MedPath

Supporting health and social care workers with cognitive and behavioural coaching for posttraumatic stress disorder and depressio

Not Applicable
Conditions
Post-traumatic stress disorder and major depression in patient-facing health and social care professionals
Mental and Behavioural Disorders
Registration Number
ISRCTN57105098
Lead Sponsor
niversity of Oxford
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Ongoing
Sex
All
Target Recruitment
98
Inclusion Criteria

Current inclusion criteria as of 05/04/2024:
1. Patient-facing health or social care worker – professions include: nurse, doctor, paramedic, care worker, ambulance service team member, midwife, allied health professional, mental health professional, healthcare support worker, medical associate, pharmacist, care assistant, or student training to deliver health or social care
2. Aged 18 years and older
3. Willing and able to provide informed consent
4. PTSD or major depression as their primary disorder
4.1. Score 20 or above on PCL-5 (PTSD)
4.2. Score 10 or above on PHQ-9 (Depression)
4.3. Diagnosed with PTSD or major depression on the SCID-5
5. Health and social care staff who are willing to be randomised
6. If taking psychotropic medication, the dose must be stable for at least 1 month before randomisation and remain stable throughout the trial
7. If currently receiving psychological therapy, this treatment must have ended before randomisation
8. Their current reexperiencing symptoms are linked to 1–3 discrete traumatic events

Previous inclusion criteria as of 20/07/2023:
1. Patient-facing health or social care worker – professions include: nurse, doctor, paramedic, ambulance service team member, midwife, allied health professional, mental health professional, healthcare support worker, medical associate, pharmacist, and nursing or medical student working in a hospital setting
2. Aged 18 years or older
3. Willing and able to provide informed consent
4. PTSD or major depression as their primary disorder
4.1. Score 20 or above on PCL-5 (PTSD)
4.2. Score 10 or above on PHQ-9 (Depression)
4.3. Diagnosed with PTSD or major depression on the SCID-5
5. Healthcare staff who are willing to be randomised
6. If taking psychotropic medication, the dose must be stable for at least 1 month before randomisation and remain stable throughout the trial
7. If currently receiving psychological therapy, this treatment must have ended before randomisation
8. Their current reexperiencing symptoms are linked to 1–3 discrete traumatic events

Original inclusion criteria:
1. Patient-facing health or social care worker – professions include: nurse, doctor, paramedic, ambulance service team member, midwife, allied health professional, mental health professional, healthcare support worker, medical associate, pharmacist, and nursing or medical student working in a hospital setting
2. Aged 18 years or older
3. PTSD or major depression as their primary disorder
3.1. Score 20 or above on PCL-5 (PTSD)
3.2. Score 10 or above on PHQ-9 (Depression)
3.3. Diagnosed with PTSD or major depression on the SCID-5
4. Healthcare staff who are willing to be randomised
6. Healthcare staff who are willing to remain on a stable dose of psychotropic medication for a mental health disorder if they are currently taking medication for it
7. Healthcare staff who are willing to not receive any other mental health treatment whilst in the RCT

Exclusion Criteria

Current exclusion criteria as of 05/04/2024:
1. Health and social care staff who do not have patient-facing roles e.g., administrators, lab technicians, receptionists, and maintenance workers.
2. Health and social care staff who do not meet DSM-5 criteria for PTSD and/or major depression
3. Health and social care staff who have a different primary disorder to PTSD or depression
4. Health and social care staff who present with imminent, persistent, clinically significant risk
5. Health and social care staff who request face-to-face treatment for PTSD or depression
6. Health and social care staff who would prefer a counselling approach or Improving Access to Psychological Therapies (IAPT)
7. Health and social care staff unwilling to be randomised or to stay on a stable dose of their current medication for a mental illness or to refrain from seeking other mental health support during the trial

Previous exclusion criteria:
1. Healthcare staff who do not have patient-facing roles e.g., administrators, lab technicians, receptionists, and maintenance workers.
2. Healthcare staff who do not meet DSM-5 criteria for PTSD and/or major depression
3. Healthcare staff who have a different primary disorder to PTSD or depression
4. Healthcare staff who present with imminent, persistent, clinically significant risk
5. Healthcare staff who request face-to-face treatment for PTSD or depression
6. Healthcare staff who would prefer a counselling approach or Improving Access to Psychological Therapies (IAPT)
7. Healthcare staff unwilling to be randomised or to stay on a stable dose of their current medication for a mental illness or to refrain from seeking other mental health support during the trial

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
PTSD and major depressive disorder diagnoses measured using the DSM-5 SCID-5 clinician-administered assessment at 8 weeks post-intervention/post-waitlist
Secondary Outcome Measures
NameTimeMethod
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