Plain English Summary
Background and study aims
The aim of this study is to find out whether it would be useful to adapt an existing parenting programme called Triple P Online to include specific information and ideas for parents with a mental disorder called bipolar disorder. This may improve the parenting experience for both parents and children and reduce the possibility of future problems for children of bipolar parents.
Who can participate?
People with a diagnosis of bipolar disorder who are aged 18 or over with at least one child aged between 3 and 10 years old and have internet access
What does the study involve?
A member of the research team arranges a time for an interview which takes place over the phone. Initially, they ask some questions to confirm eligibility for the study. The study requires that a bipolar disorder diagnosis is verified using an interview. This is conducted with all participants, unless this assessment has occurred during a previous study by the Spectrum Centre for Mental Health Research within the last 6 months. The interview takes about 1 hour and 15 minutes to complete over the telephone. Participants are randomly allocated to one of two groups. One group is provided with access to the Integrated Bipolar Parenting Intervention (IBPI) and should continue with any other treatments or care plans in place. The second group do not have access to the site during the period of the study. This group is vital to the success of the study to assess the effectiveness of the care offered to the first group. All participants in the second group are given access to the site after the end of the study if it is found to be helpful or cause no harm. IBPI consists of 16 modules. It is designed so that one module is completed each week over a period of 4 months. Each module may take an hour to complete online and then involve planning activities during the subsequent week. If participants have more than one child they are required to pick one to focus on during completion of the programme. All participants are asked to complete three telephone interviews during the 12 months of their study participation (upon joining, and then after 6 and 12 months). These telephone interviews take about 45 minutes to complete. Participants are also asked to complete a number of questionnaires on five separate occasions (upon joining, and then after 4, 6, 9 and 12 months). Most of these are completed online, but one is via telephone. The online questionnaires take about an hour to fill in and the questionnaire completed over the phone takes about 5 minutes. Up to 10 parents can participate in an interview following the programme to express their views on IBPI, including elements that they found helpful as well as any challenges to using the web programme. Fifteen children of the parents involved in the study can take part in two interviews, once before and once after their parents' completion of the programme to find out about the children's emotions and their experience of family life. The interviews for parents last about an hour and the interviews for the children last about 45 minutes. The children's interviews involve using a programme called 'In My Shoes' (IMS), which is a computer-assisted interview for communicating with children. All interviews take place in participant's homes and are recorded as long as specific consent has been obtained.
What are the possible benefits and risks of participating?
By participating in the study there is an opportunity to get support that has been shown to be effective in previous studies combined with a package of support materials for bipolar disorder drawing on the trialists' expertise of developing and evaluating interventions. All participants are given the access to the programme, although for some participants this is at the end of the study rather than at the beginning. Some participants also have the opportunity to participate in interviews to give feedback on their experiences and thereby have a direct influence on the development of the programme. This study encourages participants to think about their past experiences and it is possible that thinking about these may result in some distress. The research team are sensitive to this and an online parent support group (peer support forum) is available to support discussion of this. In the event of concerns, the research team can be contacted directly and a list of support organisations will be supplied to all participants.
Where is the study run from?
Lancaster University (UK)
When is the study starting and how long is it expected to run for?
November 2012 to March 2015
Who is funding the study?
Medical Research Council (UK)
Who is the main contact?
Prof. Steven Jones
Prof Steven Jones
The Spectrum Centre for Mental Health Research
An exploratory randomised controlled trial of a web-based Integrated Bipolar Parenting Intervention (IBPI) for bipolar parents of young children (aged 3-10)
To develop an Integrated Bipolar Parenting Intervention by combining informative material about Bipolar Disorder with an existing parenting intervention, Triple P Online, in consultation with a Service User Research Group consisting of individuals including parents with Bipolar Disorder and carers of people with Bipolar Disorder.
NRES Committee North West - Greater Manchester East, 27/11/2012, ref: 12/NW/0749
Randomised Intervention; Design type: Web-based Treatment
Primary study design
Secondary study design
Randomised controlled trial
Patient information sheet
Participant information can be found at http://www.ibpi.co.uk/participant_information
1. Intervention arm: Web-based integrated bipolar parenting intervention comprising the online Triple P parenting intervention alone. The intervention has been developed through collaboration between a multidisciplinary group of mental health professionals and service users with experience of bipolar disorder
Focus groups have taken place with individuals who took part in the first phase of the project (the qualitative analysis of recovery themes) to ensure that the intervention is appropriate and acceptable to individuals early in the course of bipolar disorder. Furthermore, a service user consultation group have also been provided.
2. Treatment as Usual Arm (TAU)
Follow Up Length: 12 months
The Intervention arm will receive the IPBI intervention for 4 months and then get follow-up at 4, 6, 9 and 12 months. The other arm of the trial is the Treatment as Usual Arm (TAU) they will be followed up at the same time points.
Primary outcome measures
1. Feasibility (recruitment) measured at baseline
2. Feasibility (retention) measured at 12-months post randomization
3. Acceptability (website usage data) measured during intervention
4. Acceptability (qualitative interviews) measured 4-months post randomization
Secondary outcome measures
1. Strengths and Difficulties Questionnaire (SDQ) - Child Behaviour, measured at baseline, end of intervention (4 months), and 6-, 9-, and 12-months post randomization
2. Eyberg Child Behavior Inventory (ECBI) - Child Behaviour, measured at baseline, end of intervention (4 months), and 6-, 9-, and 12-months post randomization
3. Parenting Scale (PS3) - Parenting, measured at baseline, end of intervention (4 months), and 6-, 9-, and 12-months post randomization
4. Parenting Sense of Competancy Scale PSOC) Parenting, measured at baseline, end of intervention (4 months), and 6-, 9-, and 12-months post randomization
5. Parenting Stress Index (PSI) - Parenting, measured at baseline, end of intervention (4 months), and 6-, 9-, and 12-months post randomization
Tertiary outcome measures:
1. Internal States Scale (ISS) - Parent symptoms, measured at baseline, end of intervention (4 months), and 6-, 9-, and 12-months post randomization
2. Centre for Epidemiologic Studies Depression Scale (CES-D)- Parent symptoms, measured at baseline, end of intervention (4 months), and 6-, 9-, and 12-months post randomization
3. Altman Mania Rating Scale (AMRS) - Parent symptoms, measured at baseline, end of intervention (4 months), and 6-, 9-, and 12-months post randomization
4. Confusion, Hubbub and Order Scale (CHAOS) - Parent symptoms, measured at baseline, end of intervention (4 months), and 6-, 9-, and 12-months post randomization
7. Structured Clinical Interview for DSM-IV-TR AXIS 1 DISORDERS - LIFE (SCID-LIFE)- Parent Symptoms, measured at baseline, 6- and 12- moths post-randomisation
8. In My Shoes Computer Assisted Interview for Children - Child perspectives on family functioning, measured at baseline and 4 months post randomization
Overall trial start date
Overall trial end date
Participant inclusion criteria
1. Individuals who have received a research-confirmed clinical diagnosis of bipolar disorder
2. Individuals who are parents of at least one child aged between 3 and 10
3. Individuals must have at least 10 hours of weekly contact with their child
4. Can provide written informed consent
5. Can communicate in English
6. Have access to the internet and a telephone
Target number of participants
Participant exclusion criteria
1. Individuals who are currently experiencing or have experienced within the last month, an acute episode of major depression or mania
2. Individuals referred into the study during an acute episode will wait until they have been out of episode for one month before entering the study. Nevertheless, it is expected that most participants will have subsyndromal mood symptoms
Recruitment start date
Recruitment end date
Countries of recruitment
Trial participating centre
Medical Research Council (MRC) (UK) Grant Code: MR/J011886/1
Funding Body Type
Funding Body Subtype
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