Co-Producing LGBTQ-Affirmative DBT Protocols.
Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age13-21
SponsorKing's College London
About this trial
Aims:
1. To co-produce new intervention parts that meet the needs of LGBTQ+ people at risk of self-harm or suicidal thoughts, with LGBTQ+ people and DBT therapists. These intervention parts will be integrated into a Dialectical Behaviour Therapy (DBT) intervention, that is provided earlier in a persons mental health care journey, than DBT is usually targeted at. 2. To assess how acceptable and feasible the co-production process was for participants, and how well it achieved co-production principles (e.g. participants feel supported, that the aims were transparent, etc).
Why is This Important? Young people who identify as lesbian, gay, bisexual, transgender, queer, and with other minoritised gender and sexual identities (LGBTQ+) are much more likely to self-harm and experience suicidal thoughts than cisgender-heterosexual (non-LGBTQ+) people. They also experience barriers when accessing mental health support. Some of these barriers come from a lack of support tailored towards their needs as an LGBTQ+ person. This often means that things get worse before they access the right support, and so are often seen in higher-intensity interventions (tier 4 or tertiary care), like DBT.
What The Investigators Plan to Do:
The investigators plan to hold some focus groups with three different groups of people to co-produce the new intervention parts. The three groups include:
1. A group of LGBTQ+ young people (13-21 years old) who have completed a at full DBT programme recently. 2. A group of LGBTQ+ young people (13-21 years old) who have never been in a full DBT programme but experienced similar difficulties. 3. A group of DBT therapists who have supported LGBTQ+ young people before.
The investigators will seek feedback from participants about how acceptable they found the study (e.g. how satisfied they were with the process), how feasible it was (e.g. were they able to attend and was it practice?), and how well they stuck to the coproduction principles (e.g. how supported they felt).
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Is aged 13 to 21 years old;
has completed at least four months of comprehensive DBT (i.e. inclusive of all four modes of intervention; Linehan, 1993; Miller et al., 2006; Rathus & Miller, 2015) in the past 24 months or have completed at least four months of DBT and are still in a comprehensive DBT programme;
identifies as LGBTQ+ (including those questioning or unsure about their orientation/identity);
is willing and able to participate in the study. While no specific inclusion or
Disqualifiers
Is aged 13 to 21 years old;
has not accessed and is not currently enrolled in a comprehensive DBT programme;
has experienced difficulties with LGBTQ-related identity confusion, managing stigma experiences, and connecting with similar others;
identifies as LGBTQ+ (including those questioning or unsure about their orientation/identity);
Trial population
DBT Cohort Young Person Sample 1 Young people will be recruited via purposive sampling via the National \& Specialist CAMHS DBT Service and the adult DBT service within South London \& Maudsley NHS Foundation Trust. Non-DBT Cohort Young Person Sample 2 Young people will be recruited from CAMHS within South London \& Maudsley NHS Foundation Trust and from community organisations (e.g. LGBTQ+ charities) and general advertising on social media and similar. DBT Therapists DBT therapists will be recruited via purposive sampling via the National \& Specialist CAMHS DBT Service and Adult DBT Services in South London \& Maudsley NHS Foundation Trust.
Trial design
Design model
Cohort
Time perspective
Retrospective
Treatments tested in this trial
Not listed
Trial groups
32 Participants
are grouped into 3 trial groupsGroup A: DBT Cohort Young Person Sample 1
Group B: Non-DBT Cohort Young Person Sample 2
Group C: DBT Therapist Sample
Trial outcomes
Primary outcomes
1
Feasibility/Recruitment
Whether the investigators are able to recruit the intended numbers of participants to each group by the start of the focus groups (baseline).
Time frame
Baseline2
Feasibility/Attrition
Participant attrition rates at baseline, during the study, and at outcome measure completion (12 weeks from baseline).
Time frame
Baseline, during the focus groups (12 weeks in duration), and at outcome measure completion (12 weeks from baseline)3
Feasibility/Focus Group Content and Delivery
The count frequency of focus groups, individual sessions, and duration of each taken will be recorded. The content of the focus groups will be documented. The number of facilitators of each type will also be documented.
Time frame
For the duration of the focus groups (12 weeks)4
Acceptability/Session Satisfaction
Self-report question at the end of each focus group/individual session: How satisfied were you with the focus group/individual session? \[Response Options: Very Satisfied, Satisfied, Neutral, Unsatisfied, Very Unsatisfied\]. \[Prompt\] Can you tell us why you gave that rating? \[Prompt\] what would have improved your satisfaction?
Time frame
At the end of each focus group (6 focus groups over 12 weeks)Secondary outcomes
1
Wellbeing
End of study feedback: \[Wellbeing.\] Did taking part in this project have any impact on your wellbeing? This can be positive, negative, or neutral?
Time frame
End of study (12 weeks post baseline)2
Co-Production Process/Respect
My contributions within the whole study felt respected and acknowledged. \[Response Options: Very True, True, Neutral, Untrue, Very Untrue\]. \[Prompt\] Can you tell us why? \[Prompt\] What worked well? \[Prompt\] What worked less well? \[Prompt\] Recommendations for improving this?
Time frame
End of study (12 weeks post baseline)3
Co-Production Process/Support
I felt adequately supported within the whole study (e.g. my expenses were covered, I was offered support if needed, my questions were answered, etc). \[Response Options: Very True, True, Neutral, Untrue, Very Untrue\]. \[Prompt\] Can you tell us why? \[Prompt\] What made you feel supported? \[Prompt\] What didn't make you feel supported? \[Prompt\] Recommendations for improving this?
Time frame
End of study (12 weeks post baseline)4
Co-production Process/Transparency
The aims of the study and of my involvement were clear to me. \[Response Options: Very True, True, Neutral, Untrue, Very Untrue\] \[Prompt\] Can you tell us why? \[Prompt\] What worked well? \[Prompt\] What worked less well? \[Prompt\] Recommendations for improving this?
Time frame
End of study (12 weeks post baseline)Locations
Sponsors and contacts
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King's College London
Lead sponsor
South London and Maudsley NHS Foundation Trust
Collaborator
Source ClinicalTrials.gov
This trial is not recruiting at the moment. You can still explore other options: