Watson, M., White, C., Lynch, A., Mohammed, K. (2017) Telephone-delivered individual cognitive behavioural therapy for cancer patients: An equivalence randomised trial. PSYCHO-ONCOLOGY, 26 (3). pp. 301-308. ISSN 1057-9249

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Abstract

ObjectiveTo evaluate Telephone-Delivered Cognitive Behavioural Therapy (T-CBT) compared to CBT face to face treatment as usual (TAU-CBT), in cancer patients with high psychological needs, in terms of mental health and coping. MethodA prospective randomised equivalence trial with Patient Reported Outcome (PRO's), measured pre- and post-therapy including; Hospital Anxiety and Depression Scale (HADS), Mental Adjustment to Cancer Scale: Helpless/Hopeless subscale only (MAC H/H), Checklist of Cancer Concerns (CLCC) and the Cancer Coping Questionnaire (CCQ). A study-specific Service Evaluation Questionnaire (SEQ) was include. ResultsAssessment of change scores, in n=118 randomised patients referred for psychological care, indicate significant improvements (P<0.01 or greater) for both therapy groups pre- and post-therapy in HADS anxiety, depression and total scores and cancer concerns (CLCC). Overall, for the groups combined, there is a significant shift towards reduction of CCQ stress (P=0.028) and worry (P=0.003) post-therapy when compared to baseline levels. Median number of therapy sessions was four. For cancer coping (CCQ) and for Mental Adjustment to Cancer (MAC) there were significant change scores only for Positive Focus and Helpless/hopeless scores respectively, in the TAU-CBT group. Although equivalence was not observed, the data demonstrate that T-CBT was non-inferior to TAU-CBT. ConclusionsDelivery of CBT to patients with clinician identified high need can be offered according to patient choice without loss of mental health benefit. Both TAU-CBT and T-CBT are effective at reducing mental health problems on the specific outcome measures.

Item Type:	Article
Authors (ICR Faculty only):	Watson, Maggie
All Authors:	Watson, M., White, C., Lynch, A., Mohammed, K.
Additional Information:	ISI Document Delivery No.: EP6FS Times Cited: 0 Cited Reference Count: 24 Watson, M. White, C. Lynch, A. Mohammed, K. Royal Marsden Foundation Trust Charity CP [08206, 10113] The study was funded by an award to the corresponding author from the Royal Marsden Foundation Trust Charity CP reference: 08206 & 10113. 0 WILEY HOBOKEN PSYCHO-ONCOLOGY
Uncontrolled Keywords:	anxiety cancer CBT coping depression oncology telephone therapy ADJUVANT PSYCHOLOGICAL THERAPY INTERVENTIONS SCALE QUESTIONNAIRE DEPRESSION DISTRESS DISORDER
Research teams:	Clinical Units > Pastoral & Psychological Care Closed research groups > Psychology Research Group
Depositing User:	Barry Jenkins
Date Deposited:	10 Apr 2017 14:19
Last Modified:	12 Apr 2017 12:47
URI:	http://publications.icr.ac.uk/id/eprint/15836

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