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Back On Track: Groups for Women

Evaluation of a group based intervention for women with depression


Topic
Mental Health (co-adopted by PCRN)
Portfolio Eligibility
Funded by UKCRC partner
ISRCTN
EudraCT
MREC N°
UKCRN ID 4103
WHO ID
Research Summary
Depression and anxiety disorders are common in primary care, especially among women. GPs are rewarded for recognizing depression but they often find themselves with little to offer their patients with depression of moderate or minor severity. Various types of psychological therapy have been shown to be effective in the treatment of depression. However, there is little availability of such interventions in primary care, and limited evidence on the cost-effectiveness or feasibility of group based interventions. Our project is a pilot study for a group-based intervention amongst women with mild to moderate depression or anxiety in primary care. The intervention will be based on principles derived from cognitive behaviour therapy and problem-solving approaches. The proposed intervention aims to empower patients through improving their self-management skills. We expect to show that this intervention is feasible, affordable, efficacious, and widely accepted by participants, group leaders and staff. If this pilot study demonstrates encouraging results, we will submit a proposal for a large-scale, multi-centre effectiveness trial in due course. This randomised controlled trial pilot will compare the intervention with usual care in socially deprived areas in Bristol, incorporating qualitative methods to assess acceptability
Study Type Interventional
Design Type Treatment
Disease(s) Depression
Anxiety
All Diseases
Phase N/A
Current Status Closed - follow-up complete
Closure Date30/09/2008
Sample Size 55
Accrual to Date
132%
Geographical Scope UK Multi-Centre
Lead Country England
Main Inclusion Criteria
a) Age between 30-55
b) Mild to moderately severe depression according to the PHQ-9 (Score between 10-20 on two occasions, at initial eligibility assessment and at baseline assessment)
c) Female
NB Current or past use of antidepressants or benzodiazepines would not be a contraindication to participation in the study
Main Exclusion Criteria
a) Severe current drug or alcohol abuse. Individuals with mild problems according to GPs will be accepted provided there are no signs of use when coming to the sessions
b) Severe depression (PHQ>20 at baseline) with or without suicidal ideation
c) Currently attending specialist psychiatric services (including psychotherapy but not including practice-based counselling) for mental health problems
d) Unable to speak English
Chief Investigator(s)
Prof Ricardo ArayaProf Chris Salisbury
Further details, please contact
Dr Helen Cramer

University of Bristol
Academic Unit of Primary Health Care
25-27 Belgrave Road
Bristol
Somerset
BS8 2AA
UNITED KINGDOM

Tel: 0117 331 3820
Helen.Cramer@bristol.ac.uk
Funder(s) NIHR - National School for Primary Health Care
Sponsor(s) University of Bristol




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