an audit trail of decisions taken throughout the data collection and analysis process will be maintained. Wolf () states that “the audit trail helps to establish the credibility of qualitative studies and serves to convince the scientific community of their rigor”. STUDY TREATMENTS Treatment Arms There will initially be two ‘treatment groups’ (Intervention/EMDR and control/optimised standard care group). The treatments will take place on a weekly basis over 3 weeks, with some flexibility given the demands of the medically complex acute care setting. Patients in the control group who remain symptomatic will be offered the EMDR intervention after 3 months. This ‘cross over group’ will be in treatment for a further 3 weeks. So while most patients will be in treatment for 3 weeks, the cross over group will be in treatment for 6 weeks. Description of the Intervention/Treatment An explanation of both the EMDR and supportive counselling will be provided at the time of obtaining informed consent. This involves describing the nature of treatments to patients as well as giving a brief demonstration of the bilateral eye stimulation along with a disclaimer that “the intervention may or may not help the distress”. Table 3: Intervention table for cases, controls and non-participants of the Treatment Phase (P2) Timeframe Cases/EMDR group Controls/optimised Non participants/ standard Standard care group care 2-4 weeks 1. Psychiatric and Social 1. Psychiatric and Social work 1. Psychiatric and Social work work assessment assessment assessment 2. Consent 2. Consent 3. Questionnaires: 3. Questionnaires: Impact of Event Impact of Event Scale-Revised (IES-R) (IES-R) COPE COPE DS-16 DS-16 Relationship Relationship Questionnaire Questionnaire (RQ) (RQ) ABCD-Self Report, revised ABCD-Self Report, (ABSD-SRR) revised (ABSD-SRR) The Depression Anxiety & The Depression Anxiety & Stress Schedule (DASS) Stress Schedule Measure of Alcohol use (DASS) Measure of Alcohol use 3. Assessment: Burns Modified Adult Attachment Interview DES Session 1 1. Targeted/specific structured/optimised version As determined by patient trauma processing of standard care i.e. need and clinicians’ involving bilateral eye counselling availability movement 2. IES-R before and after each 2. IES-R before and after session each session
an audit trail of decisions taken throughout the data collection and analysis process will be maintained. Wolf () states that “the audit trail helps to establish the credibility of qualitative studies and serves to convince the scientific community of their rigor”. STUDY TREATMENTS Treatment Arms There will initially be two ‘treatment groups’ (Intervention/EMDR and control/optimised standard care group). The treatments will take place on a weekly basis over 3 weeks, with some flexibility given the demands of the medically complex acute care setting. Patients in the control group who remain symptomatic will be offered the EMDR intervention after 3 months. This ‘cross over group’ will be in treatment for a further 3 weeks. So while most patients will be in treatment for 3 weeks, the cross over group will be in treatment for 6 weeks. Description of the Intervention/Treatment An explanation of both the EMDR and supportive counselling will be provided at the time of obtaining informed consent. This involves describing the nature of treatments to patients as well as giving a brief demonstration of the bilateral eye stimulation along with a disclaimer that “the intervention may or may not help the distress”. Table 3: Intervention table for cases, controls and non-participants of the Treatment Phase (P2) Timeframe Cases/EMDR group Controls/optimised Standard care group Non participants/ standard care 2-4 weeks 1. Psychiatric and Social work assessment 2. Consent 3. Questionnaires: Impact of Event (IES-R) COPE DS-16 Relationship Questionnaire (RQ) ABCD-Self Report, revised (ABSD-SRR) The Depression Anxiety & Stress Schedule (DASS) Measure of Alcohol use 1. Psychiatric and Social work assessment 2. Consent 3. Questionnaires: Impact of Event Scale-Revised (IES-R) COPE DS-16 Relationship Questionnaire (RQ) ABCD-Self Report, revised (ABSD-SRR) The Depression Anxiety & Stress Schedule (DASS) Measure of Alcohol use 3. Assessment: Burns Modified Adult Attachment Interview DES 1. Psychiatric and Social work assessment Session 1 1. Targeted/specific trauma processing involving bilateral eye movement 2. IES-R before and after each session structured/optimised version of standard care i.e. counselling 2. IES-R before and after each session As determined by patient need and clinicians’ availability
366892-Protocol_.docx