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...

Chronic refractory cough (CRC) is a common problem in respiratory clinics. Adverse effects on quality of life are documented the literature, but relatively little known about underlying psychological factors this patient population. We aimed to investigate association with chronic cough, comparing CRC explained and non-cough groups. 67 patients attending specialist clinic (CRC, n=25; n=42) 22 individuals participated. All participants completed Hospital Anxiety & Depression Scale, Big...

Chronic refractory cough patients have persistent, unexplained, treatment-resistant symptoms. Very little is known about non-physiological processes underlying chronic or patients’ experience of the condition. In all, 14 participated in semi-structured interviews. Interviews were based on comprehensive cognitive behavioural model and analysed thematically. Eight key themes emerged illustrating that onset persistence complex, often involving multiple interlinking factors. Themes highlighted...

Irritable Bowel Syndrome (IBS) is a functional gastrointestinal disorder characterised by unpredictable bowel symptoms. These can be difficult to manage, consequently impacting quality of life (QoL). In addition, strained doctor–patient relationship independently reported in the qualitative literature. Given doctor often first port call for people with IBS, may influence subsequent IBS management. Research suggests illness perceptions are important determining outcomes therapy; however,...

Objective Improving Access to Psychological Therapies (IAPT) services in England have established a long‐term condition (LTC) pathway recent years, meaning that LTC therapies are now delivered via varied modes and by professionals with experiences. To gain insight into how this new is functioning practice, study aimed explore therapists’ perceptions of barriers facilitators uptake engagement therapy LTCs. Design A qualitative design was employed using semi‐structured interviews. Methods...

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...

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...

Fatigue is a common symptom in primary care. Chronic fatigue research highlights the value of preventing chronicity, but little has investigated early, subacute stage trajectory (<3 months). We aimed to examine patient and general practitioner (GP) perspectives care: (1) gain better understanding during this (2) explore how management could be improved.

<h3>Introduction and objectives</h3> Idiopathic chronic cough patients have symptoms that persist despite trials of empirical treatment with no underlying cause found. Higher-order brain processes are involved in modulating the reflex, but very little is known about psychological idiopathic cough. As first step development a complex intervention, we sought to elicit an in-depth understanding patient experience this condition. <h3>Methods</h3> Fourteen (12 females, mean age = 59 years)...

<h3>Introduction and objectives</h3> Between 20–40% of patients seen in respiratory clinics with chronic cough have an ‘idiopathic cough’ persistent symptoms that are refractory to treatment no obvious underlying pathology. Adverse consequences well documented the literature, but relatively little is known about this patient population. We aimed investigate association psychological factors, identified as important medically unexplained, symptom cough. <h3>Methods</h3> Eighty-nine...