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Narrative enhancement and cognitive therapy (NECT) to improve social functioning in people with serious mental illness: study protocol for a stepped-wedge cluster randomized controlled trial
BACKGROUND: Self-stigma is highly prevalent in serious mental illness (SMI) and is associated with poorer clinical and functional outcomes. Narrative enhancement and cognitive therapy (NECT) is a group-based intervention combining psychoeducation, cognitive restructuring and story-telling exercises...
Autores principales: | , , , , , , , , , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7869198/ https://www.ncbi.nlm.nih.gov/pubmed/33557924 http://dx.doi.org/10.1186/s13063-021-05067-1 |
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author | Dubreucq, J. Faraldo, M. Abbes, M. Ycart, B. Richard-Lepouriel, H. Favre, S. Jermann, F. Attal, J. Bakri, M. Cohen, T. Cervello, C. Chereau, I. Cognard, C. De Clercq, M. Douasbin, A. Giordana, J. Y. Giraud-Baro, E. Guillard-Bouhet, N. Legros-Lafarge, E. Polosan, M. Pouchon, A. Rolland, M. Rainteau, N. Roussel, C. Wangermez, C. Yanos, P. T. Lysaker, P. H. Franck, N. |
author_facet | Dubreucq, J. Faraldo, M. Abbes, M. Ycart, B. Richard-Lepouriel, H. Favre, S. Jermann, F. Attal, J. Bakri, M. Cohen, T. Cervello, C. Chereau, I. Cognard, C. De Clercq, M. Douasbin, A. Giordana, J. Y. Giraud-Baro, E. Guillard-Bouhet, N. Legros-Lafarge, E. Polosan, M. Pouchon, A. Rolland, M. Rainteau, N. Roussel, C. Wangermez, C. Yanos, P. T. Lysaker, P. H. Franck, N. |
author_sort | Dubreucq, J. |
collection | PubMed |
description | BACKGROUND: Self-stigma is highly prevalent in serious mental illness (SMI) and is associated with poorer clinical and functional outcomes. Narrative enhancement and cognitive therapy (NECT) is a group-based intervention combining psychoeducation, cognitive restructuring and story-telling exercises to reduce self-stigma and its impact on recovery-related outcomes. Despite evidence of its effectiveness on self-stigma in schizophrenia-related disorders, it is unclear whether NECT can impact social functioning. METHODS: This is a 12-centre stepped-wedge cluster randomized controlled trial of NECT effectiveness on social functioning in SMI, compared to treatment as usual. One hundred and twenty participants diagnosed with schizophrenia, bipolar disorder or borderline personality disorder will be recruited across the 12 sites. The 12 centres participating to the study will be randomized into two groups: one group (group 1) receiving the intervention at the beginning of the study (T0) and one group (group 2) being a control group for the first 6 months and receiving the intervention after (T1). Outcomes will be compared in both groups at T0 and T1, and 6-month and 12-month outcomes for groups 1 and 2 will be measured without a control group at T2 (to evaluate the stability of the effects over time). Evaluations will be conducted by assessors blind to treatment allocation. The primary outcome is personal and social performance compared across randomization groups. Secondary outcomes include self-stigma, self-esteem, wellbeing, quality of life, illness severity, depressive symptoms and personal recovery. DISCUSSION: NECT is a promising intervention for reducing self-stigma and improving recovery-related outcomes in SMI. If shown to be effective in this trial, it is likely that NECT will be implemented in psychiatric rehabilitation services with subsequent implications for routine clinical practice. TRIAL REGISTRATION: ClinicalTrials.gov NCT03972735. Trial registration date 31 May 2019. |
format | Online Article Text |
id | pubmed-7869198 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-78691982021-02-08 Narrative enhancement and cognitive therapy (NECT) to improve social functioning in people with serious mental illness: study protocol for a stepped-wedge cluster randomized controlled trial Dubreucq, J. Faraldo, M. Abbes, M. Ycart, B. Richard-Lepouriel, H. Favre, S. Jermann, F. Attal, J. Bakri, M. Cohen, T. Cervello, C. Chereau, I. Cognard, C. De Clercq, M. Douasbin, A. Giordana, J. Y. Giraud-Baro, E. Guillard-Bouhet, N. Legros-Lafarge, E. Polosan, M. Pouchon, A. Rolland, M. Rainteau, N. Roussel, C. Wangermez, C. Yanos, P. T. Lysaker, P. H. Franck, N. Trials Study Protocol BACKGROUND: Self-stigma is highly prevalent in serious mental illness (SMI) and is associated with poorer clinical and functional outcomes. Narrative enhancement and cognitive therapy (NECT) is a group-based intervention combining psychoeducation, cognitive restructuring and story-telling exercises to reduce self-stigma and its impact on recovery-related outcomes. Despite evidence of its effectiveness on self-stigma in schizophrenia-related disorders, it is unclear whether NECT can impact social functioning. METHODS: This is a 12-centre stepped-wedge cluster randomized controlled trial of NECT effectiveness on social functioning in SMI, compared to treatment as usual. One hundred and twenty participants diagnosed with schizophrenia, bipolar disorder or borderline personality disorder will be recruited across the 12 sites. The 12 centres participating to the study will be randomized into two groups: one group (group 1) receiving the intervention at the beginning of the study (T0) and one group (group 2) being a control group for the first 6 months and receiving the intervention after (T1). Outcomes will be compared in both groups at T0 and T1, and 6-month and 12-month outcomes for groups 1 and 2 will be measured without a control group at T2 (to evaluate the stability of the effects over time). Evaluations will be conducted by assessors blind to treatment allocation. The primary outcome is personal and social performance compared across randomization groups. Secondary outcomes include self-stigma, self-esteem, wellbeing, quality of life, illness severity, depressive symptoms and personal recovery. DISCUSSION: NECT is a promising intervention for reducing self-stigma and improving recovery-related outcomes in SMI. If shown to be effective in this trial, it is likely that NECT will be implemented in psychiatric rehabilitation services with subsequent implications for routine clinical practice. TRIAL REGISTRATION: ClinicalTrials.gov NCT03972735. Trial registration date 31 May 2019. BioMed Central 2021-02-08 /pmc/articles/PMC7869198/ /pubmed/33557924 http://dx.doi.org/10.1186/s13063-021-05067-1 Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Study Protocol Dubreucq, J. Faraldo, M. Abbes, M. Ycart, B. Richard-Lepouriel, H. Favre, S. Jermann, F. Attal, J. Bakri, M. Cohen, T. Cervello, C. Chereau, I. Cognard, C. De Clercq, M. Douasbin, A. Giordana, J. Y. Giraud-Baro, E. Guillard-Bouhet, N. Legros-Lafarge, E. Polosan, M. Pouchon, A. Rolland, M. Rainteau, N. Roussel, C. Wangermez, C. Yanos, P. T. Lysaker, P. H. Franck, N. Narrative enhancement and cognitive therapy (NECT) to improve social functioning in people with serious mental illness: study protocol for a stepped-wedge cluster randomized controlled trial |
title | Narrative enhancement and cognitive therapy (NECT) to improve social functioning in people with serious mental illness: study protocol for a stepped-wedge cluster randomized controlled trial |
title_full | Narrative enhancement and cognitive therapy (NECT) to improve social functioning in people with serious mental illness: study protocol for a stepped-wedge cluster randomized controlled trial |
title_fullStr | Narrative enhancement and cognitive therapy (NECT) to improve social functioning in people with serious mental illness: study protocol for a stepped-wedge cluster randomized controlled trial |
title_full_unstemmed | Narrative enhancement and cognitive therapy (NECT) to improve social functioning in people with serious mental illness: study protocol for a stepped-wedge cluster randomized controlled trial |
title_short | Narrative enhancement and cognitive therapy (NECT) to improve social functioning in people with serious mental illness: study protocol for a stepped-wedge cluster randomized controlled trial |
title_sort | narrative enhancement and cognitive therapy (nect) to improve social functioning in people with serious mental illness: study protocol for a stepped-wedge cluster randomized controlled trial |
topic | Study Protocol |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7869198/ https://www.ncbi.nlm.nih.gov/pubmed/33557924 http://dx.doi.org/10.1186/s13063-021-05067-1 |
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