A Case Series of Culturally-adapted CBTp for Black People in the UK

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age16+
SponsorUniversity of Manchester

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 volunteers

Qualifiers

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

Design model

Single group

Treatments tested in this trial

  • Culturally-adapted cognitive-behavioural therapy

    Behavioral

    Cognitive-behavioural therapy for psychosis culturally-adapted for Black Sub-Saharan African and Caribbean people using a dedicated, integrated treatment manual

Treatment groups

6 Participants
are divided into 1 treatment group
Group A: TherapyExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Semi-structured qualitative interview: Service user acceptability

Service user satisfaction as assessed by qualitative interview.

Time frame
End of therapy (16 weeks)

Secondary outcomes

1

Working Alliance Inventory-Short Form Revised

Acceptability measured sessionally using the Working Alliance Inventory-Short Form Revised (Hatcher \& Gillaspy, 2006)

Time frame
End of therapy (16 weeks)
2

Adverse Events Checklist

Safety monitored sessionally using an Adverse Events Checklist developed for this study

Time frame
Each therapy session (16 weeks)
3

Subjective Experience of Psychosis Scale

Subjective distress measured by the Subjective Experience of Psychosis Scale (Haddock et al., 2011)

Time frame
End of therapy (16 weeks)
4

Questionnaire about the Process of Recovery

Perceived recovery measured by the Questionnaire about the Process of Recovery (Law et al., 2014)

Time frame
End of therapy (16 weeks)

Other outcomes

Sponsors and contacts

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