Evidence map›Paper›PMID 27703758›Full record

ArticleBJPsych open2016

Protocol investigating the clinical outcomes and cost-effectiveness of cognitive-behavioural therapy delivered remotely for unscheduled care users with health anxiety: randomised controlled trial.

Shireen Patel, Sam Malins, Boliang Guo, Marilyn James, Joe Kai, Catherine Kaylor-Hughes, Emma Rowley, Jayne Simpson, David Smart, Michelle Stubley and 2 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BJPsych open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02298036 (Helping Urgent Care Users Cope With Distress About Physical Complaints), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.6field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02298036 nacompletednot on this map

Helping Urgent Care Users Cope With Distress About Physical Complaints: A Randomised Controlled Trial

TypeinterventionalSponsorUniversity of NottinghamRan2014 to 2017Enrolled156ConditionsFrequent Utilisers of Urgent Medical Care Who Have High Health AnxietyArms(Remote) Cognitive Behaviour Therapy
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 6 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 3 institutions in 1 country.

Shireen Patel, MSc.
Sam Malins, DClinPsy.
Boliang Guo, PhD, Collaboration for Leadership in Applied Health Research and Care (CLAHRC).
Marilyn James, PhD.
Joe Kai, MD, FRCGP, Faculty of Medicine & Health Sciences.
Catherine Kaylor-Hughes, DPhil.
Emma Rowley, PhD.
Jayne Simpson, MSc, CLAHRC, University of Nottingham, Nottingham.
David Smart, MB ChB, MRCGP, Leicester Terrace Health Care Centre, Northampton.
Michelle Stubley, MA, CLAHRC, University of Nottingham, Nottingham.
Helen Tyrer, PhD, Department of Medicine, Imperial College London, London.
Richard Morriss, MD, FRCPsych, CLAHRC, University of Nottingham, Nottingham, UK.
University of Nottingham · GBNottingham Biomedical Research Centre · GBImperial College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHealth 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.

aimsTo 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).

methodA 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.

resultsThis trial will be the first to test the clinical outcomes and cost-effectiveness of remotely delivered CBT for the treatment of high health anxiety.

conclusionsThe findings will enable an understanding as to how this intervention might fit into a wider care pathway to enhance patient experience of care. DECLARATION OF INTEREST: None. COPYRIGHT AND USAGE: © The Royal College of Psychiatrists 2016. This is an open access article distributed under the terms of the Creative Commons Non-commercial, No Derivatives (CC BY-NC-ND) licence.

Identifiers

PMID27703758
PMCPMC4995569
OpenAlexW2320845910

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.