A randomised controlled feasibility trial of Group Cognitive Behavioural Therapy for people with severe asthma

Yorke, J, Adair, P, Doyle, A, Dubrow-Marshall, LJ, Fleming, S, Holmes, L, Menzies-Gow, A, Niven, R, Pilling, M and Shuldham, C 2016, 'A randomised controlled feasibility trial of Group Cognitive Behavioural Therapy for people with severe asthma' , Journal of Asthma , pp. 1-12.

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Abstract

Objectives: Evidence for the efficacy of Cognitive Behavioural Therapy (CBT) in asthma is developing but it is not known if this translates to benefits in severe asthma or if a group approach is acceptable to this patient group.This study aimed to assess the feasibility and acceptability of Group-CBT in severe asthma. Method: This was a two-centre, randomised controlled parallel group feasibility study. Eligible participants (patients with severe asthma and a clinically significant diagnosis of anxiety and/or depression – Hospital Anxiety and Depression Scale (HAD) score greater than 8 for the anxiety or depression sub-scale) received Group-CBT in weekly sessions for eight consecutive weeks and usual care or usual care only.Follow-up was for 16weeks and endpoints were: Asthma Quality of Life Questionnaire,Asthma Control Questionnaire,HAD,Dyspnoea-12,EuroQual-5D and EuroQuol-VAS.Results: 51 patients were randomised:36% (51outof140) consent rate and attrition at week 16 was 12.Screening logs indicated that study take-up was influenced by patients living long distances from the treatment centre and inability to commit to the weekly demands of the programme. Drop-out was higher in Group-CBT compared due to inability to commit to the weekly programme because of poor health. Participants who contributed to focus group discussions reported that Group-CBT contributed to a better understanding of their illness and related approaches to anxiety management and acceptance of their asthma condition.Although weekly face-to-face sessions were challenging,this was the preferred method of delivery for these participants.Conclusions:This feasibility study shows that Group-CBT warrants further investigation as a potentially promising treatment option for patients with severe asthma.It has been possible but not easy t orecruit and retain the sample.Options for a less demanding intervention schedule,such as less frequent face-to-face visits and the use of web-based interventions,require careful consideration.

Item Type: Article
Schools: Schools > School of Health Sciences > Centre for Health Sciences Research
Journal or Publication Title: Journal of Asthma
Publisher: Taylor & Francis
ISSN: 0277-0903
Related URLs:
Funders: Asthma UK
Depositing User: Dr Linda Dubrow-Marshall
Date Deposited: 12 Dec 2016 11:17
Last Modified: 17 Oct 2017 18:52
URI: http://usir.salford.ac.uk/id/eprint/40949

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