Clinical Trial: Computerised Interventions for Thinking and Anxiety in Delusions (CITADEL) Trial

Study Status: Completed
Recruit Status: Completed
Study Type: Interventional

Official Title: Computerised Interventions for Thinking and Anxiety in Delusions (CITADEL) Trial

Brief Summary:

People with a schizophrenia spectrum diagnosis often experience distressing worries or beliefs about others intending to cause them harm (also known as paranoia). Paranoid beliefs are associated with significant distress and disruption to the person's life. This results in high use of services and costs to mental health providers.

The National Institute of Clinical Excellence recommends that cognitive behavioural therapy for psychosis (CBTp) is offered to everybody with a schizophrenia spectrum psychosis. The latest meta analyses report improved outcomes, and reduced inpatient stays following CBTp, making it a cost effective intervention.

Although improved outcomes have been obtained by therapies, CBTp has only small to moderate effects on paranoid beliefs. Further, training therapists to competently deliver CBTp is intensive, expensive and takes up to a year. CBTp is therefore not widely available to service users, resulting in inequalities in access to care.

The investigators are seeking to improve outcomes and accessibility of CBTp for people with distressing, paranoid beliefs. The proposed research programme aims to conduct a feasibility study of a brief therapeutic intervention, aimed at targeting and improving anxiety processes that are causally implicated in paranoia (Freeman et al, 2015).

The investigators have preliminary evidence indicating that the pilot intervention, with interactive multimedia content, reduced distressing beliefs and improved coping (Freeman et al, 2015). Participants also reported they found the therapy acceptable, enjoyable and useful. Based on these results, the investigators have further modified the intervention. The feasibility and efficacy of the therapy will be investigated in a randomis

Detailed Summary:
Sponsor: King's College London

Current Primary Outcome: Green Paranoid Thoughts Scale [ Time Frame: Change from baseline in paranoia scores at 8 weeks and 12 weeks ]

Original Primary Outcome: Same as current

Current Secondary Outcome:

Original Secondary Outcome:

Information By: King's College London

Dates:
Date Received: August 5, 2013
Date Started: January 2014
Date Completion:
Last Updated: March 16, 2017
Last Verified: March 2017