A tailored, cognitive behavioural approach intervention for mild to moderate anxiety and/or depression in people with chronic obstructive pulmonary disease (COPD): A randomised controlled trial
Many people with chronic obstructive pulmonary disease (COPD) are affected by anxiety and/or depression and their illness can feel burdensome both physically and emotionally. One main treatment for patients with COPD is pulmonary rehabilitation (PR); a package of exercise training and disease specific education. PR aims to help break the cycle of physical disability, associated anxiety, despondency, inactivity and isolation. Although PR is a well known effective treatment in COPD there is unfortunately poor patient uptake and programme completion, particularly in patients with anxiety and depression. This study will evaluate a psychological cognitive behavioural approach (CBA) intervention, which links into and optimises the benefits of PR, with the aim of reducing mild/moderate anxiety and/or depression in people with moderate to severe COPD. Eligible patients, following written consent, will be randomised to receive either the intervention (CBA intervention) or usual care. Those in the CBA intervention group will receive between five and eight 30-40 minute weekly sessions from trained respiratory health care professionals. 10-15 minute weekly telephone follow ups will also be scheduled with patients if they decide to attend the PR programme after completion of the CBA intervention. The study duration is one year and all patient participants will be followed up at six and twelve months. The two groups will be compared to see if the intervention helped to reduce anxiety and/or depression among patient participants. Carers of patient participants will also be invited to the join the study (with patient permission). The intervention will not be targeted towards them but their well-being will also be assessed at 6 and 12 months.