Primary care evidence-based psychological interventions collaboration (PEP)
| ISRCTN | ISRCTN62481969 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN62481969 |
| Secondary identifying numbers | N/A |
- Submission date
- 30/11/2005
- Registration date
- 22/03/2006
- Last edited
- 02/05/2019
- 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 Grant Blashki
Scientific
Scientific
200 Berkeley Street
Carlton
Victoria
3053
Australia
| Phone | +61 (0)3 8344 7276 |
|---|---|
| gblashki@unimelb.edu.au |
Study information
| Study design | This study is a randomised controlled trial of CBT training with general practitioners randomised to training and waitlisted (control) groups |
|---|---|
| Primary study design | Interventional |
| Secondary study design | Randomised controlled trial |
| Study setting(s) | Not specified |
| Study type | Treatment |
| Scientific title | Primary care evidence-based psychological interventions collaboration (PEP) |
| Study acronym | PEP |
| Study objectives | The objectives of this study are to examine whether general practitioners (GPs) who have completed training in cognitive behavioural therapy (CBT) demonstrate: 1. An increased knowledge of CBT 2. An increase in confidence and reported feasibility of delivering CBT in general practice 3. An improvement in the quality of CBT they deliver in simulated role-plays 4. Improved clinical outcomes for depressed patients |
| Ethics approval(s) | Ethics approval has been obtained from the Monash University Standing Committee on Ethics in Research Involving Humans, reference numbers: 154 and 544 |
| Health condition(s) or problem(s) studied | Depressive disorder |
| Intervention | Pre and post measures of knowledge, attitudes and practices (KAP) will be measured with questionnaires, as well as videotaped simulated consultations rated with standardised instruments to measure competence. Enrolled GPs will each recruit depressed patients who will be followed up for six months during the course of the study using a suite of quantitative outcome measures (PEP pack patient survey). A subset of these patients will be recruited for more in-depth qualitative interviews to assess consumers’ and carers’ experience of care. The intervention group receive the CBT program which is a 20-hour face to face skills based program facilitated by specialist mental health care providers or GPs with independent mental health qualifications. Groups of 10-14 GPs per group participate in multiple role-play exercises guided by video-based skills demonstrations, and detailed GP or patient workbooks. The program specifically covers process issues such as integrating psychological skills into general practice, engaging the patient and structuring consultations, as well as specific content issues. The CBT program is an accredited level 2 training program with the Australian general practice mental health standards collaboration. The control group receive no training initially but are waitlisted to subsequently receive the same training. |
| Intervention type | Other |
| Primary outcome measure | GPs: 1. Improvement in knowledge 2. Attitudes and performance in simulated consultations Patients: 1. Improvement in depressive symptoms 2. Quality of life and disability |
| Secondary outcome measures | Comparison of pre-training GP knowledge and attitudes with performance in simulated consultations will be undertaken |
| Overall study start date | 01/06/2004 |
| Completion date | 31/12/2006 |
Eligibility
| Participant type(s) | Patient |
|---|---|
| Age group | Adult |
| Lower age limit | 18 Years |
| Upper age limit | 65 Years |
| Sex | Both |
| Target number of participants | 40 GPs; 100 Patients |
| Total final enrolment | 55 |
| Key inclusion criteria | GPs: 1. Registered GPs in the state of Victoria, Australia Patients: 1. 18-65 years old 2. Adequate English skills 3. Regular patient of the GP 4. GP diagnosis of depression 5. Patient health questionnaire (PHQ-9) score >10 6. GP intends to manage the patient’s depressive illness |
| Key exclusion criteria | Patients: 1. Psychotic disorder 2. Personality disorder 3. Moderate or high suicide risk |
| Date of first enrolment | 01/06/2004 |
| Date of final enrolment | 31/12/2006 |
Locations
Countries of recruitment
- Australia
Study participating centre
200 Berkeley Street
Victoria
3053
Australia
3053
Australia
Sponsor information
The beyondblue Victorian Centre of Excellence in Depression and Related Disorders (Australia)
Government
Government
PO Box 6100
West Hawthorn
3122
Australia
| Phone | +61 (0)3 9810 6100 |
|---|---|
| bb@beyondblue.org.au | |
| Website | http://www.beyondblue.org.au |
"ROR" |
https://ror.org/05mwvz623 |
Funders
Funder type
Government
The beyondblue Victorian Centre of Excellence in Depression and Related Disorders
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 | 16/06/2008 | 02/05/2019 | Yes | No |
Editorial Notes
02/05/2019: Publication reference and total final enrolment added.
