A pragmatic randomised controlled trial to assess the clinical effectiveness of 'guided self-help' versus 'waiting list control' in the management of anxiety and depression in primary care. Self-Help in Anxiety and DEpression (SHADE).

ISRCTN ISRCTN33308608
DOI https://doi.org/10.1186/ISRCTN33308608
Secondary identifying numbers N/A
Submission date
11/04/2005
Registration date
16/05/2005
Last edited
14/09/2009
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

Study website

Contact information

Dr Peter Bower
Scientific

National Primary Care Research and Development Centre (NPCRDC)
5th Floor
Williamson Building
University of Manchester
Oxford Road
Manchester
M13 9PL
United Kingdom

Phone +44 (0)161 275 7638
Email peter.bower@manchester.ac.uk

Study information

Study designRandomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Other
Study typeTreatment
Scientific title
Study acronymSHADE
Study objectivesProvision of guided self-help will produce superior clinical outcomes to waiting list management at 3-month follow-up for patients with anxiety and depression
Ethics approval(s)Not provided at time of registration
Health condition(s) or problem(s) studiedAnxiety/depression
InterventionIntervention group - use of a written self-help manual and up to 4 brief (15-30 minute) face-to-face facilitation sessions with a graduate assistant psychologist while on waiting list.
Waiting list control group - patients remain on waiting list, with routine support (as required) from primary care provider.
Intervention typeOther
Primary outcome measureThe Hospital Anxiety and Depression Scale (HADS) score
Secondary outcome measures1. Beck Depression Inventory (BDI)
2. Social Adjustment Scale (SAS)
3. Clinical Outcomes in Routine Evaluation scale (CORE)
4. Patient satisfaction and other self-report measures of the treatment process
Overall study start date01/01/2002
Completion date31/01/2005

Eligibility

Participant type(s)Patient
Age groupAdult
SexBoth
Target number of participants114
Key inclusion criteriaAdult patients with anxiety/depression referred from primary care to one of three Greater Manchester psychological therapy services and currently with 3+ months remaining on the waiting list.
Key exclusion criteria1. Under 18 years of age
2. Baseline score <14 on the Beck Depression Inventory (BDI) and <11 on anxiety scale of the Hospital Anxiety and Depression Scale (HADS)
3. Referred for therapy from source other than primary care
4. Less than 3 months remaining on therapy service waiting list
5. Poor proficiency in English (i.e. inability to complete questionnaires or read the self-help manual)
6. Active suicidal thoughts
7. Current substance misuse
8. Organic brain disease
9. Current contact with specialist mental health services
Date of first enrolment01/01/2002
Date of final enrolment31/01/2005

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

National Primary Care Research and Development Centre (NPCRDC)
Manchester
M13 9PL
United Kingdom

Sponsor information

National Primary Care Research and Development Centre (NPCRDC) (UK)
University/education

5th Floor
Williamson Building
University of Manchester
Oxford Road
Manchester
M13 9PL
England
United Kingdom

Funders

Funder type

University/education

National Primary Care Research and Development Centre (NPCRDC) (UK) - via core funding from the Department of Health

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/11/2005 Yes No