Clinical Trial: Dialectical Behaviour Group Therapy for Adults With Intellectual Disabilities

Study Status: Recruiting
Recruit Status: Recruiting
Study Type: Interventional

Official Title: Adapting and Evaluating Dialectical Behaviour Group Therapy for Adults With Dual Diagnosis (Intellectual Disabilities With Psychiatric Disorder)

Brief Summary: To determine the feasibility and effectiveness of a RCT of an adapted DBT group delivered to individuals with ID and emotional dysregulation.

Detailed Summary:

1.2 Introduction

This pilot intervention attempts to deliver and evaluate an adapted Dialectical Behavior Therapy (DBT) in group format. It is hypothesized that the strategies taught through this adapted modality will increase adults with dual diagnosis skills in managing difficult situations and their emotional reactions, thereby decreasing risk of crisis and ultimately demands placed on the mental health service system.

1.3 Research Questions:

Four key questions are addressed within this project:

  1. Can adults with intellectual disabilities learn and retain knowledge and skills presented in an adapted DBT group program; both directly following completion and after 3 months?
  2. Do participants report positive increases in self-esteem and greater engagement in social situations following group participation?
  3. Are there decreases in signs and symptoms of mental health issues i.e. anxiety and depression and improvements in challenging behavior following completion of the dialectical behavior group therapy program?
  4. Does the program provide any benefit to caregivers? (e.g., are the able to de-escalate "crisis" situations quicker? Do caregivers feel it provides them tools to use when the client experiences distress? Does it lessen the caregivers stress?)

2. Methods

2.1 Research Design:

Building upon the DBT adaptation work performed in the United States by Charleton and Dykstra (2011), it is necessary to further refine this intervention t
Sponsor: Queen's University

Current Primary Outcome: Change in Difficulties in Emotional Regulation Scale (Gratz & Roemner, 2004) [ Time Frame: Pre treatment and 12 week post treatment ]

Original Primary Outcome: Same as current

Current Secondary Outcome:

  • Change in Novaco Anger Scale: Part B (Provocation Index)(Novaco, 2003) [ Time Frame: Pre treatment and 12 week post treatment ]
  • Change in Reiss Scale of Dual Diagnosis 38Q (IDS, 1987) [ Time Frame: Pre treatment and 12 week post treatment ]
  • Change in Adapted Emotion Regulation Checklist (Adapted with permission from Dante Cicchetti by Jessica Jones) [ Time Frame: Pretreatment and 12 week post treatment ]
  • Global Impression of Change [ Time Frame: 12 week Post Treatment ]


Original Secondary Outcome: Same as current

Information By: Queen's University

Dates:
Date Received: September 12, 2016
Date Started: August 2016
Date Completion: March 2018
Last Updated: September 28, 2016
Last Verified: September 2016