Plain English Summary
Background and study aims
Inpatient psychiatric care is a scarce resource, yet large numbers of patients are being re-admitted to hospital care. This study will investigate the possibility of running a trial of a brief talking therapy for people with distressing psychotic symptoms receiving inpatient care following a mental health crisis.
Who can participate?
Adults (aged at least 18) that are inpatients in a psychiatric ward.
What does the study involve?
Participants are randomly allocated to one of two groups. Those in group 1 (intervention) receive the talking (mindfulness-based crisis interventions) therapy. Those in group 2 (control) receive a control therapy (social activity therapy). Information is gathered on how many people are re-admitted to hospital 6 months later.Participants also fill out some questionnaires asking about their symptoms, emotions and recovery. Questionnaire data is collected at the beginning and end of therapy, and 3 and 6 months after people are discharged from hospital. Participants and staff involved in the study are also invited to give feedback on the study in an interview or focus group. This may help plan a larger future study to find out whether this simple intervention can help people with psychosis stay out of hospital for longer following a crisis.
What are the possible benefits and risks of participating?
Both therapies are likely to have some benefit. However, this will vary from person to person. Talking therapies can sometimes involve talking about feelings, thoughts or experiences which may be upsetting at times. This is a completely normal part of therapy and the trial therapist is very experienced in keeping this to a level which is manageable. Participants can always stop a therapy session or indeed to stop therapy altogether if they do not wish to carry on.
Where is the study run from?
King’s College London, Institute Of Psychiatry (UK)
When is the study starting and how long is it expected to run for?
October 2015 to July 2017
Who is funding the study?
National Institute for Health Research (UK)
Who is the main contact?
Dr Pamela Jacobsen
Dr Pamela Jacobsen
King's College London
Institute Of Psychiatry
16 De Crespigny Park
Mindfulness-based crisis interventions (MBCI) for psychosis within acute inpatient psychiatric settings: a feasibility randomised controlled trial
This study aims to investigate the feasibility of conducting a trial of a brief talking therapy for people with distressing psychotic symptoms receiving inpatient care following a mental health crisis.
London - Camberwell St Giles Research Ethics Committee, 15/LO/1338
Randomised; Interventional; Design type: Treatment
Primary study design
Secondary study design
Randomised controlled trial
Patient information sheet
Not available in web format, please use contact details to request a participant information sheet
Topic: Mental Health; Subtopic: Psychosis; Disease: Psychosis
1. Control therapy - SAT, Social Activity Therapy (SAT) is a brief intervention (1-5 sessions) which involves helping the client to identify activities they enjoy, and carrying these out with the therapist on the ward.;
2. Talking therapy - MBCI, Mindfulness-Based Crisis Interventions (MBCI) is a brief therapy (1-5 sessions) focussing on developing a shared understanding of what has brought the person into crisis, and introducing other ways of coping with future distressing experiences using mindfulness-based techniques.; Follow Up Length: 6 month(s); Study Entry : Single Randomisation only
Primary outcome measure
Feasibility/acceptability; Timepoint(s): At trial end (incl. recruitment rate/retention)
Secondary outcome measures
1. Pilot clinical/symptom measures; Timepoint(s): Baseline, Post-therapy, 3 month follow-up, 6 month follow-up
2. Pilot outcome data on re-admission rates; Timepoint(s): 3 and 6 month follow-up
3. Self-ratings of Psychotic Symptoms
4. Hamilton Program for Schizophrenia Voices Questionnaire (HPSVQ)
5. Depression, anxiety and stress scales (DASS-21)
6. Southampton Mindfulness Questionnaire (SMQ)
7. Questionnaire about the Process of Recovery (QPR)
Overall trial start date
Overall trial end date
Reason abandoned (if study stopped)
Participant inclusion criteria
1. Aged 18 or above
2. Current psychiatric inpatient on a working-age adult ward
3. Diagnosis of schizophrenia-spectrum disorder or psychotic symptoms in the context of an affective disorder (International Statistical Classification of Diseases and Related Health Problems, Tenth edition [ICD-10], F2039)
4. Reports at least one current distressing positive psychotic symptom
5. Able to give informed consent to participate in trial, as assessed by consultant psychiatrist/responsible clinician
6. Willing and able to engage in psychological therapy
Target number of participants
Planned Sample Size: 60; UK Sample Size: 60; Description: This is a feasibility randomised controlled trial (RCT) with 2 arms (experimental and control therapy). 60 patients will be recruited to the trial, 30 in each arm.
Participant exclusion criteria
1. Established diagnosis of learning disability, or major cognitive impairment arising from any underlying medical condition (e.g. head injury, neurological disorder) resulting in significant functional impairment
2. Unable to engage in a talking therapy in English, or to complete simple written questionnaires in English
3. Primary diagnosis of substance misuse
4. Does not report any current distressing psychotic symptoms
5. Lacks capacity to consent to participation in research trial
6. Unable to take part in individual therapy due to risk of aggression/violence
7. Mental state precludes possibility of engaging in a talking therapy, e.g. significant thought disorder
Recruitment start date
Recruitment end date
Countries of recruitment
Trial participating centre
King's College London
Institute Of Psychiatry 16 De Crespigny Park
National Institute for Health Research
Funding Body Type
Funding Body Subtype
Results and Publications
Publication and dissemination plan
1. Submission of trial protocol to BMC Psychiatry (peer reviewed open access journal)
2. Poster presentation of trial protocol at World Congress of Behavioural and Cognitive Therapies (June 2016)
3. Paper presentation of trial outcomes at British Association for Behavioural and Cognitive Psychotherapies
4. Paper submission of quantitative/qualitative outcomes to clinical psychology/psychiatry peer-reviewed journal
5. Dissemination at a local level to NHS services and via service user and charity networks
The main trial paper is currently being prepared for submission to a peer-reviewed journal, with publication expected by July 2019.
IPD sharing statement
The datasets generated during and/or analysed during the current study are/will be available upon request from the Chief Investigator Dr Pamela Jacobsen. Anonymised data will be shared in accordance with participant consent and ethical approval for the study.
Intention to publish date
Participant level data
Available on request
Basic results (scientific)
See additional file ISRCTN37625384_BasicResults_06Sep2018.pdf
2016 protocol in: http://www.ncbi.nlm.nih.gov/pubmed/27516897
- ISRCTN37625384_BasicResults_06Sep2018.pdf Uploaded 07/09/2018