Problem Solving Treatment (PST) Project
| ISRCTN | ISRCTN51021015 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN51021015 |
| Secondary identifying numbers | 42.00.0001; NTR607 |
- Submission date
- 13/07/2005
- Registration date
- 14/07/2005
- Last edited
- 23/05/2013
- 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
Not provided at time of registration
Contact information
Dr P. van Oppen
Scientific
Scientific
van der Boechorststraat 7
Amsterdam
1081 BT
Netherlands
| Phone | +31 (0)20 444 8395 |
|---|---|
| pvanoppen@ggzba.nl |
Study information
| Study design | Randomised controlled trial |
|---|---|
| Primary study design | Interventional |
| Secondary study design | Randomised controlled trial |
| Study setting(s) | GP practice |
| Study type | Treatment |
| Scientific title | |
| Study acronym | PST |
| Study hypothesis | There is a need for assistance by primary care mental health workers in general practice in the Netherlands. General Practitioners (GPs) experience an overload of frequent attenders suffering from (co-morbid) psychological problems. For most GPs these problems are complicated to recognise and to refer. PST is a brief and practical skill-building psychological treatment. The treatment has a strict protocol and is based on the principles of cognitive behavioural therapy. PST delivered by nurses seems to be an effective treatment for patients with psychological problems in primary care. This treatment increases the patients skill of structured problem solving and gives back a sense of control. However, research outcomes differ and no systematic review is available. This protocol describes a randomised clinical trial on the effectiveness of PST delivered by nurses for patients in general practice. |
| Ethics approval(s) | Ethics approval received from the local medical ethics committee |
| Condition | Psychological problems |
| Intervention | PST versus care as usual. |
| Intervention type | Other |
| Primary outcome measure | Reduction of symptoms, measured using the Hospital Anxiety and Depression Scale (HADS) to monitor symptom levels of anxiety and depression. |
| Secondary outcome measures | 1. Social problem-solving skills, measured using a questionnaire designed by DZurilla 2. Psychological and physical well-being using the 36-item short form health survey (SF-36) 3. Social support, using the Social Support Inventory 4. Coping-styles by the VOMS (Vragenlijst over Omgaan met Situaties) is the Dutch adaption of the ways of coping questionnaire (WAYS) which is based on the transactional coping theory of Lazarus and Folkman 5. Rumination: actual scientific reports suggest rumination as a significant, and probable prognostic, factor for depression. The ruminative response scale (RRS) wil be used to measure this. 6. Problem evaluation 7. Health care utilisation. We used the Trimbos/iMTA questionnaire for costs associated with psychiatric illness (Tic-P) to measure the amount health care patients consume and to register sick days from work. Furthermore, the EQ-5D was used. |
| Overall study start date | 01/11/2002 |
| Overall study end date | 01/11/2006 |
Eligibility
| Participant type(s) | Patient |
|---|---|
| Age group | Adult |
| Lower age limit | 18 Years |
| Sex | Both |
| Target number of participants | 160 |
| Participant inclusion criteria | Patients of 18 years and older, who present psychological problems and are frequent attenders of general practice are recruited by the research-assistant. |
| Participant exclusion criteria | 1. Patients who are treated in last year in the GGz, for example with cognitive behaviour therapy 2. Patients who suffer from a serious medical sickness, psychotic impairment, primarily organic-mental impairment or serious individuality problems 3. Patients who are multiple visitors of the general practitioner because of chronic disease or hypochondria 4. Patients who are indicated for anxiolytic or antidepressant treatment, or patients who used these drugs less than 12 weeks ago, or those without constant treatment dose in the following 10 weeks 5. Patients with serious addiction problems 6. Patients who are suicidal 7. Patients who are not able to fill in the questionnaire (General Health Questionnaire [GHQ]) 8. Patients with insufficient knowledge of the Dutch language |
| Recruitment start date | 01/11/2002 |
| Recruitment end date | 01/11/2006 |
Locations
Countries of recruitment
- Netherlands
Study participating centre
van der Boechorststraat 7
Amsterdam
1081 BT
Netherlands
1081 BT
Netherlands
Sponsor information
Ministry of Mental Health Care (Geestelijke Gezondheidszorg [GGZ]) (The Netherlands)
Government
Government
van der Boechorststraat 7
Amsterdam
1081 BT
Netherlands
| Website | http://www.ggznederland.nl/ |
|---|
Funders
Funder type
Research organisation
The Netherlands Organisation for Health Research and Development (ZonMw) (The Netherlands)
No information available
Results and Publications
| Intention to publish date | |
|---|---|
| Individual participant data (IPD) Intention to share | No |
| IPD sharing plan summary | Not provided at time of registration |
| Publication and dissemination plan | Not provided at time of registration |
| IPD sharing plan |
Study outputs
| Output type | Details | Date created | Date added | Peer reviewed? | Patient-facing? |
|---|---|---|---|---|---|
| Protocol article | protocol | 12/10/2005 | Yes | No | |
| Results article | results | 10/10/2012 | Yes | No |
