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Completed

NCT Number: NCT01132976

The Personal Concerns Inventory Study (PCI)

Services for people with personality disorders are challenged by how to engage clients in therapy. High non-completion rates have major cost-efficiency implications, but more worrying is that drop-out may be associated with negative outcomes for clients. The investigators have developed a motivational intervention that helps people focus on their valued and attainable life goals and consider how therapy could help with goal attainment.One way to improve retention in treatment is to deliver pre-therapy motivational preparation interviews. The primary aim of our proposed research is to gather information to determine whether a randomised controlled trial of a goal-based motivational intervention is feasible in a community personality disorder treatment service.

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Key information

Conditions

Personality Disorders Mental Disorders

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Nottinghamshire Personality Disorder & Development Network, Mandala Centre

Nottingham, NG7 6LB, United Kingdom

About this study

The investigators aim to work with community adults with personality disorder. Referrals to Nottinghamshire NHS Trust's community personality disorder service will be eligible for inclusion. After initial assessment for suitability for the service, patients will be randomised to receive the motivational interview plus treatment as usual or treatment as usual only. The investigators aim to recruit 100 participants over 1½ years. The comparison is between a motivational intervention called the Personal Concerns Inventory plus treatment as usual and and treatment as usual only in the client preparation phase. The feasibility measures are (1) the recruitment rate to a goal-based motivational interview plus treatment as usual or treatment as usual only, and (2) the acceptability of the intervention to clients and therapists. The investigators will also develop measures to assess the processes by which the intervention may have an effect, and assess the cost of the intervention compared with treatment as usual.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Referred to the Nottinghamshire Personality Disorder and Development Network
  • Opted to attend group sessions within the Nottinghamshire Personality Disorder and Development Network
  • Aged 18 or over.
  • Proficiency in spoken English
  • Capacity to provide valid informed consent

Exclusion criteria

  • Currently enrolled in another trial

Treatment and study plan

Personal Concerns Inventory

Behavioral

This is a pre-treatment, goal-based motivational interview which helps to patients identify their life goals, and goal-value. The interview will last approximately 2 hours and will be carried out face to face with a therapist across one or two sessions.

Treatment as Usual

Behavioral

No specific motivational interview

Primary outcomes

  1. Recruitment

    Time frame: 18 months

    A randomised controlled trial will be considered feasible if the recruitment rate to the project is 54% of all referrals (95% CI 54-64).

  2. Acceptability to patients

    Time frame: 18 months

    80% of clients find the intervention acceptable in terms of its practicability and usefulness (95% CI 80-91)

  3. Acceptability to staff

    Time frame: 18 months

    80% therapists report finding the intervention helpful (95% CI 80-100)

Secondary outcomes

  1. The Treatment Engagement Rating Scale (TER; Drieschner & Boomsma, 2008)

    Time frame: 20 weeks after intervention

    This is a therapist rating scale with items addressing the client's participation, constructive use of sessions, opennness, efforts to change, making sacrifices, goal directedness, and reflection.

  2. Client Service Receipt Inventory

    Time frame: 20 weeks after intervention

    Client self-report of receipt of services

  3. Treatment attendance

    Time frame: 20 weeks after intervention

    Percentage sessions attended of sessions offered

Sponsors and collaborators

Lead sponsor

Nottinghamshire Healthcare NHS Trust

Other Gov

Collaborators

  • Bangor University
  • University of Nottingham

Registry information

Official study title

The Addition of a Goal-based Motivational Interview to Standardised Treatment as Usual to Reduce Dropouts From a Service for Patients With Personality Disorder: A Feasibility Study

Acronym: PCI

Important dates

Study start
2009
Primary completion
2012
Study completion
2012
First posted
May 28, 2010
Registry last updated
Mar 25, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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