Condition category
Mental and Behavioural Disorders
Date applied
23/01/2004
Date assigned
23/01/2004
Last edited
15/12/2008
Prospective/Retrospective
Retrospectively registered
Overall trial status
Completed
Recruitment status
No longer recruiting

Plain English Summary

Not provided at time of registration

Trial website

Contact information

Type

Scientific

Primary contact

Dr D Gath

ORCID ID

Contact details

Department of Psychiatry
University of Oxford
Warneford Hospital
Oxford
OX3 7JX
United Kingdom
+44 (0)1865 226466

Additional identifiers

EudraCT number

ClinicalTrials.gov number

Protocol/serial number

N/A

Study information

Scientific title

Acronym

Study hypothesis

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

Not provided at time of registration

Study design

Randomised controlled trial

Primary study design

Interventional

Secondary study design

Randomised controlled trial

Trial setting

Not specified

Trial type

Not Specified

Patient information sheet

Condition

Mental and behavioural disorders: Depression, anxiety, neuroses

Intervention

1. Problem solving treatment from trained nurses
2. Usual treatment from GP

Intervention type

Other

Phase

Not Specified

Drug names

Primary outcome measures

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 trial start date

01/03/1993

Overall trial end date

12/01/1995

Reason abandoned

Eligibility

Participant inclusion criteria

Patients with emotional disorders that have not been resolved within one-month of initial consultation with a GP.

Participant type

Patient

Age group

Not Specified

Gender

Not Specified

Target number of participants

100

Participant exclusion criteria

Not provided at time of registration

Recruitment start date

01/03/1993

Recruitment end date

12/01/1995

Locations

Countries of recruitment

United Kingdom

Trial participating centre

Department of Psychiatry
Oxford
OX3 7JX
United Kingdom

Sponsor information

Organisation

Record Provided by the NHS R&D 'Time-Limited' National Programme Register - Department of Health (UK)

Sponsor details

The Department of Health
Richmond House
79 Whitehall
London
SW1A 2NL
United Kingdom

Sponsor type

Government

Website

http://www.doh.gov.uk

Funders

Funder type

Government

Funder name

NHS Mental Health National Research and Development Programme (UK)

Alternative name(s)

Funding Body Type

Funding Body Subtype

Location

Results and Publications

Publication and dissemination plan

Not provided at time of registration

Intention to publish date

Participant level data

Not provided at time of registration

Results - basic reporting

Publication summary

1997 results in http://www.ncbi.nlm.nih.gov/pubmed/9093498

Publication citations

  1. Results

    Mynors-Wallis L, Davies I, Gray A, Barbour F, Gath D, A randomised controlled trial and cost analysis of problem-solving treatment for emotional disorders given by community nurses in primary care., Br J Psychiatry, 1997, 170, 113-119.

Additional files

Editorial Notes