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Evaluation of a Conversational Information Collection Tool to Access Talk Therapy

Recruiting
Conditions
Mental Health Issue
Interventions
Device: Conversational Information Collection Tool
Registration Number
NCT05678764
Lead Sponsor
Limbic Limited
Brief Summary

This is an observational study evaluating a conversational information collection tool to access talk therapy.

The patient outcome data will be compared between people who refer to talk therapy via the conversational information collection tool and people who refer using other means.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
300000
Inclusion Criteria
  • Participant meets minimum age requirements for the talk therapy service Participant's registered GP is within the talk therapy service's CCG catchment area
Exclusion Criteria
  • Participants who are in crisis (defined by requiring urgent care or being at an urgent risk of harm)

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Conversational Information Collection Tool ReferralsConversational Information Collection ToolThese are patients who refer to talk therapy using the novel information collection tool.
Primary Outcome Measures
NameTimeMethod
Clinical assessment timesThis measure will be available after the clinical assessment (up to average of 1 month from consenting).

Improved clinical efficiency will be indicated by reduced assessment times, measured by the average time per clinical assessment (in minutes).

Change from baseline depression score to after treatmentThe definition of reliable and clinically significant improvement is based on a comparison of pre-treatment (at time of referral, on the day of consenting) and post-treatment (assessed at point of discharge, an average of 5 months) clinical score.

The primary outcome will be defined as reliable and clinically significant improvement in clinical scores after treatment. Hereby, the investigators will test for changes in depression scores using Patient Health Questionnaire-9 (PHQ-9: posttreatment scores \<10 and improved by ≥6 points). PHQ-9 includes 9 questions scored between 0 and 3, with higher scores indicating more severe depression.

Change from baseline anxiety score to after treatmentThe definition of reliable and clinically significant improvement is based on a comparison of pre-treatment (at time of referral, on the day of consenting) and post-treatment (assessed at point of discharge, an average of 5 months) clinical score

The primary outcome will be defined as reliable and clinically significant improvement in clinical scores after treatment. Hereby, we will test for changes in anxiety scores using Generalised Anxiety Disorder Assessment (GAD-7: posttreatment scores \<8 and improved by ≥4 points).GAD-7 includes 7 questions scored between 0 and 3, with higher scores indicating more severe anxiety.

Secondary Outcome Measures
NameTimeMethod
Referral Dropout RatesDuring Information Collection Tool interaction (day 1)

Patient referral dropout will be measured as any individual who consented to participate in the study, but did not complete all requested clinical information during the referral process.

Waiting timesThis measure will be available after the clinical assessment (up to average of 1 month from consenting).

Patient waiting times for treatment will be measured as the time between the date of (self-referral) and the date of the clinical assessment.

Treatment Dropout RatesAt time point of treatment termination using standard IAPT definitions (assessed up to 3 months)

Treatment dropout will be measured using a "dropout" label which is added to a patient's file in the service's patient management system by the treating clinician when a dropout event occurs. The treatment cohort (Limbic Access +AI pathway) will be evaluated against a cohort of patients going through limbic Access' standard pathway across the same services and over the same time window as the study will be used for comparison.

Assessment Dropout RatesAt time point of treatment termination using standard IAPT definitions (assessed up to 3 months)

Clinical assessment dropout will be measured as any cancellation or "Did Not Attend" event for patients who successfully had a clinical assessment slot (eg. time and date) organised. The treatment cohort (Limbic Access with AI pathway) will be evaluated against a cohort of patients going through limbic Access' standard pathway across the same services and over the same time window as the study will be used for comparison.

Trial Locations

Locations (1)

Essex Partnership University NHS Foundation Trust

🇬🇧

Epping, United Kingdom

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