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Emotional difficulties such as anxiety and depression are common after experiencing a brain injury. The compassion focused therapy (or CFT) model proposes the importance of developing skills in being able to self-soothe and be self-compassionate to counteract feelings of distress. Several studies have shown that therapy groups using CFT techniques are helpful, but there has only been one previous study of a CFT group with people with acquired brain injury. This study aims to evaluate a new CFT group for people who have had a brain injury and are currently receiving inpatient neuro-rehabilitation. The group will have six weekly sessions with 4-6 people in each group. The group will be run at the inpatient neuro-rehabilitation unit. As this is a new group that has not been run before, it will be a small study to see whether the group is feasible and acceptable to attendees. The study will evaluate whether the group can be run as planned and how many people attend. The investigators will also interview people who attended the group to find out what they thought of the group.
The study also aims to use four questionnaires measuring emotional distress, well-being, self-compassion and quality of life to measure the effect of the group. Group attendees questionnaire scores from before and after the group will be compared to see if there has been any change due to attending the group.
This project is being completed as part of a Doctorate in Clinical Psychology at King's College London, and will be recruiting patients from an inpatient neurorehabilitation setting.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Compassion focused therapy group | Experimental | 6 week compassion focused therapy group for adults with ABI |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Compassion focused therapy group | Behavioral | 6 session compassion focused therapy group for adults with ABI |
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| Measure | Description | Time Frame |
|---|---|---|
| Demand - patients referred and screened for the group | Number of patients referred and screened | At screening/enrollment |
| Demand - patients recruited | Number of patients recruited to group | At screening/enrollment |
| Demand - attendance | Session attendance rate | Weeks 1-6 at each weekly group session |
| Implementation - patients per group | Number of patients per group | Weeks 1-6 at each weekly group session |
| Implementation - group sessions completed | Number of group sessions completed out of 6 | Weeks 1-6 at each weekly group session |
| Implementation - practice sessions completed | Number of additional practice sessions completed out of 6 | Weeks 1-6 at each weekly group session |
| Practicality - delivery of intervention | The number of items covered in the session out of the items that were planned in the session guide | Weeks 1-6 at each weekly group session |
| Acceptability - end of session ratings scores | Patient ratings of enjoyment, understanding and helpfulness using 'Session Rating Form' designed for study |
| Measure | Description | Time Frame |
|---|---|---|
| Change in emotional distress questionnaire score | Measured using Hospital Anxiety Depression Scale (HADS) | 2-week Baseline, week 1 (pre-group), week 6 (post-group), 2-week follow-up |
| Change in mental well-being questionnaire score |
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Inclusion Criteria:
Exclusion Criteria:
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| Weeks 1-6 at each weekly group session |
| Acceptability - patient interview feedback | Feedback from attendees collected via recorded semi-structured interviews after end of intervention | Interview time point after week 6 |
Measured using Warwick Edinburgh Mental Well-Being Scale (WEMWBS)
| 2-week Baseline, week 1 (pre-group), week 6 (post-group), 2-week follow-up |
| Change in self-compassion questionnaire score | Measured using Self-Compassion Scale Short Form (SCS-SF) | 2-week Baseline, week 1 (pre-group), week 6 (post-group), 2-week follow-up |
| Change in quality of life questionnaire score | Measured using Quality of Life after Brain Injury Overall Scale (QOLIBRI-OS) | 2-week Baseline, week 1 (pre-group), week 6 (post-group), 2-week follow-up |