Abstract
Background
Hearing voices is a common experience for young people and can cause significant distress. There are no evidence-based psychological interventions for distressing voices in young people, although a focus on coping strategies has been suggested as a useful approach. We have developed and evaluated a brief 1:1 coping intervention for young people who hear distressing voices. This intervention has been successfully piloted within Child and Adolescent Mental Health Services (CAMHS), together with a psychoeducational workshop for parents. The 1:1 intervention and the workshop will be combined into an intervention package and offered within schools to maximise accessibility.
Methods
This study will be an uncontrolled feasibility evaluation addressing the following questions: is the intervention package acceptable to young people, those who support them, and staff and practitioners within secondary schools? What is the optimum content, structure, and duration for the intervention package? Is delivery of the intervention package feasible for the practitioners and what are their requirements for training and supervision? What tools can be used to evaluate the impact of the intervention package?
The study will be guided by the MRC Framework for the development of complex interventions and consist of an iterative process over four phases: phase 1—adaptation of the intervention package with young people, parents, and school staff; phase 2—delivery of the intervention package through Mental Health Support Teams to students, supporters who have been nominated by the students and school staff; phase 3—analysis of quantitative and qualitative data collected from participants and practitioners; phase 4—further adaptation of the intervention package with young people, parents and school staff.
Discussion
If the findings from the study suggest that a future trial is warranted, a feasibility Randomised Controlled Trial will be designed to establish the parameters for a definitive trial.
Trial registration
Current Controlled Trials ISRCTN registration number: 16395888. Registered on 11 January 2024. 10.1186/ISRCTN16395888.
Hearing voices is a common experience for young people and can cause significant distress. There are no evidence-based psychological interventions for distressing voices in young people, although a focus on coping strategies has been suggested as a useful approach. We have developed and evaluated a brief 1:1 coping intervention for young people who hear distressing voices. This intervention has been successfully piloted within Child and Adolescent Mental Health Services (CAMHS), together with a psychoeducational workshop for parents. The 1:1 intervention and the workshop will be combined into an intervention package and offered within schools to maximise accessibility.
Methods
This study will be an uncontrolled feasibility evaluation addressing the following questions: is the intervention package acceptable to young people, those who support them, and staff and practitioners within secondary schools? What is the optimum content, structure, and duration for the intervention package? Is delivery of the intervention package feasible for the practitioners and what are their requirements for training and supervision? What tools can be used to evaluate the impact of the intervention package?
The study will be guided by the MRC Framework for the development of complex interventions and consist of an iterative process over four phases: phase 1—adaptation of the intervention package with young people, parents, and school staff; phase 2—delivery of the intervention package through Mental Health Support Teams to students, supporters who have been nominated by the students and school staff; phase 3—analysis of quantitative and qualitative data collected from participants and practitioners; phase 4—further adaptation of the intervention package with young people, parents and school staff.
Discussion
If the findings from the study suggest that a future trial is warranted, a feasibility Randomised Controlled Trial will be designed to establish the parameters for a definitive trial.
Trial registration
Current Controlled Trials ISRCTN registration number: 16395888. Registered on 11 January 2024. 10.1186/ISRCTN16395888.
| Original language | English |
|---|---|
| Article number | 39 |
| Journal | Pilot and Feasibility Studies |
| Volume | 11 |
| Issue number | 1 |
| Early online date | 4 Apr 2025 |
| DOIs | |
| Publication status | E-pub ahead of print - 4 Apr 2025 |