A mixed methods feasibility study to evaluate the use of a low-intensity, nurse-delivered cognitive behavioural therapy for the treatment of irritable bowel syndrome

Hdl Handle:
http://hdl.handle.net/10545/621477
Title:
A mixed methods feasibility study to evaluate the use of a low-intensity, nurse-delivered cognitive behavioural therapy for the treatment of irritable bowel syndrome
Authors:
Dainty, Andrew D.; Fox, Mark; Lewis, Nina; Hunt, Melissa; Holtham, Elizabeth; Timmons, Stephen; Kinsella, Philip; Wragg, Andrew; Callaghan, Patrick
Abstract:
Introduction: Irritable bowel syndrome (IBS) is characterised by symptoms such as abdominal pain, constipation, diarrhoea and bloating. These symptoms impact on health-related quality of life, result in excess service utilisation and are a significant burden to healthcare systems. Certain mechanisms which underpin IBS can be explained by a biopsychosocial model which is amenable to psychological treatment using techniques such as cognitive behavioural therapy (CBT). While current evidence supports CBT interventions for this group of patients, access to these treatments within the UK healthcare system remains problematic. Methods and analysis: A mixed methods feasibility randomised controlled trial will be used to assess the feasibility of a low-intensity, nurse-delivered guided self-help intervention within secondary care gastrointestinal clinics. A total of 60 participants will be allocated across four treatment conditions consisting of: high-intensity CBT delivered by a fully qualified cognitive behavioural therapist, low-intensity guided self-help delivered by a registered nurse, self-help only without therapist support and a treatment as usual control condition. Participants from each of the intervention arms of the study will be interviewed in order to identify potential barriers and facilitators to the implementation of CBT interventions within clinical practice settings. Quantitative data will be analysed using descriptive statistics only. Qualitative data will be analysed using a group thematic analysis.
Affiliation:
University of Nottingham; University Hospital, Zürich; Nottingham University Hospitals NHS Trust; University of Pennsylvania
Citation:
Dainty, A. D. et al (2014) 'A mixed methods feasibility study to evaluate the use of a low-intensity, nurse-delivered cognitive behavioural therapy for the treatment of irritable bowel syndrome', BMJ Open, 4 (6):e005262
Publisher:
BMJ Open
Journal:
BMJ Open
Issue Date:
17-Jun-2014
URI:
http://hdl.handle.net/10545/621477
DOI:
10.1136/bmjopen-2014-005262
Additional Links:
http://bmjopen.bmj.com/cgi/doi/10.1136/bmjopen-2014-005262
Type:
Article
Language:
en
ISSN:
20446055
Sponsors:
N/A
Appears in Collections:
Department of Health Care Practice

Full metadata record

DC FieldValue Language
dc.contributor.authorDainty, Andrew D.en
dc.contributor.authorFox, Marken
dc.contributor.authorLewis, Ninaen
dc.contributor.authorHunt, Melissaen
dc.contributor.authorHoltham, Elizabethen
dc.contributor.authorTimmons, Stephenen
dc.contributor.authorKinsella, Philipen
dc.contributor.authorWragg, Andrewen
dc.contributor.authorCallaghan, Patricken
dc.date.accessioned2017-03-15T14:35:26Z-
dc.date.available2017-03-15T14:35:26Z-
dc.date.issued2014-06-17-
dc.identifier.citationDainty, A. D. et al (2014) 'A mixed methods feasibility study to evaluate the use of a low-intensity, nurse-delivered cognitive behavioural therapy for the treatment of irritable bowel syndrome', BMJ Open, 4 (6):e005262en
dc.identifier.issn20446055-
dc.identifier.doi10.1136/bmjopen-2014-005262-
dc.identifier.urihttp://hdl.handle.net/10545/621477-
dc.description.abstractIntroduction: Irritable bowel syndrome (IBS) is characterised by symptoms such as abdominal pain, constipation, diarrhoea and bloating. These symptoms impact on health-related quality of life, result in excess service utilisation and are a significant burden to healthcare systems. Certain mechanisms which underpin IBS can be explained by a biopsychosocial model which is amenable to psychological treatment using techniques such as cognitive behavioural therapy (CBT). While current evidence supports CBT interventions for this group of patients, access to these treatments within the UK healthcare system remains problematic. Methods and analysis: A mixed methods feasibility randomised controlled trial will be used to assess the feasibility of a low-intensity, nurse-delivered guided self-help intervention within secondary care gastrointestinal clinics. A total of 60 participants will be allocated across four treatment conditions consisting of: high-intensity CBT delivered by a fully qualified cognitive behavioural therapist, low-intensity guided self-help delivered by a registered nurse, self-help only without therapist support and a treatment as usual control condition. Participants from each of the intervention arms of the study will be interviewed in order to identify potential barriers and facilitators to the implementation of CBT interventions within clinical practice settings. Quantitative data will be analysed using descriptive statistics only. Qualitative data will be analysed using a group thematic analysis.en
dc.description.sponsorshipN/Aen
dc.language.isoenen
dc.publisherBMJ Openen
dc.relation.urlhttp://bmjopen.bmj.com/cgi/doi/10.1136/bmjopen-2014-005262en
dc.rightsArchived with thanks to BMJ Openen
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/en
dc.subjectIrritable bowel syndromeen
dc.subjectFeasibility studyen
dc.subjectCognitive behavioural therapyen
dc.titleA mixed methods feasibility study to evaluate the use of a low-intensity, nurse-delivered cognitive behavioural therapy for the treatment of irritable bowel syndromeen
dc.typeArticleen
dc.contributor.departmentUniversity of Nottinghamen
dc.contributor.departmentUniversity Hospital, Zürichen
dc.contributor.departmentNottingham University Hospitals NHS Trusten
dc.contributor.departmentUniversity of Pennsylvaniaen
dc.identifier.journalBMJ Openen
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