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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 JY, Giraud-Baro E, Guillard-Bouhet N, Legros-Lafarge E, Polosan M, Pouchon A, Rolland M, Rainteau N, Roussel C, Wangermez C, Yanos PT, Lysaker PH, 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. Trials 2021; 22:124. [PMID: 33557924 PMCID: PMC7869198 DOI: 10.1186/s13063-021-05067-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2019] [Accepted: 01/20/2021] [Indexed: 12/03/2022] Open
Abstract
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.
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Affiliation(s)
- J Dubreucq
- Centre de Neurosciences Cognitive, UMR 5229, CNRS & Université Lyon 1, Lyon, France. .,Centre Référent de Réhabilitation Psychosociale et de Remédiation Cognitive (C3R), Centre Hospitalier Alpes Isère, 1 place du Conseil National de la Résistance, 38400 Saint Martin d'Hères, Grenoble, France. .,Fondation FondaMental, Créteil, France. .,Réseau Handicap Psychique, Grenoble, France.
| | - M Faraldo
- Centre Référent de Réhabilitation Psychosociale et de Remédiation Cognitive (C3R), Centre Hospitalier Alpes Isère, 1 place du Conseil National de la Résistance, 38400 Saint Martin d'Hères, Grenoble, France.,Fondation FondaMental, Créteil, France
| | - M Abbes
- Centre Référent de Réhabilitation Psychosociale et de Remédiation Cognitive (C3R), Centre Hospitalier Alpes Isère, 1 place du Conseil National de la Résistance, 38400 Saint Martin d'Hères, Grenoble, France.,Fondation FondaMental, Créteil, France
| | - B Ycart
- Laboratoire Jean Kuntzmann, CNRS UMR 5224, Université Grenoble-Alpes, Grenoble, France
| | - H Richard-Lepouriel
- Department of Psychiatry, Mood disorders Unit, Geneva University Hospital, 20bis rue de Lausanne, CH-1201, Geneva, Switzerland
| | - S Favre
- Department of Psychiatry, Mood disorders Unit, Geneva University Hospital, 20bis rue de Lausanne, CH-1201, Geneva, Switzerland
| | - F Jermann
- Department of Psychiatry, Mood disorders Unit, Geneva University Hospital, 20bis rue de Lausanne, CH-1201, Geneva, Switzerland
| | - J Attal
- Service Universitaire de Psychiatrie Adulte, Hôpital la Colombière, CHRU Montpellier, Université Montpellier 1, Inserm, 1061, Montpellier, France
| | - M Bakri
- Centre de Réhabilitation Psychosociale et de Remédiation Cognitive (C2R), CH Drôme Vivarais, Montéléger, France
| | - T Cohen
- Centre Référent de Réhabilitation Psychosociale et de Remédiation Cognitive (C3R), Centre Hospitalier Alpes Isère, 1 place du Conseil National de la Résistance, 38400 Saint Martin d'Hères, Grenoble, France.,Fondation FondaMental, Créteil, France
| | - C Cervello
- Centre Ressource de Réhabilitation Psychosociale et de Remédiation Cognitive, Centre Hospitalier Le Vinatier, Bron, France.,Centre Référent Lyonnais de Réhabilitation Psychosociale et de Remédiation Cognitive (CL3R), Centre Hospitalier Le Vinatier, Bron, France
| | - I Chereau
- Fondation FondaMental, Créteil, France.,CMP B, CHU, EA 7280 Faculté de Médecine, Université d'Auvergne, BP 69 63003, Clermont-Ferrand Cedex 1, France
| | - C Cognard
- Unité Ariane de rehabilitation psychosociale, EPSM, Caen, France
| | - M De Clercq
- Centre Départemental de Réhabilitation Psychosociale des Glières, 219 chemin des bois des Fornets, 74800, La Roche sur Foron, France
| | - A Douasbin
- Unité Ariane de rehabilitation psychosociale, EPSM, Caen, France
| | - J Y Giordana
- Centre Hospitalier Sainte Marie de Nice, 87 Avenue Joseph Raybaud, 06100, Nice, France
| | - E Giraud-Baro
- Clinique du Dauphiné- Groupe Sinoué, 252 Route de Saint-Nizier, 38180, Seyssins, France
| | | | - E Legros-Lafarge
- Centre Référent de Réhabilitation Psychosociale de Limoges C2RL, CH Esquirol, Limoges, France
| | - M Polosan
- Centre Expert Troubles Bipolaires, Service Universitaire de Psychiatrie, CHU de Grenoble et des Alpes, CS10217, F-38043, Grenoble, France
| | - A Pouchon
- Centre Expert Troubles Bipolaires, Service Universitaire de Psychiatrie, CHU de Grenoble et des Alpes, CS10217, F-38043, Grenoble, France
| | - M Rolland
- Centre Ressource de Réhabilitation Psychosociale et de Remédiation Cognitive, Centre Hospitalier Le Vinatier, Bron, France.,Centre Référent Lyonnais de Réhabilitation Psychosociale et de Remédiation Cognitive (CL3R), Centre Hospitalier Le Vinatier, Bron, France
| | - N Rainteau
- Service Universitaire de Psychiatrie Adulte, Hôpital la Colombière, CHRU Montpellier, Université Montpellier 1, Inserm, 1061, Montpellier, France
| | - C Roussel
- Centre Départemental de Réhabilitation Psychosociale des Glières, 219 chemin des bois des Fornets, 74800, La Roche sur Foron, France
| | - C Wangermez
- CREATIV & URC Pierre Deniker, CH Laborit, Poitiers, France
| | - P T Yanos
- John Jay College of Criminal Justice, City University of New York, New York, USA
| | - P H Lysaker
- Roudebush VA Medical Center, Indiana University School of Medicine, Indianapolis, USA
| | - N Franck
- Centre de Neurosciences Cognitive, UMR 5229, CNRS & Université Lyon 1, Lyon, France.,Centre Ressource de Réhabilitation Psychosociale et de Remédiation Cognitive, Centre Hospitalier Le Vinatier, Bron, France.,Centre Référent Lyonnais de Réhabilitation Psychosociale et de Remédiation Cognitive (CL3R), Centre Hospitalier Le Vinatier, Bron, France
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