Comparing CAT-guided self-help and CBT-guided self-help for people returning to NHS talking therapy
Effectiveness and Acceptability of Cognitive Analytic Therapy Guided Self-help (CAT-GSH) for Anxiety and Depression for Returning Patients in NHS Talking Therapies Services
NA · University of Sheffield · NCT06806176
This project will try CAT-guided self-help and compare it with CBT-guided self-help for people with anxiety or low mood who are returning to NHS Talking Therapies.
Quick facts
| Phase | NA |
|---|---|
| Study type | Interventional |
| Enrollment | 100 (estimated) |
| Ages | 16 Years and up |
| Sex | All |
| Sponsor | University of Sheffield (other) |
| Locations | 2 sites (Ashton-under-Lyne and 1 other locations) |
| Trial ID | NCT06806176 on ClinicalTrials.gov |
What this trial studies
A prospective quantitative, quasi-experimental design will compare cognitive analytic therapy-guided self-help (CAT-GSH) with cognitive behavioural therapy-guided self-help (CBT-GSH) in adults returning to NHS Talking Therapies for anxiety or low mood. Eligible participants choose their preferred treatment and receive six one-to-one guided self-help sessions delivered weekly or bi-weekly by PWPs trained in CAT-GSH or providing CBT-GSH. Routine outcome measures already collected by the Talking Therapies services will be collated before, during, and after therapy and analysed to compare effectiveness and acceptability across groups and participant characteristics. The work is being conducted at Tameside and Glossop and Leeds Mental Wellbeing services in collaboration with the University of Sheffield.
Who should consider this trial
Good fit: Adults with anxiety or depression who previously received CBT-GSH at the same participating NHS Talking Therapies service and are judged suitable for step 2 low-intensity therapy.
Not a fit: People who are not fluent in English, who have had high-intensity therapy since their prior CBT-GSH, or who received their prior CBT-GSH at a different service are excluded and may not benefit from the study's findings.
Why it matters
Potential benefit: If successful, returning patients could have an effective alternative to CBT-GSH that better meets their needs and improves recovery during low-intensity therapy.
How similar studies have performed: CBT-guided self-help has strong prior evidence for anxiety and depression, while CAT-guided self-help is less established, so this direct comparison is relatively novel.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Previously received CBT-GSH at same participating NHS Talking Therapies service * Presenting with anxiety or depression * Deemed suitable for step 2 low-intensity therapy, through assessment by a qualified PWP Exclusion Criteria: * Previously received high-intensity therapy since receiving CBT-GSH * The previous treatment episode was in another NHS Talking Therapies service. * Not fluent in English Individuals who are not fluent in English will be excluded from the study due to not having translated CAT-GSH workbooks available and limited funding to translate any workbooks.
Where this trial is running
Ashton-under-Lyne and 1 other locations
- Tameside and Glossop NHS Talking Therapies Service — Ashton-under-Lyne, United Kingdom (RECRUITING)
- Leeds Mental Wellbeing Service — Leeds, United Kingdom (RECRUITING)
Study contacts
- Principal investigator: Andrew J Laphan — University of Sheffield
- Study coordinator: Andrew J Laphan
- Email: alaphan1@sheffield.ac.uk
- Phone: 01142226650
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions: Anxiety, Depression, Cognitive analytic therapy, Guided self-help, NHS Talking Therapies, returning patients