Evidence map›Paper›PMID 39169308›Full record

ArticleBMC health services research2024

Patient perspectives on the Tailored intervention for Anxiety and Depression Management in COPD (TANDEM): a qualitative evaluation.

Ratna Sohanpal, Kristie-Marie Mammoliti, Amy Barradell, Moira Kelly, Sian Newton, Liz Steed, Vari Wileman, Vickie Rowland, Clarisse Dibao-Dina, Anna Moore and 2 more

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Article in BMC health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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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.

Ratna SohanpalQueen Mary University of London, London, UK. r.sohanpal@qmul.ac.uk.
Kristie-Marie MammolitiUniversity of Birmingham, Birmingham, UK.
Amy BarradellUniversity Hospitals of Leicester NHS Trust, Leicester, UK.
Moira KellyQueen Mary University of London, London, UK.
Sian NewtonQueen Mary University of London, London, UK.
Liz SteedQueen Mary University of London, London, UK.
Vari WilemanKing's College London, London, UK.
Vickie RowlandHertfordshire City Council, Hertfordshire, UK.
Clarisse Dibao-DinaUniversity of Tours, Tours, France.
Anna MooreBarts Health NHS Trust, London, UK.
Hilary PinnockUniversity of Edinburgh, Edinburgh, UK.
Stephanie J C TaylorQueen Mary University of London, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic obstructive pulmonary disease (COPD) is commonly associated with anxiety/depression which can affect self-management and quality of life. The TANDEM trial evaluated a cognitive behavioural approach intervention targeting COPD-related symptoms of anxiety and/or depression, comprising up to eight one-to-one sessions delivered by respiratory healthcare professionals prior to pulmonary rehabilitation (PR). The intervention showed no improvement in anxiety/depression or uptake/completion of PR. We present patient perspectives of the intervention to help understand these results.

methodSemi-structured individual interviews, using a semi-structured topic guide informed by Sekhon's Theoretical Framework of Acceptability, were conducted with 19 patients between September 2019 and April 2020. The interviews were audio-recorded, transcribed verbatim and analysed thematically.

resultsThe following could have limited the impact of the intervention: (1) The lives of patients were complex and commonly affected by competing comorbidities or other external stressors which they managed through previously adopted long-standing coping strategies. (2) Some patients were reluctant to talk about their mood despite the Facilitators' training and person centred-skills which aimed to enable patients to talk freely about mood. (3) The intervention handouts and 'home-practice' were perceived as helpful for some, but not suitable for all. (4) Many patients perceived improvements in their physical and mental health, but this was not sustained due to a mix of personal and external factors, and some did not perceive any benefits. (5) PR non-attendance/non-completion was a result of personal and PR service-related reasons. (6) Discussing COPD and mental health with the Facilitator was a novel experience. Many patients felt that TANDEM could be of benefit if it was offered earlier on/at different time points in the COPD illness journey.

conclusionWe found the delivery of TANDEM prior to PR was not helpful for patients with advanced COPD often experiencing other comorbidities, and/or difficult personal/external events. These patients already utilised long-standing coping strategies to manage their COPD. Holistic interventions, that address the impact of COPD in relation to wider aspects of a patients' life, may be more beneficial.

trial registrationISRCTN Registry 59,537,391. Registration date 20 March 2017.

Indexed as

DepressionPulmonary Disease, Chronic ObstructiveQualitative ResearchAdaptation, PsychologicalAgedAnxietyCognitive Behavioral TherapyFemaleHumansInterviews as TopicMaleMiddle AgedQuality of LifeAnxietyChronic obstructiveDepressionPsychological interventionPulmonary diseaseQualitative research

Identifiers

PMID39169308
PMCPMC11337569

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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.