Trial platform: preventing depression relapse in the National Health Service practice using Mindfulness-Based Cognitive Therapy

ISRCTN ISRCTN12720810
DOI https://doi.org/10.1186/ISRCTN12720810
Secondary identifying numbers G0401161
Submission date
27/06/2006
Registration date
31/08/2006
Last edited
31/07/2012
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 Willem Kuyken
Scientific

University of Exeter
Mood Disorders Centre
School of Psychology
Perry Road
Exeter
EX4 4QG
United Kingdom

Email w.kuyken@exeter.ac.uk

Study information

Study designRandomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Not specified
Study typePrevention
Scientific title
Study acronymMBCT
Study hypothesisAims:
1. To carry out preparatory work necessary to design and conduct an adequately powered, well-controlled, multi-centre randomised controlled effectiveness study of the generalisability of MBCT to real-world National Health Service (NHS) practice settings comparing it to the current treatment of choice (anti-depressant medication)
2. To examine key mechanisms that enhance recovery and prevent relapse via a pilot process-outcome study.

Objectives:
1. To integrate MBCT into selected primary care service contexts
2. To fully cost MBCT
3. To establish patient throughput numbers
4. To develop training and supervision packages for MBCT therapists
5. To pilot measures of mechanisms of change, health status and cost-effectiveness
6. To estimate MBCT effect sizes in real-world conditions
7. To resolve methodology/design issues for the phase IV study, including necessary sample size (based on points one, two & five above), feasibility/method of randomising patients with remitted depression to pharmacological and MBCT treatment arms and optimal follow-up periods
Ethics approval(s)North and East Devon research ethics committee project (reference number: 05/Q2102/77)
approval given 8th August 2005.
ConditionDepression
InterventionContinuation anti-depressants or Mindfulness-based Cognitive Therapy.
Intervention typeOther
Primary outcome measureIn line with previous MBCT randomised controlled trials (RCTs), the primary outcome measure will be a recurrence of depression meeting DSM-IV criteria.
Secondary outcome measuresSecondary outcome measures will be residual depressive symptoms (measured by the interviewer-rated Hamilton Depression Scale and self-report Beck Depression Inventory). In line with effectiveness trials examining an intervention’s generalisability, a novel feature of this study will be extending outcome assessment to health status (using the Medical Outcomes Study [MOS SF-12] instrument), quality of life (using the World Health Organisation Quality of Life [WHOQOL-BREF] instrument), and health costs (using Client Service Receipt Inventory adapted for depression relapse studies).
Overall study start date01/09/2005
Overall study end date30/09/2007

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants40 in MBCT and 40 in continuation anti-depressants
Participant inclusion criteria1. Three or more previous episodes of depression meeting the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) criteria (including the current episode)
2. Aged 18 or older
3. Currently in either partial or full remission from last episode of depression
Participant exclusion criteriaCo-morbid psychiatric diagnoses that would:
1. Interfere with engaging with MBCT (current substance dependence)
2. Be exacerbated by MBCT (psychosis, very disabling obsessive compulsive disorder) and formal concurrent psychotherapy
Recruitment start date01/09/2005
Recruitment end date30/09/2007

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

University of Exeter
Exeter
EX4 4QG
United Kingdom

Sponsor information

University of Exeter (UK)
University/education

School of Psychology
Perry Road
Exeter
EX4 4QG
England
United Kingdom

Email w.kuyken@exeter.ac.uk
Website http://www.exeter.ac.uk/
ROR logo "ROR" https://ror.org/03yghzc09

Funders

Funder type

Research council

Medical Research Council (MRC) (UK) (ref: G0401161)
Government organisation / National government
Alternative name(s)
Medical Research Council (United Kingdom), UK Medical Research Council, MRC
Location
United Kingdom

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/12/2008 Yes No
Results article results 01/07/2009 Yes No
Results article results 01/06/2010 Yes No
Results article results of sub-study on effect on parenting 01/01/2012 Yes No