The feasibility of nurse-delivered, low-intensity cognitive behavioural therapy for irritable bowel syndrome.
|Authors||Dainty, Andrew, Hunt, Melissa, Holtham, Elizabeth, Kinsella, Philip, Timmons, Stephen, Fox, Mark and Callaghan, Patrick|
Introduction: This study assessed the feasibility of nurse-delivered cognitive behavioural therapy (CBT) for the treatment of irritable bowel syndrome (IBS). Methods and analysis: A mixed-method design was used, and 20 participants were randomly allocated to high-intensity CBT (n=5), guided self-help (n=5), self-help only (n=5) or treatment as usual (n=5). Ten intervention participants completed semi-structured interviews. Quantitative data were analysed using descriptive statistics; qualitative data were analysed using group thematic analysis. Results: Barriers to the interventions were lack of therapist contact, negative preconceptions about treatment and factors relating to supporting materials. Treatment facilitators included therapist-facilitated relaxation, narratives located within self-help materials and social support mechanisms. Conclusion: Further development of the low-intensity interventions in collaboration with service users is required to improve intervention acceptability and relevance.
|Keywords||Controlled trials; Cognitive behaviour therapy; Functional gastrointestinal disease; Irritable bowel syndrome; Nurse-led interventions; Nurse-patient relationships|
|Publisher||Mark Allen Group|
|Digital Object Identifier (DOI)||https://doi.org/10.12968/gasn.2017.15.9.39|
|Web address (URL)||http://hdl.handle.net/10545/622056|
|Publication dates||16 Nov 2017|
|Publication process dates|
|Deposited||12 Jan 2018, 16:13|
Archived with thanks to Gastrointestinal Nursing
|Contributors||University of Derby, University of Pennsylvania, University of Nottingham, St. Claraspital, Lecturer in Nursing and Health Care Practice, University of Derby, Associate Director of Clinical Training in Psychology, University of Pennsylvania, Clinical Data Manager, University of Nottingham, Lecturer in CBT, University of Nottingham, Professor, University of Nottingham, Professor of Gastroenterology, St. Claraspital, Basel, Switzerland and Professor of Mental Health Nursing, University of Nottingham|
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