Effectiveness of cognitive behavioural therapy (CBT) interventions for anxiety in patients with chronic obstructive pulmonary disease (COPD) undertaken by respiratory nurses: the COPD CBT CARE study: (ISRCTN55206395)

Abstract

BackgroundAnxiety and depression are common co-morbidities in patients with chronic obstructive pulmonary disease (COPD). Serious implications can result from psychological difficulties in COPD including reduced survival, lower quality of life, and reduced physical and social functioning, increased use of health care resources and are associated with unhealthy behaviours such as smoking. Cognitive behavioural therapy (CBT) is a psychological intervention which is recommended for the treatment of many mental health problems including anxiety and depression. Unfortunately access to trained CBT therapists is limited. The aim of this study is to test the hypothesis that CBT delivered by respiratory nurses is effective in the COPD population. In this paper the design of the Newcastle Chronic Obstructive Pulmonary Disease Cognitive Behavioural Therapy Study (Newcastle COPD CBT Care Study) is described.Methods/DesignThis is a prospective open randomised controlled trial comparing CBT with self-help leaflets. The primary outcome measure is the Hospital Anxiety & Depression Scale (HADS) – anxiety subscale. Secondary outcome measures include disease specific quality of life COPD Assessment Tool (CAT), generic quality of life (EQ5D) and HADS-depression subscale. Patients will be followed up at three, six and 12 months following randomisation.DiscussionThis is the first randomised controlled trial to evaluate the use of cognitive behavioural therapy undertaken by respiratory nurses. Recruitment has commenced and should be complete by February 2014.Trial registrationCurrent Controlled Trials, ISRCTN55206395

The impact of telephone‐delivered cognitive behaviour therapy and befriending on mood disorders in people with chronic obstructive pulmonary disease: A randomized controlled trial

“…Smith et al (2014) reported a small decrease in anxiety and depression symptoms associated with CBT delivered face to face either individually or in groups. Heslop et al (2013) reported a protocol for a study, again providing face-to-face interventions, and Panagioti et al (2014) reviewed the evidence for management of depression and anxiety in people with COPD while calling for more research on novel approaches. Given that there is evidence for treatment efficacy in the case of CBT, the present study used befriending as a comparison that also provided an active social control (Barton, 2015).…”

“…Heslop et al . () reported a protocol for a study, again providing face‐to‐face interventions, and Panagioti et al . () reviewed the evidence for management of depression and anxiety in people with COPD while calling for more research on novel approaches.…”

A five-step process for designing implementable complex interventions: A worked example using the Tailored intervention for ANxiety and DEpression Management (TANDEM) for patients with chronic obstructive pulmonary disease (COPD)

“…Step One -Review of the literature Dr Karen Heslop Marshall, a clinical academic agreed to be part of the research collaboration, allowing use of her CBT based Lung Manual (42), which had been evaluated in a successful randomized trial (39), as a basis for the development of the TANDEM intervention. We also recognised the importance of providing high quality, standardised information and education.…”

‘The COPD breathlessness manual’: a randomised controlled trial to test a cognitive-behavioural manual versus information booklets on health service use, mood and health status, in patients with chronic obstructive pulmonary disease

“…This is in keeping with the current emphasis on providing CBT skills training for respiratory nurses and community matrons to help address psychological issues in COPD. 40 , 41 It is recognised that levels of participation in the CM programme would have varied. Fidelity to completing the intervention was discussed during follow-ups, although was not recorded objectively and level of adherence rate would have enhanced the study rigour.…”