RecruitingACTRN12619000559112

Comparison of a brief versus extended telephone delivered intervention for hazardous alcohol use among young people living with severe mental ill-health

Pilot randomised controlled trial of two telephone delivered interventions for hazardous alcohol use among young people living with severe mental ill-health

Sponsor

The University of Newcastle

Enrollment

40 participants

Start Date

Aug 19, 2019

Study Type

Interventional

Conditions

alcohol use in young people with severe mental ill-health hazardous alcohol use

Summary

The proposed project will evaluate the feasibility, acceptability and preliminary effectiveness of a telephone delivered intervention that targets problematic alcohol consumption in young people living with severe mental ill-health (SMI). Analysis will focus on issues associated with recruitment, ongoing engagement of participants, and satisfaction with the intervention. We will also examine changes in alcohol consumption and mental health symptomatology at follow-up. The randomised pilot trial compares the effects of two interventions: Quik Fix (2 session brief intervention) vs a 10 session Transdiagnostic CBT (TrCBT) intervention. Additional goals include • increasing the identification of young Australians experiencing comorbid SMI and hazardous alcohol use; • providing greater access to evidence-based treatments;

Eligibility

Sex: Both males and femalesMin Age: 16 Yearss

Plain Language Summary

Simplified for easier understanding

This pilot study is testing two different telephone-delivered therapy programs to help young people with serious mental illness who also drink alcohol at harmful levels. Having a mental health condition and problematic alcohol use at the same time is very common but difficult to treat — and many young people struggle to access in-person services. Young people aged 16 and over who are consumers of mental health services and score above a threshold on an alcohol screening test (the AUDIT) will be randomly assigned to either 'Quik Fix' (a brief two-session intervention) or a 10-session Transdiagnostic Cognitive Behavioural Therapy (TrCBT) program, both delivered by phone. The study will measure how acceptable and practical these programs are, as well as any changes in alcohol use and mental health symptoms. You may be eligible if you are 16 or over, are currently receiving mental health services through Hunter New England health, and drink alcohol at risky levels. People who are homeless, have a severe hearing impairment that prevents a phone interview, are actively suicidal, have a severe acquired brain injury, or are severely alcohol dependent (and have not yet undergone detoxification) are not eligible at the time of recruitment. This research aims to improve access to help for a group that is often left without effective support.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

This pilot randomised controlled trial (RCT) will compare a 10 session telephone delivered Transdiagnostic CBT (TrCBT) intervention for hazardous alcohol use among young people with SMI with a 2 sess

This pilot randomised controlled trial (RCT) will compare a 10 session telephone delivered Transdiagnostic CBT (TrCBT) intervention for hazardous alcohol use among young people with SMI with a 2 session telephone brief intervention (QuikFix) comparator treatment. The intervention will be delivered by endorsed clinical psychologists and provisionally registered psychologists. Transdiagnostic CBT (TrCBT): Participants will receive the same first two sessions as those in the QuikFix condition (see comparator treatment). In addition, participants will be offered the opportunity to continue to have up to six further telephone sessions. These sessions will be weekly and approximately 30 minutes in duration. Session material is based on principles of metacognitive therapy for emotional disorder (Wells, 2000) and metacognitive formulation of problem drinking (Spada, Caselli & Wells, 2013). Email summaries of specific skills learnt in session will be sent to participants at the completion of a session. A brief text message will be sent between the participant’s sessions to promote skills rehearsal, monitoring of health behaviours and maintain contact with the participant. Participants in the TrCBT condition are also offered the opportunity for a significant other or family member to access two phone sessions of support which involve orienting the person to coping skills and referral to potential helpful resources. These sessions will be provided by a different psychologist to the one allocated to provide treatment to the associated young person. The first family support session will be 60 mins in duration and the second approximately 30 minutes. Sessions will be conducted a week apart and based on the 5-step method (Copello et al, 2010) which aims to assist family members supporting those with substance misuse issues and help them identify and access appropriate coping strategies and personal support mechanisms.

Locations(1)

James Fletcher - Newcastle

NSW, Australia

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