Evidence map›Paper›PMID 38925701›Full record

ArticleBMJ open2024

Clinical effectiveness and cost-effectiveness of Structured Psychological Support for people with probable personality disorder in mental health services in England: study protocol for a randomised controlled trial.

Mike J Crawford, Verity C Leeson, Rachel Evans, Nia Goulden, Tim Weaver, Aile Trumm, Barbara M Barrett, Fiona Khun-Thompson, Snehal P Pandya, Kate E Saunders and 6 more

Abstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Mike J CrawfordImperial College London, London, UK m.crawford@imperial.ac.uk.ORCID 0000-0003-3137-5772
Verity C LeesonImperial College London, London, UK.
Rachel EvansBangor University, Bangor, UK.
Nia GouldenBangor University, Bangor, UK.ORCID 0000-0001-6511-3987
Tim WeaverDepartment of Mental Health & Social Work, Middlesex University, London, UK.
Aile TrummDepartment of Mental Health & Social Work, Middlesex University, London, UK.
Barbara M BarrettKing's College London, London, UK.ORCID 0000-0002-0270-6256
Fiona Khun-ThompsonCentral and North West London NHS Foundation Trust, London, UK.
Snehal P PandyaImperial College London, London, UK.
Kate E SaundersDepartment of Psychiatry, Warneford Hospital, Oxford, UK.
Gary LamphSchool of Nursing and Midwifery, Keele University, Keele, UK.ORCID 0000-0002-4099-2812
David WoodsDerbyshire Healthcare NHS Foundation Trust, Derby, UK.
Harriet SmithAvon and Wiltshire Mental Health Partnership NHS Trust, Bath, UK.
Toby GreenallLincolnshire Community Health Services NHS Trust, Lincoln, UK.
Victoria NicklinCoventry and Warwickshire Partnership NHS Trust, Coventry, UK.
Kirsten BarnicotCity University of London, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionEvidence-based psychological treatments for people with personality disorder usually involve attending group-based sessions over many months. Low-intensity psychological interventions of less than 6 months duration have been developed, but their clinical effectiveness and cost-effectiveness are unclear. METHODS AND ANALYSIS: This is a multicentre, randomised, parallel-group, researcher-masked, superiority trial. Study participants will be aged 18 and over, have probable personality disorder and be treated by mental health staff in seven centres in England. We will exclude people who are: unwilling or unable to provide written informed consent, have a coexisting organic or psychotic mental disorder, or are already receiving psychological treatment for personality disorder or on a waiting list for such treatment. In the intervention group, participants will be offered up to 10 individual sessions of Structured Psychological Support. In the control group, participants will be offered treatment as usual plus a single session of personalised crisis planning. The primary outcome is social functioning measured over 12 months using total score on the Work and Social Adjustment Scale (WSAS). Secondary outcomes include mental health, suicidal behaviour, health-related quality of life, patient-rated global improvement and satisfaction, and resource use and costs. The primary analysis will compare WSAS scores across the 12-month period using a general linear mixed model adjusting for baseline scores, allocation group and study centre on an intention-to-treat basis. In a parallel process evaluation, we will analyse qualitative data from interviews with study participants, clinical staff and researchers to examine mechanisms of impact and contextual factors. ETHICS AND DISSEMINATION: The study complies with the Helsinki Declaration II and is approved by the London-Bromley Research Ethics Committee (IRAS ID 315951). Study findings will be published in an open access peer-reviewed journal; and disseminated at national and international conferences. TRIAL REGISTRATION NUMBER: ISRCTN13918289.

Indexed as

Cost-Benefit AnalysisMental Health ServicesPersonality DisordersAdultEnglandEquivalence Trials as TopicHumansMulticenter Studies as TopicPsychosocial InterventionQuality of LifeRandomized Controlled Trials as TopicTreatment OutcomeMENTAL HEALTHPersonality disordersPsychosocial InterventionRandomized Controlled Trial

Identifiers

PMID38925701
PMCPMC11202761

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.