Metacognitive therapy self-help for anxiety-depression: Single-blind randomized feasibility trial in cardiovascular disease

Adrian Wells; David Reeves; Calvin Heal; Peter Fisher; Patrick Doherty; Linda Davies; Anthony Heagerty; Lora Capobianco

doi:10.1037/hea0001168

Metacognitive therapy self-help for anxiety-depression: Single-blind randomized feasibility trial in cardiovascular disease

Adrian Wells, David Reeves, Calvin Heal, Peter Fisher, Patrick Doherty, Linda Davies, Anthony Heagerty, Lora Capobianco

Health Sciences

Research output: Contribution to journal › Article › peer-review

Abstract

BACKGROUND: One in three cardiovascular disease (CVD) patients experience significant anxiety and depression. Current psychological interventions have limited efficacy in reducing such symptoms and are offered as a face-to-face intervention that may be a barrier to accessing treatment. We evaluated the feasibility and acceptability of delivering assisted home-based self-help metacognitive therapy (home-MCT) to cardiac rehabilitation (CR) patients experiencing anxiety and depression.

METHOD: One hundred eight CR patients with elevated anxiety and/or depression were recruited to a single-blind randomized feasibility trial across two United Kingdom National Health Service Trusts and were randomized to usual CR or usual CR plus home-MCT. The feasibility and acceptability of adding home-MCT to CR was based on credibility or expectancy ratings, recruitment rate, drop-outs, number of CR and home-MCT modules completed, and ability of outcome measures to discriminate between patients. The study was used to refine the sample size estimate for a full-scale trial. The quality of telephone support calls delivered by CR staff trained in MCT was assessed.

RESULTS: Home-MCT was found to be feasible and acceptable for the current CR patients with anxiety and depression. Recruitment and retention of participants was high, and attendance at CR was similar for both groups. Completion of home-MCT was high, but the quality of telephone support calls delivered was lower than expected.

CONCLUSIONS: Home-MCT was acceptable and feasible to deliver to CR patients experiencing anxiety and depression, and the feasibility of conducting a full-scale trial of the intervention was established. Home-MCT may provide additional treatment options for cardiac patients experiencing psychological distress. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Original language	English
Pages (from-to)	366-377
Number of pages	12
Journal	Health psychology : official journal of the Division of Health Psychology, American Psychological Association
Volume	41
Issue number	5
DOIs	https://doi.org/10.1037/hea0001168
Publication status	Published - 1 May 2022

Bibliographical note

Keywords

Anxiety/psychology
Cardiovascular Diseases/therapy
Depression/psychology
Feasibility Studies
Humans
Single-Blind Method
State Medicine

Access to Document

10.1037/hea0001168Licence: CC BY

Metacognitive Therapy for Self-Help
© 2022 The Author(s)
Final published version, 946 KBLicence: CC BY

Cite this

Wells, A., Reeves, D., Heal, C., Fisher, P., Doherty, P., Davies, L., Heagerty, A., & Capobianco, L. (2022). Metacognitive therapy self-help for anxiety-depression: Single-blind randomized feasibility trial in cardiovascular disease. Health psychology : official journal of the Division of Health Psychology, American Psychological Association, 41(5), 366-377. https://doi.org/10.1037/hea0001168

@article{71b29889682d4d2aa87ce30a3e06c8d6,

title = "Metacognitive therapy self-help for anxiety-depression: Single-blind randomized feasibility trial in cardiovascular disease",

abstract = "BACKGROUND: One in three cardiovascular disease (CVD) patients experience significant anxiety and depression. Current psychological interventions have limited efficacy in reducing such symptoms and are offered as a face-to-face intervention that may be a barrier to accessing treatment. We evaluated the feasibility and acceptability of delivering assisted home-based self-help metacognitive therapy (home-MCT) to cardiac rehabilitation (CR) patients experiencing anxiety and depression.METHOD: One hundred eight CR patients with elevated anxiety and/or depression were recruited to a single-blind randomized feasibility trial across two United Kingdom National Health Service Trusts and were randomized to usual CR or usual CR plus home-MCT. The feasibility and acceptability of adding home-MCT to CR was based on credibility or expectancy ratings, recruitment rate, drop-outs, number of CR and home-MCT modules completed, and ability of outcome measures to discriminate between patients. The study was used to refine the sample size estimate for a full-scale trial. The quality of telephone support calls delivered by CR staff trained in MCT was assessed.RESULTS: Home-MCT was found to be feasible and acceptable for the current CR patients with anxiety and depression. Recruitment and retention of participants was high, and attendance at CR was similar for both groups. Completion of home-MCT was high, but the quality of telephone support calls delivered was lower than expected.CONCLUSIONS: Home-MCT was acceptable and feasible to deliver to CR patients experiencing anxiety and depression, and the feasibility of conducting a full-scale trial of the intervention was established. Home-MCT may provide additional treatment options for cardiac patients experiencing psychological distress. (PsycInfo Database Record (c) 2022 APA, all rights reserved).",

keywords = "Anxiety/psychology, Cardiovascular Diseases/therapy, Depression/psychology, Feasibility Studies, Humans, Single-Blind Method, State Medicine",

author = "Adrian Wells and David Reeves and Calvin Heal and Peter Fisher and Patrick Doherty and Linda Davies and Anthony Heagerty and Lora Capobianco",

note = "{\textcopyright} 2022 The Author(s)",

year = "2022",

month = may,

day = "1",

doi = "10.1037/hea0001168",

language = "English",

volume = "41",

pages = "366--377",

journal = "Health psychology : official journal of the Division of Health Psychology, American Psychological Association",

issn = "0278-6133",

publisher = "American Psychological Association",

number = "5",

}

Wells, A, Reeves, D, Heal, C, Fisher, P, Doherty, P, Davies, L, Heagerty, A & Capobianco, L 2022, 'Metacognitive therapy self-help for anxiety-depression: Single-blind randomized feasibility trial in cardiovascular disease', Health psychology : official journal of the Division of Health Psychology, American Psychological Association, vol. 41, no. 5, pp. 366-377. https://doi.org/10.1037/hea0001168

Metacognitive therapy self-help for anxiety-depression: Single-blind randomized feasibility trial in cardiovascular disease. / Wells, Adrian; Reeves, David; Heal, Calvin et al.
In: Health psychology : official journal of the Division of Health Psychology, American Psychological Association, Vol. 41, No. 5, 01.05.2022, p. 366-377.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - Metacognitive therapy self-help for anxiety-depression

T2 - Single-blind randomized feasibility trial in cardiovascular disease

AU - Wells, Adrian

AU - Reeves, David

AU - Heal, Calvin

AU - Fisher, Peter

AU - Doherty, Patrick

AU - Davies, Linda

AU - Heagerty, Anthony

AU - Capobianco, Lora

PY - 2022/5/1

Y1 - 2022/5/1

N2 - BACKGROUND: One in three cardiovascular disease (CVD) patients experience significant anxiety and depression. Current psychological interventions have limited efficacy in reducing such symptoms and are offered as a face-to-face intervention that may be a barrier to accessing treatment. We evaluated the feasibility and acceptability of delivering assisted home-based self-help metacognitive therapy (home-MCT) to cardiac rehabilitation (CR) patients experiencing anxiety and depression.METHOD: One hundred eight CR patients with elevated anxiety and/or depression were recruited to a single-blind randomized feasibility trial across two United Kingdom National Health Service Trusts and were randomized to usual CR or usual CR plus home-MCT. The feasibility and acceptability of adding home-MCT to CR was based on credibility or expectancy ratings, recruitment rate, drop-outs, number of CR and home-MCT modules completed, and ability of outcome measures to discriminate between patients. The study was used to refine the sample size estimate for a full-scale trial. The quality of telephone support calls delivered by CR staff trained in MCT was assessed.RESULTS: Home-MCT was found to be feasible and acceptable for the current CR patients with anxiety and depression. Recruitment and retention of participants was high, and attendance at CR was similar for both groups. Completion of home-MCT was high, but the quality of telephone support calls delivered was lower than expected.CONCLUSIONS: Home-MCT was acceptable and feasible to deliver to CR patients experiencing anxiety and depression, and the feasibility of conducting a full-scale trial of the intervention was established. Home-MCT may provide additional treatment options for cardiac patients experiencing psychological distress. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

AB - BACKGROUND: One in three cardiovascular disease (CVD) patients experience significant anxiety and depression. Current psychological interventions have limited efficacy in reducing such symptoms and are offered as a face-to-face intervention that may be a barrier to accessing treatment. We evaluated the feasibility and acceptability of delivering assisted home-based self-help metacognitive therapy (home-MCT) to cardiac rehabilitation (CR) patients experiencing anxiety and depression.METHOD: One hundred eight CR patients with elevated anxiety and/or depression were recruited to a single-blind randomized feasibility trial across two United Kingdom National Health Service Trusts and were randomized to usual CR or usual CR plus home-MCT. The feasibility and acceptability of adding home-MCT to CR was based on credibility or expectancy ratings, recruitment rate, drop-outs, number of CR and home-MCT modules completed, and ability of outcome measures to discriminate between patients. The study was used to refine the sample size estimate for a full-scale trial. The quality of telephone support calls delivered by CR staff trained in MCT was assessed.RESULTS: Home-MCT was found to be feasible and acceptable for the current CR patients with anxiety and depression. Recruitment and retention of participants was high, and attendance at CR was similar for both groups. Completion of home-MCT was high, but the quality of telephone support calls delivered was lower than expected.CONCLUSIONS: Home-MCT was acceptable and feasible to deliver to CR patients experiencing anxiety and depression, and the feasibility of conducting a full-scale trial of the intervention was established. Home-MCT may provide additional treatment options for cardiac patients experiencing psychological distress. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

KW - Anxiety/psychology

KW - Cardiovascular Diseases/therapy

KW - Depression/psychology

KW - Feasibility Studies

KW - Humans

KW - Single-Blind Method

KW - State Medicine

U2 - 10.1037/hea0001168

DO - 10.1037/hea0001168

M3 - Article

C2 - 35467904

SN - 0278-6133

VL - 41

SP - 366

EP - 377

JO - Health psychology : official journal of the Division of Health Psychology, American Psychological Association

JF - Health psychology : official journal of the Division of Health Psychology, American Psychological Association

IS - 5

ER -