About this trial
The goal of this case series study is to learn if culturally-adapted cognitive-behavioural therapy is practical, acceptable and safe among Black Sub-Saharan African and Caribbean people experiencing psychosis. The main question it aims to answer is:
Is culturally-adapted CBT for psychosis feasible, acceptable to and safe for Black Sub-Saharan African and Caribbean people experiencing psychosis?
Participants will be asked to:
* Answer some questionnaires about how things are at the moment * Attend up to 16 sessions of therapy * Answer the same questionnaires to see what has changed, if anything * Complete a semi-structured interview about their expectations and experience of therapy
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Service users who identify as Black British, Black Caribbean, Black African, African-Caribbean or Mixed African/Caribbean with at least one parent and/or grandparent born in a Sub-Saharan African or Caribbean country
People with a current ICD-10 schizophrenia spectrum disorder diagnosis, or who are currently receiving or have received support from an Early Intervention in Psychosis team
16 years or older
Sufficient understanding of English to complete study measures and engage with CBTp
Disqualifiers
Current, primary diagnosis of substance use disorder
Organic aetiology of psychosis
Lacking capacity to provide full informed consent
Currently experiencing a mental health crisis (i.e., are open to a home-based treatment team; are currently under Section of the Mental Health Act or have been under Section in the past 3 months) or immediate high risk to self or others (i.e., current suicidal intent or plans; unmanaged and intense non-suicidal self-injury)
Trial design
Single group
Treatments tested in this trial
Culturally-adapted cognitive-behavioural therapy
BehavioralCognitive-behavioural therapy for psychosis culturally-adapted for Black Sub-Saharan African and Caribbean people using a dedicated, integrated treatment manual
Treatment groups
Trial outcomes
Primary outcomes
Semi-structured qualitative interview: Service user acceptability
Service user satisfaction as assessed by qualitative interview.
Secondary outcomes
Working Alliance Inventory-Short Form Revised
Acceptability measured sessionally using the Working Alliance Inventory-Short Form Revised (Hatcher \& Gillaspy, 2006)
Adverse Events Checklist
Safety monitored sessionally using an Adverse Events Checklist developed for this study
Subjective Experience of Psychosis Scale
Subjective distress measured by the Subjective Experience of Psychosis Scale (Haddock et al., 2011)
Questionnaire about the Process of Recovery
Perceived recovery measured by the Questionnaire about the Process of Recovery (Law et al., 2014)
Sponsors and contacts
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