An evaluation of the Cares of Life Project (CoLP): Fundamentally improving mental health services for Black people in Southwark

ISRCTN ISRCTN06101946
DOI https://doi.org/10.1186/ISRCTN06101946
Secondary identifying numbers N0042132131
Submission date
07/06/2007
Registration date
14/09/2007
Last edited
12/05/2011
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Mental and Behavioural Disorders
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Prof Graham Thornicroft
Scientific

Health Services and Population Research
Institute of Psychiatry
De Crespigny Park
London
SE5 8AF
United Kingdom

Study information

Study designA randomised controlled trial.
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Other
Study typeNot Specified
Scientific title
Study acronymCoLP (Cares of Life Project)
Study objectivesThe primary hypothesis for the study was that compared to individuals who were randomised to the 'standard access' control group, individuals randomised to the 'rapid access' intervention group would after a 3-month follow-up period:
1. Show significantly improved levels of psychological well-being

Secondary hypotheses were that individuals in the intervention group would:
1. Rate mental health services as being more culturally sensitive
2. Have greater trust in mental health services
3. Be more satisfied with mental health services
4. Have reduced negative beliefs about mental health services
Ethics approval(s)South London and Maudsley Research Ethics Commitee, approved on 15 November 2002 (ref: 176/02)
Health condition(s) or problem(s) studiedAnxiety and /or depression
InterventionThe experimental group had rapid access to Community Health Workers who delivered a needs-led package of care comprising psychological therapies (cognitive behavioural therapy, Brief Solution Focused Therapy), health education, advocacy, mentoring and some physical health investigations (blood pressure and blood sugar testing). The control group had 'standard access.' Individuals were followed up after 3 months of receiving the intervention.
Intervention typeOther
Primary outcome measurePsychological well-being and general functioning were rated using the following at baseline and 3-month follow-up:
1. General Health Questionnaire (GHQ-28)
2. Short Form 36 (SF-36)
3. Global Assessment of Functioning (GAF)
Secondary outcome measures1. Perceived access to and cultural sensitivity of mental health services, rated using the Accessibility and Cultural Sensitivity Schedule (ACCeSS), assessed at baseline and 3-month follow-up
2. Satisfaction with mental health services rated using the Treatment Perceptions Questionnaire (TPQ) at 3-month follow-up
3. Trust in mental health services examined using the TRUST semi-structured interview schedule at 3-month follow-up
4. Cost of service use (CSRI) assessed at baseline and 3-month follow-up
5. The social context of mental health rated using the Shortened Life Events and Difficulties Schedule (SLEDS) at baseline and 3-month follow-up
Overall study start date01/06/2002
Completion date31/05/2006

Eligibility

Participant type(s)Patient
Age groupNot Specified
SexBoth
Target number of participants80
Key inclusion criteriaIndividuals who were referred to the service were included in the study if they met all of the following criteria:
1. Resident of the London Borough of Southwark
2. Of Black African origin (Black African individuals born in sub-Saharan Africa or born in the UK with at least one parent of sub-Saharan decent) or Black Caribbean origin (Black patients born in the Caribbean or born in the UK with at least one parent of Caribbean decent).
3. Scored positive for symptoms on the World Health Organisation Mental Health Checklist for Anxiety and Depression indicating a diagnosis of clinical depression (ICD-10 codes F32, F33.0 - F33.2) and/or anxiety (F40, F41.1, F41.2)
4. Consented to being randomised
Key exclusion criteria1. Non-English speaking
2. Resident of another borough
3. Did not score positive for symptoms on the WHO checklist for anxiety and depression
Date of first enrolment01/06/2002
Date of final enrolment31/05/2006

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Health Services and Population Research
London
SE5 8AF
United Kingdom

Sponsor information

King's College London (UK)
University/education

Research and Development Office, Room W1.08
Institute of Psychiatry
De Crespigny Park
London
SE5 8AF
England
United Kingdom

Website http://www.kcl.ac.uk/
ROR logo "ROR" https://ror.org/0220mzb33

Funders

Funder type

Charity

Guy's and St Thomas' Charitable Foundation (Grant code GO11019DF) (UK)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/12/2010 Yes No