Actively Recruiting

Phase Not Applicable
Age: 16Years - 18Years
All Genders
ID07350954

Assessing the Acceptability and Feasibility of TRUST, a Brief Intervention for Paranoia in Adolescents

Led by Lucy Jonas · Updated on 2026-01-20

8

Participants Needed

1

Research Sites

4 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This research aims to evaluate whether a new brief talking therapy called TRUST is suitable and can be successfully provided to adolescents aged 16 to 18 who experience paranoia and seek help from Child and Adolescent Mental Health Services (CAMHS). Paranoia involves strong fears that others intend to harm, causing distress and impacting daily life. Despite its prevalence among young people, there are currently no therapies designed specifically for adolescent paranoia, making this study important to fill that treatment gap. Participants will receive TRUST, a six-session individual psychological intervention combining values-based work and mental imagery techniques. The therapy sessions include assessment and psychoeducation, identifying personal values and goals, using imagination to change negative beliefs, and reviewing progress. The study uses a single-case experimental design with baseline periods of 2 to 4 weeks before starting the weekly one-hour therapy sessions. During the study, participants complete questionnaires before, during, and after the intervention, with a follow-up one month later. Researchers will assess recruitment, retention, adherence to therapy, and acceptability of the intervention. They will also monitor changes in paranoia severity using the Revised Green et al., Paranoid Thoughts Scale (R-GPTS) and other measures of beliefs, imagery, values, and daily functioning. The total participation spans up to 14 weeks, including therapy and follow-up assessments.

CONDITIONS

Brief Title

Acceptability and Feasibility of a Brief Paranoia Intervention.

Who Can Participate

Age: 16Years - 18Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Aged 16-18 years
  • Seeking help from a Child and Adolescent Mental Health Service (CAMHS)
  • Scoring 11 or higher on the Revised Green et al., Paranoid Thoughts Scale (R-GPTS) Part B
  • Sufficient understanding of English
  • Capacity to consent as assessed during the initial interview
  • Wanting support with paranoia
  • Low to moderate mental health risks without immediate safety concerns
Not Eligible

You will not qualify if you...

  • Severe comorbid diagnoses such as primary alcohol or substance dependence
  • Developmental disability or cognitive impairment that interferes with participation
  • Concurrent participation in another psychological therapy
  • High current risk with significant safety concerns, such as suicidal intent

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

Screening and enrollment visit

Baseline Phase

Duration - 2 to 4 weeks depending on baseline length assignment

Participants complete pre-intervention questionnaires and a baseline period to establish stable symptom measurement.

Weekly visits for baseline assessments

Outpatient Treatment

Duration - 6 weeks

Participants receive six weekly one-hour individual therapy sessions combining values-based work and mental imagery techniques designed to reduce paranoia.

6 weekly therapy sessions (in-person)

Follow-up

Duration - 1 month

Participants complete a follow-up assessment one month after the intervention to evaluate maintenance of treatment effects and provide feedback.

1 follow-up visit (in-person or remote)

Trial Site Locations

Total: 1 location

1

Westminster's Child and Adolescent Mental Health Service

London, United Kingdom, W9 2NW

Actively Recruiting

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Research Team

J

Jessica Kingston, DClinPsy PhD

C

Christopher Taylor, DClinPsy PhD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

OTHER

Number of Arms

1

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Published Research Related To This Trial

Validation of the comprehensive assessment of acceptance and commitment therapy processes for youth: The CompACT-Y.

Alex Morey, Victoria Samuel, Matthew Lewis...

https://pubmed.ncbi.nlm.nih.gov/40519958

The Work and Social Adjustment Scale, Youth and Parent Versions: Psychometric Evaluation of a Brief Measure of Functional Impairment in Young People.

Amita Jassi, Fabian Lenhard, Georgina Krebs...

https://pubmed.ncbi.nlm.nih.gov/32006302

The revised Green et al., Paranoid Thoughts Scale (R-GPTS): psychometric properties, severity ranges, and clinical cut-offs.

Daniel Freeman, Bao S Loe, David Kingdon...

https://pubmed.ncbi.nlm.nih.gov/31744588

iMAgery focused psychological therapy for persecutory delusions in PSychosis (iMAPS): a multiple baseline experimental case series.

Christopher D J Taylor, Penny E Bee, James Kelly...

https://pubmed.ncbi.nlm.nih.gov/32264985