A5053442913- Gastrointestinal motility and disorders
- Music Therapy and Health
- Health, psychology, and well-being
- Complementary and Alternative Medicine Studies
- Eosinophilic Esophagitis
- Microscopic Colitis
- Inflammatory Bowel Disease
- Intensive Care Unit Cognitive Disorders
- Mindfulness and Compassion Interventions
- Child Nutrition and Feeding Issues
- Urinary Bladder and Prostate Research
- Eating Disorders and Behaviors
- Adolescent and Pediatric Healthcare
- Family and Patient Care in Intensive Care Units
- Infant Health and Development
- Dietetics, Nutrition, and Education
- Urinary Tract Infections Management
- Pelvic floor disorders treatments
- Neuroscience and Music Perception
- Health and Wellbeing Research
- Health and Well-being Studies
- Digital Mental Health Interventions
- Attachment and Relationship Dynamics
- Mobile Health and mHealth Applications
- Technostress in Professional Settings
King's College London
2015-2024
Florence Nightingale Foundation
2019
Objective To evaluate the clinical effectiveness of two modes cognitive–behavioural therapy (CBT) for IBS compared with treatment as usual (TAU) in refractory IBS. Design A three-arm randomised controlled trial assessing telephone-delivered CBT (TCBT), web-based (WCBT) minimal therapist support, and TAU. Blinding participants therapists was not possible. Chief investigator, assessors statisticians were blinded. Participants adults (clinically significant symptoms ≥12 months despite...
Background: Mindfulness-based interventions have been shown to effectively reduce anxiety, depression and pain in patients with chronic physical illnesses. Objectives: We assessed the potential effectiveness cost-effectiveness of a specially adapted Skype distant-delivered mindfulness intervention, designed distress for people affected by primary secondary progressive MS. Methods Forty participants were randomly assigned eight-week intervention ( n = 19) or waiting-list control group 21)....
BackgroundIrritable bowel syndrome (IBS) is common, affecting 10–20% of the adult population worldwide, with many people reporting ongoing symptoms despite first-line therapies. Cognitive behavioural therapy (CBT) recommended in guidelines for refractory IBS but there insufficient access to CBT and uncertainty about whether benefits last longer term. Assessing Therapy (ACTIB) was a large, randomised, controlled trial two forms patients IBS. ACTIB results showed that, at 12 months, both were...
Background Irritable bowel syndrome (IBS) affects 10–22% of people in the UK. Abdominal pain, bloating and altered habits affect quality life can lead to time off work. Current treatment relies on a positive diagnosis, reassurance, lifestyle advice drug therapies, but many suffer ongoing symptoms. Cognitive–behavioural therapy (CBT) is recommended guidelines for patients with symptoms its availability limited. Objectives To determine clinical effectiveness cost-effectiveness therapist...
Cognitive behavioral therapy (CBT) is recommended in guidelines for people with refractory irritable bowel syndrome (IBS). However, the availability of CBT limited, and poor adherence has been reported face-to-face CBT. Nested within a randomized controlled trial telephone- web-delivered IBS, this qualitative study aims to identify barriers facilitators engagement over time interventions, social psychological processes change, provide insight into results. A longitudinal was nested trial....
This study assessed gender differences in a debilitating urologic pain condition, interstitial cystitis/bladder syndrome (IC/BPS). We aimed to (1) evaluate how pain, symptom, and distress profiles of IC/BPS may differ between genders (2) obtain in-depth firsthand accounts from patients provide additional insight into their experiences that explain potential differences.A mixed methods approach combined validated patient-reported outcome measures with single timepoint 90-min focus group....
In-work poverty (IWP), a growing problem in the United Kingdom, describes being employment but having financial resources close to thresholds associated with poverty. IWP is poorer health behaviors. We examined why people experiencing may exhibit Experiences of six individuals whole-household North East England, were elicited using inductive reflexive thematic analysis semi-structured interviews. Three themes generated, showing that impacted on adoption healthy behaviors, resulting an...
Background Previous studies have identified issues with the doctor–patient relationship in irritable bowel syndrome (IBS) that negatively impact symptom management. Despite this, little research has explored interactions between GPs and patients refractory IBS. National guidelines suggest cognitive behavioural therapy (CBT) as a treatment option for symptoms. Aim To explore perceptions of individuals IBS after receiving CBT or usual (TAU). Design setting This qualitative study was embedded...
Background Empirical studies and systematic reviews have demonstrated the role of biological, cognitive, behavioral, emotional factors in fatigue, pain, urgency inflammatory bowel disease (IBD). Behavioral management that addresses offered alongside medical treatment is seldom available to people with IBD. Digital interventions provide a potentially scalable cost-effective way providing behavioral support patients. Objective This paper aimed describe process developing supported digital...
Abstract Background Telephone therapist delivered CBT (TCBT) and web-based (WCBT) have been shown to be significantly more clinically effective than treatment as usual (TAU) at reducing IBS symptom severity impact 12 months in adults with refractory IBS. In this paper we assess the cost-effectiveness of interventions. Methods Participants were recruited from 74 general practices three gastroenterology centres England. Interventions costs calculated, other service use lost employment measured...