Rebalance: Compassion Focused Therapy in a Transdiagnostic Health Group

Rebalance: Group Compassion Focussed Therapy for People With Transdiagnostic Chronic Health Conditions - a Case Series

This study evaluates the use of group Compassion Focussed Therapy in a population with various and/or multiple long term health conditions. A multiple baseline, single case experimental design will be used with a view to evaluate changes in psychological adjustment and compassion. Daily data and weekly questionnaire batteries will be collected across a baseline period and ten weeks of group intervention. Participants will be those already referred to the group by a clinician as part of their routine care.

Study Overview

• Status: Completed
• Conditions: Compassion; Chronic Disease; Psychological Adjustment
• Intervention / Treatment: Other: Compassion Focussed Therapy

• Study Type: Interventional
• Enrollment (Actual): 6
• Phase: Not Applicable

Contacts and Locations

Study Locations

• United Kingdom
  • Edinburgh, United Kingdom, EH9 2HL
    • NHS Lothian Clinical Health Psychology Service

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Experiencing difficulties adjusting to one or more chronic physical health condition(s)
• Willing and motivated to attend a nine-week group facilitated in English
• Exhibit sufficient interpersonal skills and impulse control to allow them to engage with group members without disrupting group dynamics
• Able to provide informed consent

Exclusion Criteria:

• Moderate or severe impairment of cognitive function
• Primary problem related to drug or alcohol misuse
• Actively suicidal or experiencing an acute deterioration in their mental health including experiencing an acute psychotic episode

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: N/A
• Interventional Model: Single Group Assignment
• Masking: None (Open Label)

Number of Arms

1

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Rebalance - Group Compassion Focussed Therapy	Other: Compassion Focussed Therapy; Group compassion focussed therapy. One session every week for 10 weeks. Each session lasts 2.5 hours with two breaks during this time.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
The compassionate engagement and action scales (assessing change over time)	Measure of compassion compromising three subscales. Each scale contains two sub-sections. All answers on scale of 1 (Never) to 10 (Always).	Recorded weekly throughout baseline period and ten week intervention. Also collected once at 3 month follow up.
Work and social adjustment scale (assessing change over time)	A 5-item measure of functional impairment due to a specified stressor. Each question is scored 1 (Not at all) to 8 (very severely)	Recorded weekly throughout baseline period and ten week intervention. Also collected once at 3 month follow up
Self-efficacy for managing chronic disease scale (assessing change over time)	A 6-item measure of perceived self-efficacy to adherence to recommended self-management programs. Each item scored 1 (not at all confident) to 10 (totally confident).	Recorded weekly throughout baseline period and ten week intervention. Also collected once at 3 month follow up
Illness Cognition Questionnaire (assessing change over time)	18 items each rated on a four-point scale with high internal validity (all above 0.81. Assessing three domains of perceiving illness (helplessness, acceptance and perceived benefits) this tool identifies maladaptive cognitive styles surrounding illness which are linked to poorer psychological outcomes. Scored 1 (not at all) to 4 (completely)	Recorded weekly throughout baseline period and ten week intervention. Also collected once at 3 month follow up
The Warwick-Edinburgh Mental Well-being scale (assessing change over time)	A 14 item measure of psychological wellbeing scored 1 (none of the time) to 5 (all of the time).	Recorded weekly throughout baseline period and ten week intervention. Also collected once at 3 month follow up

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Daily diary questions (assessing change over time)	3 questions relating to the participants sense of adjustment and self-compassion on that day. Each question uses a five-point likert scale from 1 (very poorly) to 5 (very well)	Daily throughout baseline (14-5 days) and intervention (10 weeks). May also be collected for 7 days at time of three month follow up.

Collaborators and Investigators

• Sponsor: University of Edinburgh
• Collaborators: NHS Lothian

Study record dates

Study Major Dates

• Study Start (Actual): July 4, 2019
• Primary Completion (Actual): May 1, 2020
• Study Completion (Actual): May 1, 2020

Study Registration Dates

• First Submitted: July 23, 2019
• First Submitted That Met QC Criteria: July 30, 2019
• First Posted (Actual): August 1, 2019

Study Record Updates

• Last Update Posted (Actual): November 8, 2022
• Last Update Submitted That Met QC Criteria: November 7, 2022
• Last Verified: November 1, 2022

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Pathologic Processes; Disease Attributes; Chronic Disease
• Other Study ID Numbers: 18/SS/0164

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No