Tools
ToolsHudson, Joanna L., Moss-Morris, Rona, Norton, Sam, Picariello, Federica, Game, David, Carroll, Amy, Spencer, Jonathan, McCrone, Paul, Hotopf, Matthew, Yardley, Lucy and Chilcot, Joseph (2017) Tailored online cognitive behavioural therapy with or without therapist support calls to target psychological distress in adults receiving haemodialysis: A feasibility randomised controlled trial. Journal of Psychosomatic Research, 102. pp. 61-70. ISSN 0022-3999
Full text not available from this repository. (Request a copy)Abstract
Background: Psychological distress is prevalent in haemodialysis (HD) patients yet access to psychotherapy remains limited. This study assessed the feasibility and acceptability of online cognitive-behavioural therapy (CBT) tailored for HD patients, with or without therapist support, for managing psychological distress. Methods: This feasibility randomised controlled trial recruited patients from a UK HD centre. Following psychological distress screens, patients with mild-moderate psychological distress (Patient Health Questionnaire PHQ-9; score: 5–19 and/or Generalised Anxiety Disorder; GAD-7 score: 5–14) who met remaining inclusion criteria were approached for consent. Consenters were individually randomised (1:1) to online-CBT or online-CBT plus three therapist support calls. Outcomes included recruitment, retention, and adherence rates. Exploratory change analyses were performed for: psychological distress, quality of life (QoL), illness perceptions, and costs. The statistician was blinded to allocation. Results: 182 (44%) out of 410 patients approached completed psychological distress screens. 26% found screening unacceptable; a further 30% found it unfeasible. Psychological distress was detected in 101 (55%) patients, 60 of these met remaining inclusion criteria. The primary reason for ineligibility was poor computer literacy (N = 17, 53%). Twenty-five patients were randomised to the supported (N = 18) or unsupported arm (N = 7); 92% were retained at follow-up. No differences in psychological distress or cost-effectiveness were observed. No trial adverse events occurred. Conclusion: Online CBT appears feasible but only for computer literate patients who identify with the label psychological distress. A definitive trial using the current methods for psychological distress screening and online care delivery is unfeasible.
| Item Type: | Article |
|---|---|
| Additional Information: | Funding information: This work was funded by Guy's and St Thomas' charity (GSTT, grant number: EFT130206). The views expressed in this article are those of the authors and not necessarily those of the GSTT charity. This paper also represents independent research part-funded by the National Institute for Health Research (NIHR) Biomedical Research Centre at South London and Maudsley NHS Foundation Trust and King's College London. |
| Faculty \ School: | Faculty of Medicine and Health Sciences > Norwich Medical School |
| Related URLs: | |
| Depositing User: | LivePure Connector |
| Date Deposited: | 07 Jul 2025 11:30 |
| Last Modified: | 07 Jul 2025 11:30 |
| URI: | https://ueaeprints.uea.ac.uk/id/eprint/99852 |
| DOI: | 10.1016/j.jpsychores.2017.09.009 |
Actions (login required)
 |
View Item |