Protocol investigating the clinical outcomes and cost-effectiveness of cognitive–behavioural therapy delivered remotely for unscheduled care users with health anxiety: randomised controlled trial
Background Health anxiety and medically unexplained symptoms cost the National Health Service (NHS) an estimated £3 billion per year in unnecessary costs with little evidence of patient benefit. Effective treatment is rarely taken up due to issues such as stigma or previous negative experiences wit...
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| Format: | Article |
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Royal College of Psychiatrists
2016
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| Online Access: | https://eprints.nottingham.ac.uk/32507/ |
| _version_ | 1848794424821153792 |
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| author | Patel, Shireen Malins, Samuel Guo, Boliang James, Marilyn Kai, Joe Kaylor-Hughes, Catherine Rowley, Emma Simpson, Jayne Smart, David Stubley, Michelle Tyrer, Helen Morriss, Richard K. |
| author_facet | Patel, Shireen Malins, Samuel Guo, Boliang James, Marilyn Kai, Joe Kaylor-Hughes, Catherine Rowley, Emma Simpson, Jayne Smart, David Stubley, Michelle Tyrer, Helen Morriss, Richard K. |
| author_sort | Patel, Shireen |
| building | Nottingham Research Data Repository |
| collection | Online Access |
| description | Background
Health anxiety and medically unexplained symptoms cost the National Health Service (NHS) an estimated £3 billion per year in unnecessary costs with little evidence of patient benefit. Effective treatment is rarely taken up due to issues such as stigma or previous negative experiences with mental health services. An approach to overcome this might be to offer remotely delivered psychological therapy, which can be just as effective as face-to-face therapy and may be more accessible and suitable.
Aims
To investigate the clinical outcomes and cost-effectiveness of remotely delivered cognitive–behavioural therapy (CBT) to people with high health anxiety repeatedly accessing unscheduled care (trial registration: NCT02298036).
Method
A multicentre randomised controlled trial (RCT) will be undertaken in primary and secondary care providers of unscheduled care across the East Midlands. One hundred and forty-four eligible participants will be equally randomised to receive either remote CBT (6–12 sessions) or treatment as usual (TAU). Two doctoral research studies will investigate the barriers and facilitators to delivering the intervention and the factors contributing to the optimisation of therapeutic outcome.
Results
This trial will be the first to test the clinical outcomes and costeffectiveness of remotely delivered CBT for the treatment of high health anxiety.
Conclusions
The findings will enable an understanding as to how this intervention might fit into a wider care pathway to enhance patient experience of care. |
| first_indexed | 2025-11-14T19:15:59Z |
| format | Article |
| id | nottingham-32507 |
| institution | University of Nottingham Malaysia Campus |
| institution_category | Local University |
| last_indexed | 2025-11-14T19:15:59Z |
| publishDate | 2016 |
| publisher | Royal College of Psychiatrists |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | nottingham-325072020-05-04T20:04:18Z https://eprints.nottingham.ac.uk/32507/ Protocol investigating the clinical outcomes and cost-effectiveness of cognitive–behavioural therapy delivered remotely for unscheduled care users with health anxiety: randomised controlled trial Patel, Shireen Malins, Samuel Guo, Boliang James, Marilyn Kai, Joe Kaylor-Hughes, Catherine Rowley, Emma Simpson, Jayne Smart, David Stubley, Michelle Tyrer, Helen Morriss, Richard K. Background Health anxiety and medically unexplained symptoms cost the National Health Service (NHS) an estimated £3 billion per year in unnecessary costs with little evidence of patient benefit. Effective treatment is rarely taken up due to issues such as stigma or previous negative experiences with mental health services. An approach to overcome this might be to offer remotely delivered psychological therapy, which can be just as effective as face-to-face therapy and may be more accessible and suitable. Aims To investigate the clinical outcomes and cost-effectiveness of remotely delivered cognitive–behavioural therapy (CBT) to people with high health anxiety repeatedly accessing unscheduled care (trial registration: NCT02298036). Method A multicentre randomised controlled trial (RCT) will be undertaken in primary and secondary care providers of unscheduled care across the East Midlands. One hundred and forty-four eligible participants will be equally randomised to receive either remote CBT (6–12 sessions) or treatment as usual (TAU). Two doctoral research studies will investigate the barriers and facilitators to delivering the intervention and the factors contributing to the optimisation of therapeutic outcome. Results This trial will be the first to test the clinical outcomes and costeffectiveness of remotely delivered CBT for the treatment of high health anxiety. Conclusions The findings will enable an understanding as to how this intervention might fit into a wider care pathway to enhance patient experience of care. Royal College of Psychiatrists 2016-02 Article PeerReviewed Patel, Shireen, Malins, Samuel, Guo, Boliang, James, Marilyn, Kai, Joe, Kaylor-Hughes, Catherine, Rowley, Emma, Simpson, Jayne, Smart, David, Stubley, Michelle, Tyrer, Helen and Morriss, Richard K. (2016) Protocol investigating the clinical outcomes and cost-effectiveness of cognitive–behavioural therapy delivered remotely for unscheduled care users with health anxiety: randomised controlled trial. British Journal of Psychiatry Open, 2 . pp. 81-87. ISSN 2056-4724 http://dx.doi.org/10.1192/bjpo.bp.115.002220 doi:10.1192/bjpo.bp.115.002220 doi:10.1192/bjpo.bp.115.002220 |
| spellingShingle | Patel, Shireen Malins, Samuel Guo, Boliang James, Marilyn Kai, Joe Kaylor-Hughes, Catherine Rowley, Emma Simpson, Jayne Smart, David Stubley, Michelle Tyrer, Helen Morriss, Richard K. Protocol investigating the clinical outcomes and cost-effectiveness of cognitive–behavioural therapy delivered remotely for unscheduled care users with health anxiety: randomised controlled trial |
| title | Protocol investigating the clinical outcomes and cost-effectiveness of cognitive–behavioural therapy delivered remotely for unscheduled care users with health anxiety: randomised controlled trial |
| title_full | Protocol investigating the clinical outcomes and cost-effectiveness of cognitive–behavioural therapy delivered remotely for unscheduled care users with health anxiety: randomised controlled trial |
| title_fullStr | Protocol investigating the clinical outcomes and cost-effectiveness of cognitive–behavioural therapy delivered remotely for unscheduled care users with health anxiety: randomised controlled trial |
| title_full_unstemmed | Protocol investigating the clinical outcomes and cost-effectiveness of cognitive–behavioural therapy delivered remotely for unscheduled care users with health anxiety: randomised controlled trial |
| title_short | Protocol investigating the clinical outcomes and cost-effectiveness of cognitive–behavioural therapy delivered remotely for unscheduled care users with health anxiety: randomised controlled trial |
| title_sort | protocol investigating the clinical outcomes and cost-effectiveness of cognitive–behavioural therapy delivered remotely for unscheduled care users with health anxiety: randomised controlled trial |
| url | https://eprints.nottingham.ac.uk/32507/ https://eprints.nottingham.ac.uk/32507/ https://eprints.nottingham.ac.uk/32507/ |