Clinical and cost effectiveness of a cognitive behavioural intervention for improved self-management in adults with psychological complications of asthma

Psychological adjustment is thought to play an important role in determining pain experience, disease status, and immune function in rheumatoid arthritis (RA). Fourteen female RA out-patients were tested longitudinally in a matched-random assigned two-groups design with cognitive-behavioural intervention designed to improve pain and stress management skills. Pre-intervention correlational analyses tested the extent to which mood disturbance, self-perceptions of coping efficacy, health locus of control, and stressful life experience were related to pain, disease activity, functional status and lymphocyte proliferation rate variables. Intra- and inter-group analyses were conducted to determine treatment effects, and case studies were conducted. RA was characterized more by poor psychological health status than physical disability, with pain more a function of psychological adjustment than actual disease status. No significant treatment effects were observed. Case studies indicated the complex nature of the individual disease experience. The value of cognitive-behavioural intervention in RA, and implications for future-related research are discussed in terms of such findings.

Download Full-text

Controlled Trial of a Brief Cognitive?Behavioural Intervention in Adolescent Patients with Depressive Disorders

Journal of Child Psychology and Psychiatry ◽

10.1111/j.1469-7610.1996.tb01466.x ◽

1996 ◽

Vol 37 (6) ◽

pp. 737-746 ◽

Cited By ~ 181

Author(s):

Alison Wood ◽

Richard Harrington ◽

Anne Moore

Keyword(s):

Depressive Disorders ◽

Controlled Trial ◽

Behavioural Intervention ◽

Cognitive Behavioural ◽

Adolescent Patients ◽

Cognitive Behavioural Intervention

Download Full-text

A Cognitive–behavioural intervention to increase adherence of adult women exercisers

Advances in Physiotherapy ◽

10.1080/14038190410020115 ◽

2004 ◽

Vol 6 (2) ◽

pp. 84-92 ◽

Cited By ~ 3

Author(s):

Eva Segura Ortí ◽

Marie Donaghy

Keyword(s):

Behavioural Intervention ◽

Adult Women ◽

Cognitive Behavioural ◽

Cognitive Behavioural Intervention

Download Full-text

An integrated motivational interviewing and cognitive-behavioural intervention promoting physical activity maintenance for adults with chronic health conditions: A feasibility study

Chronic Illness ◽

10.1177/1742395318769370 ◽

2018 ◽

Vol 15 (4) ◽

pp. 276-292

Author(s):

Sarah E Scott ◽

Jeff D Breckon ◽

Robert J Copeland

Keyword(s):

Physical Activity ◽

Motivational Interviewing ◽

Chronic Health Conditions ◽

Health Conditions ◽

Behavioural Intervention ◽

Chronic Health ◽

Cognitive Behavioural ◽

Cognitive Behavioural Intervention ◽

Physical Activity Maintenance

Objectives Physical activity is recommended for managing chronic health conditions but is rarely maintained. This feasibility study aimed to evaluate the preliminary efficacy of a motivational interviewing and cognitive-behavioural intervention for long-term physical activity for adults with chronic health conditions. Methods Participants ( N = 37) with stable conditions (e.g. diabetes) were randomized into a three-month motivational interviewing and cognitive-behavioural group ( N = 20) or usual care ( N = 17) after completing a physical activity referral scheme. Participants completed physical activity (e.g. average steps per day and kilocalorie expenditure), psychological (e.g. self-efficacy) and epidemiological (e.g. body mass index) standardized measures at baseline, three- and six-month follow-up. Treatment fidelity and feasibility were assessed. Results Thirty-five participants completed the study (96% retention). The motivational interviewing and cognitive-behavioural group maintained kilocalorie expenditure at three ( p = 0.009) and six months ( p = 0.009). Exercise barrier self-efficacy ( p = 0.03), physical ( p = 0.02) and psychological ( p = 0.01) physical activity experiences were increased at three months only. No difference was found for average steps/day, social support, coping skills and epidemiological factors. Discussion This is the first study to demonstrate the feasibility and preliminary efficacy of motivational interviewing and cognitive-behavioural interventions for promoting physical activity maintenance in a clinical population. A large-scale trial with a longer follow-up (≥6 months) is warranted with treatment fidelity assessment.

Download Full-text