A5046817626- Inflammatory Bowel Disease
- Microscopic Colitis
- Digital Mental Health Interventions
- Health, psychology, and well-being
- Mental Health Treatment and Access
- Telemedicine and Telehealth Implementation
- Mental Health Research Topics
- Mobile Health and mHealth Applications
- Psychiatric care and mental health services
- Tryptophan and brain disorders
- Cardiac Health and Mental Health
- Eosinophilic Esophagitis
- Gastrointestinal motility and disorders
- Health Systems, Economic Evaluations, Quality of Life
King's College London
2021-2025
Abstract Background To evaluate the clinical efficacy of COMPASS, a therapist-supported digital therapeutic for reducing psychological distress (anxiety/depression) in people living with long-term physical health conditions (LTCs). Methods A two-armed randomized-controlled trial recruiting from LTC charities. Participants anxiety and/or depression symptoms related to their LTC(s) were randomized (concealed allocation via independent administrator) COMPASS (access 11 tailored modules plus...
Depression is common in people living with Inflammatory Bowel Disease (IBD). rates increase active disease and are linked to poorer clinical outcomes. Previous studies investigating the relationship between contemporaneous IBD activity depression often poorly controlled, use small samples and/or rely on self-reported measures of activity. (SRDA) increased healthcare usage, however, objective inflammation rarely statistically controlled. The primary aim was understand how related depression....
Co-morbid anxiety and depression (distress) in inflammatory bowel disease (IBD) results poorer outcomes increased healthcare burden. IBD services require scalable treatment pathways for distress to meet this need. This real-world longitudinal study evaluates the implementation of a new integrated care pathway including: 1) routine mental health screening 2) therapist-guided, digital CBT tailored challenges living with (compass adaptations IBD: COMPASS-IBD) UK National Health Service (NHS)...
Having a long-term condition (LTC) significantly affects mental health. UK policy requires effective health provisions for patients with an LTC, generally provided by Improving Access to Psychological Therapies (IAPT) services. National IAPT data suggest that LTC typically demonstrate poorer outcomes compared without LTC. However, exploration of confounding factors and different outcome variables is limited.To establish the association status demographic clinical factors, outcomes.Anonymised...
Inflammatory bowel disease (IBD) causes fatigue, pain and faecal urgency/incontinence symptoms. Identifying symptom profile subgroups related psychological correlates might enable earlier intervention more effective tailored treatment pathways.
Mental health comorbidities are common in physical long-term conditions.We evaluate the effectiveness of COMPASS, a therapist-supported, digital cognitive-behavioural therapy programme specifically designed to treat anxiety/depression context conditions. We also investigate patient experiences programme.We utilised mixed-methods, non-randomised design. analysed pre-post data from 76 patients with conditions who were receiving psychological treatment (COMPASS) via local NHS services, using...
Approximately 30% of people with long-term physical health conditions (LTCs) experience mental problems, negative consequences and costs for individuals healthcare services. Access to psychological treatment is scarce and, when available, often focuses on treating primary problems rather than illness-related anxiety/depression. The aim this study evaluate the clinical efficacy a newly developed, therapist-supported, digital cognitive-behavioural (COMPASS) reducing LTC-related distress...
Introduction: Co-morbid anxiety and depression (distress) in inflammatory bowel disease (IBD) results poorer outcomes increased healthcare burden. IBD services require scalable treatment pathways for distress to meet this need. This study aims evaluate the feasibility of implementing a new integrated care pathway including: 1) routine mental health screening 2) therapist-guided, digital CBT tailored challenges living with (compass adaptations IBD: COMPASS-IBD) large gastroenterology service...