Aims Phase One
- Develop a CAT-informed GSH manual (CAT-GSH) for depression Phase Two
Pilot CAT-SH within IAPT setting
To explore the impact of CAT-GSH on outcomes
To investigate the acceptability of CAT-GSH
Method Stage One Past research and consultation meetings will be consolidated into a matrix.
This will inform the development of the treatment manual.
Stage Two A mixed-methods, small N case series design will be utilized to pilot the CAT-GSH
manual within IAPT services. Three Psychological Wellbeing Practitioners (PWP) and 10 service
users will be recruited from Barnsley IAPT service. The PWPs will be provided a two-day
training course before the study begins. This will cover information regarding the CAT-GSH,
data management, and the protocol. To recruit 10 service user participants, it is predicted
the first 60 people on the Barnsley IAPT waiting list would need to be screened to account
for eligibility criteria, preference, and attrition.
Participants will be offered to complete CAT-GSH if:
Depression is the main problem
They score above the clinical cut off (10 points) on the Patient Health Questionnaire
(PHQ9; Kroenke and Spitzer, 2002)
Aged between 18 - 65
Would prefer to use CAT-GSH over other interventions
Consent to participate in study
Can engage with reading materials
The exclusion criteria will be:
Patients who would normally be 'stepped up' due to complexity and risk
Patients are receiving other therapies
Substance users unable to abstain during sessions The exclusion criteria are in line
with IAPT step-two treatment guidance and support.
The participants will be invited to an assessment session where they will be informed about
the research, be provided with information sheets and consent sheets. The participants will
have time to contact the researchers if they have any questions about the research.
If they provide informed consent, they will be provided with six, fortnightly CAT-GSH
sessions facilitated by the PWPs. In these sessions, they will also complete three outcome
measures. The patient health questionnaire, the generalized anxiety disorder assessment, and
the work and social adjustment scale.
They will receive a follow-up session, with the PWP, where they will also complete the
outcome measures and review their care. They will also arrange an interview with the primary
research to explore their experiences of CAT-GSH. This will follow an interview schedule. The
PWPs will also attend a separate, PWP group interview where they will also reflect on their
experiences of delivering GSH. This will be provided by the researcher.
The analysis stage of the process will then begin as the researchers explore the outcome
measure data and the interview data.