{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T23:44:39Z","timestamp":1787960679221,"version":"build-2784847793"},"reference-count":33,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2020,10,16]],"date-time":"2020-10-16T00:00:00Z","timestamp":1602806400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health Research","doi-asserted-by":"crossref","award":["PB-PG-1013-32044"],"award-info":[{"award-number":["PB-PG-1013-32044"]}],"id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["bpspsychub.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psychol Psychother"],"published-print":{"date-parts":[[2021,9]]},"abstract":"\n Objectives<\/jats:title>\n The Bipolar at Risk Trial (BART) was a feasibility randomized controlled trial investigating cognitive behavioral therapy (CBT) compared with treatment as usual (TAU) in young people at high risk of developing bipolar disorder (BD). This qualitative study aimed to investigate participants\u2019 experiences of trial involvement, and the acceptability of CBT for this population.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Participants were those identified as being at risk of bipolar disorder, determined by current symptoms or family history. A purposive sample of twenty\u2010one participants from both the intervention and TAU arms of the trial was recruited.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Twenty\u2010one semi\u2010structured interviews were conducted by service user researchers (13 participants had received therapy and 8 TAU). Interviews were audio recorded with consent from participants and transcribed verbatim. NVivo 11 Pro software was used to conduct an inductive thematic analysis.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Super\u2010ordinate themes were \u201cadaptability and flexibility,\u201d \u201cfeeling understood and valued,\u201d and \u201crelevance of study and intervention\u201d which had two sub\u2010themes\u2014\u201cvalue of the trial therapy\u201d and \u201cacceptability of trial processes.\u201d Participating in the trial and having therapy enabled participants to feel understood and valued by research assistants (RAs) and therapists. Participants viewed therapy as relevant to their current concerns and valued adaptability and flexibility of RAs and therapists.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Findings highlight the importance and value of flexibility, adaptability, and understanding in relationships between participants and trial staff. Findings also indicate that the trial processes and CBT focusing on mood swings are acceptable and relevant to participants from this at risk population.<\/jats:p>\n <\/jats:sec>\n \n Practitioner points<\/jats:title>\n \n \n \n Young people at risk of bipolar disorder value a flexible approach to assessments and therapy, developing a rapport with research assistants and therapists and opening up to them when they feel comfortable to do so.<\/jats:p>\n <\/jats:list-item>\n \n CBT focusing on coping with mood swings was acceptable to the majority of participants who received it and it was perceived as helpful in ways that were personal to each participant.<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/papt.12313","type":"journal-article","created":{"date-parts":[[2020,10,30]],"date-time":"2020-10-30T04:45:15Z","timestamp":1604033115000},"page":"686-703","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["\u201cIt felt very special, it felt customised to me\u201d\u2014A qualitative investigation of the experiences of participating in a clinical trial of CBT for young people at risk of bipolar disorder"],"prefix":"10.1111","volume":"94","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9869-2230","authenticated-orcid":false,"given":"Wendy Theresa","family":"Jones","sequence":"first","affiliation":[{"name":"The Psychosis Research Unit Greater Manchester Mental Health NHS Foundation Trust UK"},{"name":"Division of Psychology and Mental Health University of Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Peters","sequence":"additional","affiliation":[{"name":"Division of Psychology and Mental Health University of Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rory Edward","family":"Byrne","sequence":"additional","affiliation":[{"name":"The Psychosis Research Unit Greater Manchester Mental Health NHS Foundation Trust UK"},{"name":"Division of Psychology and Mental Health University of Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Shiers","sequence":"additional","affiliation":[{"name":"The Psychosis Research Unit Greater Manchester Mental Health NHS Foundation Trust UK"},{"name":"Division of Psychology and Mental Health University of Manchester UK"},{"name":"Primary Care and Health Sciences Keele University UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heather","family":"Law","sequence":"additional","affiliation":[{"name":"The Psychosis Research Unit Greater Manchester Mental Health NHS Foundation Trust UK"},{"name":"Division of Psychology and Mental Health University of Manchester UK"},{"name":"Youth Mental Health Research Unit Greater Manchester Mental Health NHS Foundation Trust UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophie","family":"Parker","sequence":"additional","affiliation":[{"name":"The Psychosis Research Unit Greater Manchester Mental Health NHS Foundation Trust UK"},{"name":"Division of Psychology and Mental Health University of Manchester UK"},{"name":"Youth Mental Health Research Unit Greater Manchester Mental Health NHS Foundation Trust UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,10,16]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2010.06.016"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/bdi.12205"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1601-5215.2007.00185.x"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1751-7893.2010.00171.x"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/papt.12013"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/bdi.12137"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/papt.12197"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/eip.12421"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1352465809990476"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.2012.01917.x"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/eip.12381"},{"key":"e_1_2_10_14_1","doi-asserted-by":"crossref","unstructured":"Izon E. 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