Joanna Hudson|Rona Moss?Morris|Sam Norton|Federica Picariello|David Game|Amy Carroll|Jonathan Spencer|Paul McCrone|Matthew Hotopf|Lucy Yardley|Joseph Chilcot
Tailored online cognitive behavioural therapy with or without therapist support calls to target psychological distress in adults receiving haemodialysis: A feasibility randomised controlled trial
King's College London|King's College London|King's College London|King's College London|Guy's and St Thomas' NHS Foundation Trust|Guy's and St Thomas' NHS Foundation Trust|King's College London|King's College London|King's College London|University of Southampton|Nuffield Health|University of Oxford|King's College London
psychological distress prevalent haemodialysis hd patients yet access psychotherapy remains limited study assessed feasibility acceptability online cognitivebehavioural therapy cbt tailored hd patients without therapist support managing psychological distress feasibility randomised controlled trial recruited patients uk hd centre following psychological distress screens patients mildmoderate psychological distress patient health questionnaire phq9 score 519 andor generalised anxiety disorder gad7 score 514 met remaining inclusion criteria approached consent consenters individually randomised 11 onlinecbt onlinecbt plus three therapist support calls outcomes included recruitment retention adherence rates exploratory change analyses performed psychological distress quality life qol illness perceptions costs statistician blinded allocation 182 44 410 patients approached completed psychological distress screens 26 found screening unacceptable 30 found unfeasible psychological distress detected 101 55 patients 60 met remaining inclusion criteria primary reason ineligibility poor computer literacy n 17 53 twentyfive patients randomised supported n 18 unsupported arm n 7 92 retained followup differences psychological distress costeffectiveness observed trial adverse events occurred online cbt appears feasible computer literate patients identify label psychological distress definitive trial using current methods psychological distress screening online care delivery unfeasible clinicaltrialsgov identifier nct02352870