The training of community nurses in problem solving treatment
| ISRCTN | ISRCTN11844043 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN11844043 |
| Secondary identifying numbers | N/A |
- Submission date
- 23/01/2004
- Registration date
- 23/01/2004
- Last edited
- 15/12/2008
- 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
Dr D Gath
Scientific
Scientific
Department of Psychiatry
University of Oxford
Warneford Hospital
Oxford
OX3 7JX
United Kingdom
| Phone | +44 (0)1865 226466 |
|---|
Study information
| Study design | Randomised controlled trial |
|---|---|
| Primary study design | Interventional |
| Secondary study design | Randomised controlled trial |
| Study setting(s) | Not specified |
| Study type | Not Specified |
| Scientific title | |
| Study objectives | In primary care many patients with emotional disorders repeatedly consult their GP and take time off work. Medication is often unsatisfactory for these patients, whilst specialised psychological help is usually unavailable or too costly. Research in Oxford has shown that emotional disorders in primary care can be effectively treated with a brief psychological treatment (problem-solving) given by psychiatrists or by GPs trained in the techniques. If this treatment is to be made widely available in primary care, it is desirable to train other health professionals as well as GPs. Community nurses seem well placed to receive such training. The proposed study seeks to answer two questions: 1. Can community nurses be successfully trained in the techniques of problem-solving? 2. After training, how effectively can community nurses use problem-solving to treat patients with emotional disorders? In Part One of the study, four community nurses will be trained in problem-solving and will then treat 10 patients each, under close supervision. The therapeutic techniques of the nurses will be evaluated by rating videotapes of their treatment sessions. Part Two of the study will be a controlled clinical trial. The patients (n = 100) will have emotional disorders that have not resolved within one month of initial consultation with the GP. They will be randomly allocated to either problem-solving treatment from the trained nurses, or GPs' usual treatment. Interview and self-rated assessments of the patients psychiatric and social functioning will be made before treatment, after treatment, and at six months. |
| Ethics approval(s) | Not provided at time of registration |
| Health condition(s) or problem(s) studied | Mental and behavioural disorders: Depression, anxiety, neuroses |
| Intervention | 1. Problem solving treatment from trained nurses 2. Usual treatment from GP |
| Intervention type | Other |
| Primary outcome measure | Measures of clinical status and self report measures assessed before treatment, at the end of treatment (8 weeks) and at 6 month follow-up. |
| Secondary outcome measures | Not provided at time of registration |
| Overall study start date | 01/03/1993 |
| Completion date | 12/01/1995 |
Eligibility
| Participant type(s) | Patient |
|---|---|
| Age group | Not Specified |
| Sex | Not Specified |
| Target number of participants | 100 |
| Key inclusion criteria | Patients with emotional disorders that have not been resolved within one-month of initial consultation with a GP. |
| Key exclusion criteria | Not provided at time of registration |
| Date of first enrolment | 01/03/1993 |
| Date of final enrolment | 12/01/1995 |
Locations
Countries of recruitment
- England
- United Kingdom
Study participating centre
Department of Psychiatry
Oxford
OX3 7JX
United Kingdom
OX3 7JX
United Kingdom
Sponsor information
Record Provided by the NHS R&D 'Time-Limited' National Programme Register - Department of Health (UK)
Government
Government
The Department of Health
Richmond House
79 Whitehall
London
SW1A 2NL
United Kingdom
| Website | http://www.doh.gov.uk |
|---|
Funders
Funder type
Government
NHS Mental Health National Research and Development Programme (UK)
No information available
Results and Publications
| Intention to publish date | |
|---|---|
| Individual participant data (IPD) Intention to share | No |
| IPD sharing plan summary | Not provided at time of registration |
| Publication and dissemination plan | Not provided at time of registration |
| IPD sharing plan |
Study outputs
| Output type | Details | Date created | Date added | Peer reviewed? | Patient-facing? |
|---|---|---|---|---|---|
| Results article | results | 01/02/1997 | Yes | No |
