RE-EDITT and Compass
Resource for Electronic Development of Interventions for Talking Therapies in Long-Term Conditions (RE-EDITT) is developing online Cognitive Behavioural Therapy (CBT) treatment for anxiety and depression in people with long-term conditions.
The project is led by a group of Clinical Health Psychology researchers at King’s College London, based at Guy’s Hospital: Professor Rona Moss-Morris, Dr Joanna Hudson, Dr Katherine Rimes and Dr Katrin Hulme. Research shows that around 30% of people with a physical long-term condition (LTC) also experience mental health problems. Research into online tools has found them to be an effective way of delivering CBT, which is the The National Institute for Health and Care Excellence (NICE) recommended treatment for mental health conditions including anxiety and depression, to a wider group of patients.
There are existing tools for delivering online CBT. However, these are not as effective as they could be for those with LTCs; the impact of the LTC and factors involved in the development of the mental health issue alongside the LTC may require specialist support different to that offered when the primary problem is a mental health disorder.
[Image: The RE-EDITT research team, l-r, Jo Hudson, Professor Rona Moss Morris, and Zoë Moon.]
The team has reviewed literature on understanding distress in LTCs, to tailor current evidence-based CBT treatments for anxiety and depression to be more specific to people with LTCs. Input from an expert advisory panel made up of people with long-term conditions and psychologists specialising in treatment for people with LTCs is also informing the project, for example, there have been meetings with the panel to discuss terminology, design and accessibility of the website; now known as Compass.
To create the website and hosting platform, the team is working with SPIKA, a technical agency which focuses on writing software solutions to create engagement, build relationships, enhance wellbeing and boost performance. The initial programme will be designed in a trans-diagnostic manner, addressing anxiety and/or depression in the context of having any LTC. After the initial version is developed, tailored programmes for specific disease areas can be ‘cloned’, for example developing a version of Compass specifically targeted at those with Multiple Sclerosis (MS).
The project works with colleagues across King’s Health Partners and the Southwark and Lambeth Improving Access to Psychological Therapies (IAPT) services. This ensures that the product is informed by clinical experience, responds to the needs of our patients, and that we can trial implementation in a front-line setting. RE-EDITT aims to build a clear pathway for patients to enter treatment by linking with mind and body partners including Integrating Mental & Physical healthcare: Research, Training & Services (IMPARTS), IAPT, clinical health psychology and liaison psychiatry.
Read a blog about the project by Professor Rona Moss-Morris, Health Psychology Section, Institute of Psychiatry, Psychology & Neuroscience, King’s College London.