Status:
COMPLETED
Helping Urgent Care Users Cope With Distress About Physical Complaints
Lead Sponsor:
University of Nottingham
Conditions:
Frequent Utilisers of Urgent Medical Care Who Have High Health Anxiety
Eligibility:
All Genders
18+ years
Phase:
NA
Brief Summary
To determine the cost and clinical effectiveness of offering 6-10 sessions of remotely delivered cognitive behaviour therapy (CBT) via video calling or over the telephone for health anxiety in repeate...
Detailed Description
Background: Health anxiety costs £3 billion per year in unnecessary expenditure, much of it on unscheduled care and in-patient admission. CCGs are incentivised to reduce emergency care use and the Dep...
Eligibility Criteria
Inclusion
- Two or more consultations, referrals or hospital admissions with any provider of unscheduled or emergency care (including urgent same day appointment with own general practice) in the last 12 months for common presentations not attributed to identified pathology such as: cardiac e.g. chest pain, respiratory e.g. breathlessness, neurological e.g. dizziness, gastrointestinal e.g. abdominal pain or genitourinary e.g. pain on passing urine.
- Scores above the threshold for severe health anxiety of 18 or more on the 14 item short version of the Health Anxiety Inventory (HAI; Salkovskis et al, 2002).
- The participant is aged 18 or over.
- Sufficient understanding of English (spoken and written).
- They give oral and written informed consent to participate in the study.
Exclusion
- Pathological medical condition requiring further assessment or acute management, or pregnancy.
- Other severe mental illness (schizophrenia, bipolar disorder, severe major depressive episode, eating disorder) ascertained by the Structured Clinical Interview for DSM-IV Disorders (SCID, Spitzer et al., 2002) or anyone at immediate risk of harm to themselves or other people through their mental state
- Organic mental disorder (dementia, delirium, substance use disorder, organic mood disorder).
- They are already receiving specialist mental health intervention, including psychological treatment as part of specialist medical care e.g. pain clinic.
- All of the above require a different clinical approach to the treatments being tested in the study. Unipolar mild to moderate depressive episodes, other anxiety disorders or stable physical illness are not exclusions to the study as they are readily addressed by the intervention and are necessary to include if the study is pragmatic and going to generalise to clinical practice.
Key Trial Info
Start Date :
January 1 2014
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
December 1 2017
Estimated Enrollment :
156 Patients enrolled
Trial Details
Trial ID
NCT02298036
Start Date
January 1 2014
End Date
December 1 2017
Last Update
January 17 2018
Active Locations (4)
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1
Leicestershire Partnership Nhs Trust
Leicester, Leicestershire, United Kingdom, LE5 0TD
2
United Lincolnshire Hospitals NHS Trust
Lincoln, Lincolnshire, United Kingdom, LN2 4AX
3
Nottinghamshire Healthcare Nhs Trust
Nottingham, Nottinghamshire, United Kingdom, NG3 6AA
4
Nottingham University Hospitals Nhs Trust
Nottingham, Nottinghamshire, United Kingdom, NG7 2UH