at 20 weeks from baseline	20 weeks
Changes in AHI scores at 20 weeks from baseline	20 weeks
Changes in Mayo-Portland Adaptability Inventory (MPAI-4) scores at 20 weeks at baseline	20 weeks
Correlation coefficient between first and second baseline administrations of the Authentic Happiness Inventory (AHI) and VIA-IS questionnaires	1 week
Likert ratings of participants and therapists experiences of treatment delivery	8 weeks

Trial Locations

Locations (1)

NHS Greater Glasgow and Clyde; 🇬🇧 Glasgow, United Kingdom