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The clinical and cost effectiveness of adapted dialectical behaviour therapy (DBT) for bipolar mood instability in primary care (ThrIVe-B programme): a feasibility study

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dc.creator Wright, K
dc.creator Dodd, A
dc.creator Warren, FC
dc.creator Medina-Lara, A
dc.creator Taylor, R
dc.creator Jones, S
dc.creator Owens, C
dc.creator Javaid, M
dc.creator Dunn, B
dc.creator Harvey, JE
dc.creator Newbold, A
dc.creator Lynch, T
dc.date 2018-11-23T14:17:07Z
dc.date 2018-10-16
dc.date 2018-11-23T14:17:07Z
dc.date.accessioned 2022-05-27T01:03:07Z
dc.date.available 2022-05-27T01:03:07Z
dc.identifier Vol. 19, article 560
dc.identifier 10.1186/s13063-018-2926-7
dc.identifier http://hdl.handle.net/10871/34888
dc.identifier Trials
dc.identifier.uri http://localhost:8080/xmlui/handle/CUHPOERS/241928
dc.description This is the final version. Available on open access from BMC via the DOI in this record
dc.description BACKGROUND: In bipolar spectrum disorder, some individuals experience ongoing, frequent fluctuations in mood outside of affective episodes. There are currently no evidence-based psychological interventions designed to address this. This feasibility study is a phase II evaluation of a dialectical behavioural therapy-informed approach (Therapy for Inter-episode mood Variability in Bipolar [ThrIVe-B]). It seeks to examine the feasibility and acceptability of a future definitive trial evaluating the clinical and cost effectiveness of the ThrIVe-B programme. METHODS/DESIGN: Patients will be randomised 1:1 to either treatment as usual only (control arm) or the ThrIVe-B intervention plus treatment as usual (intervention arm). Follow-up points will be at 3, 6, 9 and 15 months after baseline, with 9 months as the primary end point for the candidate primary outcome measures. We aim to recruit 48 individuals meeting diagnostic criteria for a bipolar spectrum disorder and reporting frequent mood swings outside of acute episodes, through primary and secondary care services and self-referral. To evaluate feasibility and acceptability, we will examine recruitment and retention rates, completion rates for study measures and feedback from participants on their experience of study participation and therapy. DISCUSSION: Proceeding to a definitive trial will be indicated if the following criteria are met: (1) trial participation does not lead to serious negative consequences for our participants; (2) any serious concerns about the acceptability and feasibility of the trial procedures can be rectified prior to a definitive trial; (3) follow-up data at 9 months are available for at least 60% of participants; (4) at least 60% of patients in the ThrIVe-B arm complete treatment. TRIAL REGISTRATION: ISRCTN, ISRCTN54234300 . Registered on 20 July 2017.
dc.description The trial described by this protocol is funded by the National Institute for Health Research (NIHR) Research for Patient Benefit programme in the UK (grant number PB-PG-1215-20023).
dc.language en
dc.publisher BMC
dc.relation https://www.ncbi.nlm.nih.gov/pubmed/30326960
dc.rights © The Author(s). 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
dc.subject Bipolar disorder
dc.subject Cyclothymic disorder
dc.subject Dialectical behaviour therapy
dc.subject Psychological therapy
dc.title The clinical and cost effectiveness of adapted dialectical behaviour therapy (DBT) for bipolar mood instability in primary care (ThrIVe-B programme): a feasibility study
dc.type Article


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