Status:
UNKNOWN
Identifying and Managing Psychological Distress in Multiple Sclerosis: The COMPASS-MS Study
Lead Sponsor:
King's College London
Collaborating Sponsors:
King's College Hospital NHS Trust
Conditions:
Multiple Sclerosis
Depression
Eligibility:
All Genders
18+ years
Brief Summary
The aim of this pre-post observational study is to explore if it is feasible to implement 1) routine mental health screening and b) an online Cognitive Behavioural Therapy (CBT) treatment for anxiety ...
Detailed Description
The aim of the project is to conduct a feasibility study regarding the implementation of a) routine mental health screening and b) the COMPASS-MS programme as a low-intensity online CBT treatment for ...
Eligibility Criteria
Inclusion
- Patients will be eligible for inclusion for the COMPASS-MS intervention if they are:
- Aged ≥18 years
- Have a diagnosis of MS.
- Speak English to a sufficiently high standard to allow them to interact with digital CBT programmes.
- Have access to a computer and email account to allow them to register with the digital CBT programme, and a basic understanding of internet use.
- Presence of depression and/or anxiety and/or psychological distress evidenced by:
- i. A score of ≥ 5 on the nine item self-report measure of depression: PHQ-9 (Kroenke et al., 2001) AND/OR ii. A score of ≥ 5 on the seven item self-report measure of anxiety: GAD-7 (Spitzer et al., 2006).
- OR iii. A score of ≥ 10 on the composite measure of depression and anxiety PHQ-ADS (Kroenke et al., 2016).
- AND iv. Distress is related to their MS (i.e. answer "yes" or "sometimes" to "Is your distress linked to your MS?"
- The below eligibility criteria apply to HCPs who have experience in engaging with COMPASS-MS care pathways at King's College Hospital (KCH).
- Healthcare providers (HCPs) will be eligible for inclusion if they meet all or any of the below criteria:
- Work in the Neurology Service at KCH providing care to PwMS
- Have experience of either: i) Assessing and triaging patients for psychological distress and/or ii) Providing therapist support to the users of COMPASS-MS.
- Work in or alongside KCH who are implementing: i) Routine mental health screening ii) COMPASS digital CBT (e.g. pharmacy/physiotherapy commissioning bodies).
- Key Stakeholder Inclusion Criteria
- Key Stakeholders from Neurology services external to KCH will be invited to take part in an interview if they meet all or any of the below criteria:
- Work in a Neurology Service in England including both inpatient services and MS therapy centres.
- Have direct patient experience with working with PwMS (e.g. Neurologist, Doctor, Nurse, Reception)
- Work alongside a Neurology services in England and are involved in the care of PwMS (e.g. pharmacy/physiotherapy/commissioning bodies).
Exclusion
Key Trial Info
Start Date :
February 1 2024
Trial Type :
OBSERVATIONAL
Allocation :
ESTIMATED
End Date :
February 1 2025
Estimated Enrollment :
102 Patients enrolled
Trial Details
Trial ID
NCT06222359
Start Date
February 1 2024
End Date
February 1 2025
Last Update
January 24 2024
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