Efficacy of humanistic counselling in schools for emotional distress

ISRCTN ISRCTN68290510
DOI https://doi.org/10.1186/ISRCTN68290510
Secondary identifying numbers UEC0809/19
Submission date
02/12/2009
Registration date
21/12/2009
Last edited
15/02/2013
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

Background and study aims.
The study aimed to look at the effectiveness of school-based humanistic counselling in reducing psychological distress in young people.

Who can participate?
The study was for people aged 13-18, who were experiencing some degree of emotional symptoms.

What does the study involve?
Participants were randomly allocated to six weeks of counselling, or asked to wait for counselling.

What are the possible benefits and risks of participating?
The benefits were that young people – in both conditions – had an opportunity to experience counselling, which we know from previous research is generally experienced as helpful and is associated with positive gains in psychological wellbeing. However, there was a small risk that people would find the counselling unhelpful or, for a very small percentage, actively hindering.

Where is the study run from?
It was run in Glasgow and in the north-east of England by the University of Strathclyde.

When is the study starting and how long is it expected to run for?
It ran for approximately six months from January 2009, and is now complete.

Who is funding the study?
It was funded primarily by the British Association for Counselling and Psychotherapy, with some additional funding from Greater Glasgow and Clyde NHS.

Who is the main contact?
Professor Mick Cooper
Mick.cooper@strath.ac.uk

Contact information

Prof Mick Cooper
Scientific

76 Southbrae Drive
Glasgow
G13 1PP
United Kingdom

Email mick.cooper@strath.ac.uk

Study information

Study designMulticentre randomised controlled pilot study
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Other
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleEfficacy of humanistic counselling in schools for emotional distress: a pilot randomised controlled trial
Study acronymSCOOLS
Study hypothesisFor young people (13 - 18 years old) experiencing psychological distress, weekly counselling will be more effective than waiting list conditions.
Ethics approval(s)University of Strathclyde Ethics Committee approved on the 17th December 2008
ConditionEmotional distress
InterventionCounselling:
Young people were offered weekly counselling for up to six sessions. The nature of the counselling was therapeutic rather than advice- or career-orientated, and was based on the competences for humanistic psychological therapies developed at University College London through funding from Skills for Health. Counselling, defined in this way, puts particular emphasis on the development of a trusting relationship between the therapist and client, and tries to understand the client's 'world' from their point of view. Counsellors were BACP accredited practitioners or equivalent, working within a set of professional ethical guidelines for counselling and psychotherapy. They had experience of working in humanistic ways with young people. A selection of session recordings were audited by the research team to monitor adherence to humanistic psychological therapy competences. The Humanistic Competences Compliance Checklist Version 3 was developed for this purpose. The Checklist was based on the format of the NICE(R) Record Sheet.

Waiting list:
Young people allocated to the control condition were not offered any formal counselling intervention for the six week period. However, they were informed that they had access to the school's full pastoral care provision at any point during the trial, including the school's pre-existing counselling service. At the endpoint assessment, participants in the waiting list condition were offered the option of direct entry to counselling.

Follow-up on both arms was at six weeks from baseline assessment.
Intervention typeOther
Primary outcome measureEmotional Symptom Score on SDQ (SDQ-ES), measured at baseline and six weeks
Secondary outcome measuresMeasured at baseline and six weeks:
1. Total Difficulties Score on SDQ (SDQ-TD)
2. Mood and Feelings Questionnaire (MFQ)
3. Clinical Outcomes in Routine Evaluation for Young People (YP-CORE)
4. Experience of Service Questionnaire (ESQ)
5. Social Inclusion Questionnaire (IQYP)
6. Adapted Change Interview (for clients)
7. Adapted Change Interview (for waitlist)
Overall study start date05/01/2009
Overall study end date26/06/2009

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants32
Participant inclusion criteria1. Aged 13 to 18 years, either sex
2. Experiencing borderline or abnormally high levels of emotional distress, as indicated by a score of 4 or above on the Strengths and Difficulties Questionnaire (SDQ) Emotional Symptoms Subscale at assessment
3. Motivated to attend counselling, as indicated by a response of 'somewhat true' or 'certainly true' on the Anxiety Control Questionnaire (ACQ) at assessment
4. Capable of consenting to participate in research, as indicated by a member of the pastoral care team
5. Greater than 85 per cent attendance at school, as indicated by a member of the pastoral care team
Participant exclusion criteria1. Risk of significant harm to self or other, as indicated by a member of the pastoral care team and the researcher at assessment
2. Involvement with other child and young people mental health agencies, including the established school counselling service, as indicated by a member of the pastoral care team and/or the young person at assessment
3. Planning/likely to move school during period of study, as indicated by a member of the pastoral care team and/or the young person at assessment
Recruitment start date05/01/2009
Recruitment end date26/06/2009

Locations

Countries of recruitment

  • Scotland
  • United Kingdom

Study participating centre

76 Southbrae Drive
Glasgow
G13 1PP
United Kingdom

Sponsor information

University of Strathclyde (UK)
University/education

76 Southbrae Drive
Glasgow
G13 1PP
Scotland
United Kingdom

Email sarah.currie@strath.ac.uk
Website http://www.strath.ac.uk
ROR logo "ROR" https://ror.org/00n3w3b69

Funders

Funder type

Government

British Association of Counselling and Psychotherapy (UK)

No information available

University of Strathclyde (UK)

No information available

Greater Glasgow and Clyde NHS Trust (UK)

No information available

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 22/04/2010 Yes No