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Abstract
Few studies have examined brief transdiagnostic groups. The Take Control Course (TCC) was developed for patients with common mental health problems in low-intensity Improving Access to Psychological Therapies (IAPT) services in the UK.
We examined whether TCC is non-inferior to individual low-intensity cognitive behaviour therapy (CBT) in a single-blind individually randomized parallel non-inferiority trial comparing TCC to individual low-intensity CBT. Primary outcomes were depression (PHQ9) and anxiety (GAD7) at 6-month follow-up (primary outcome point) and 12-month follow-up. The non-inferiority margin that we set, based on previous trials, corresponds to approximately 4 points on the PHQ9 and approximately 3.5 points on the GAD7.
Intention-to-treat (ITT) and per-protocol (PP) analyses of 6-month data of 156 randomised patients indicated that TCC was non-inferior to individual low-intensity CBT on anxiety (ITT Coefficient = 0.24; 95% CI: -1.45 to 1.92; d = 0.04; p = .79), and depression (ITT Coefficient = 0.82; 95% CI: -1.06 to 2.69; d = 0.14; p = .39) outcomes, and functioning (ITT Coefficient = 0.69; 95% CI: -2.56 to 3.94; d = 0.08; p = .68). The findings at 12 months were inconclusive and need further testing.
This randomised trial provides preliminary support TCC is not less effective than short-term individual CBT within IAPT.
We examined whether TCC is non-inferior to individual low-intensity cognitive behaviour therapy (CBT) in a single-blind individually randomized parallel non-inferiority trial comparing TCC to individual low-intensity CBT. Primary outcomes were depression (PHQ9) and anxiety (GAD7) at 6-month follow-up (primary outcome point) and 12-month follow-up. The non-inferiority margin that we set, based on previous trials, corresponds to approximately 4 points on the PHQ9 and approximately 3.5 points on the GAD7.
Intention-to-treat (ITT) and per-protocol (PP) analyses of 6-month data of 156 randomised patients indicated that TCC was non-inferior to individual low-intensity CBT on anxiety (ITT Coefficient = 0.24; 95% CI: -1.45 to 1.92; d = 0.04; p = .79), and depression (ITT Coefficient = 0.82; 95% CI: -1.06 to 2.69; d = 0.14; p = .39) outcomes, and functioning (ITT Coefficient = 0.69; 95% CI: -2.56 to 3.94; d = 0.08; p = .68). The findings at 12 months were inconclusive and need further testing.
This randomised trial provides preliminary support TCC is not less effective than short-term individual CBT within IAPT.
| Original language | English |
|---|---|
| Journal | Cognitive Behaviour Therapy |
| Publication status | Accepted/In press - 28 Oct 2022 |
Keywords
- transdiagnostic
- group therapy
- brief CBT
- primary care
- anxiety
- depression
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(MCHP) : Manchester Centre for Health Psychology
Peters, S., Ulph, F., Arden Armitage, C., Borrelli, B., Bowen, A., Byrne-Davis, L., Edge, D., French, D., Hart, J., Todd, C., Skevington, S., Wearden, A., Cotterill, S., Brooks, J., Brown, L., Bull, E., Cordingley, L., Epton, T., Smith, D., Speer, S., Powell, R., Bartlett, K., Coupe, N., Shepherd, S., Dienes, K., Ghio, D., Hood, A., Lavallee, J., Rowland, C., Benton, J., Goldthorpe, J., McWilliams, L., Keyworth, C., Goulding, R., Loughran, M., Hawkes, R., Kapadi, A., Hurley, R., Leather, J., Musa, C., Angelakis, I., Reid, C., Alshammari, D., Mountain, D., Hooper, E., Gates, E., Johnson, F., Lomas, F., Kaplan, G., Cross, H., Foote, H., Long, H., Reid, H., Hamer, J., Sibasa, K., Hozhabrafkan, K., Al Abri, K., Lucas, L., Millard, L., Hulme, L., Dhanwani, M., Sonola-Jones, O., Sfakianaki, R., Broadbent, R., Crone, R., Husni, R. R., Mank, S., Booth, S., Hindmarch, S., Plant, S., Mace, S., Sidhu, T., Macintyre, V., Vidayanti, V., Peterson, J., Woof, V., El-Khani, A., Devereux-Fitzgerald, A., Chisholm, A., Sawyer, C., Hope, H., Wilkes, J., Birtwell, K., Bakur, K., Stringer, G., Mohd Faudzi, F. N. B., Checketts, M., Tang, M. Y., Coupe, N., Crook, R., Hamnett, C., Lyons, S., Longley, V., Hulme, L., Mountain, D., Talbot, H., Lucas, L., Ecob, C., Huggett, C., Hozhabrafkan, K., Hyder, S. S. & Lee, R.
1/09/10 → …
Project: Research