Article Text
Abstract
This prospective service evaluation aimed to determine if integrated psychological support for patients with inflammatory bowel disease (IBD) enhanced outcomes. 75 patients were assessed and treated by a specialist liaison psychiatric service between 2015 and 2017; 43 received psychiatric intervention alone, 32 were referred for psychological intervention by clinical health psychologist; 26 completed this. Pre–post data (n=15 available) included global impression, quality of life, and psychiatric and IBD symptom scores. Referrer/patient satisfaction and cost-effectiveness were retrospectively calculated. Psychological intervention led to reductions in IBD symptoms (ΔSIBD; p=0.003), alongside improvements in depression scores (ΔPHQ-9, p=0.006) and global impression (ΔCGI; p=0.046). Patient/referrer satisfaction was very high. Indicative data comparing service utilisation 1 year before and after engagement found reductions in outpatient appointments and in imaging. This small study suggests consideration of increased access to integrated psychological support services to improve outcomes and gather further evidence of efficacy.
- inflammatory bowel disease
- psychology
- health service research
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Footnotes
Twitter @bendybsms
Presented at This study has previously been presented as a poster at the 13th Congress of ECCO (European Crohn’s and Colitis Organisation)—Inflammatory Bowel Diseases 2018, Vienna (Austria), 14–17 February 2018, and as an oral communication at the British Society of Gastroenterology Annual Meeting 2018, Liverpool (UK), 4–7 June 2018, where it was selected as the Frontline Gastroenterology prizewinner for best patient benefit in gastroenterology.
Contributors JG set up the service with contribution from LAP and MAS. JAE, JG and AL collected the data. JAE contributed to the design, acquisition, analysis and interpretation of data, drafted the final manuscript and is the manuscript’s guarantor. EH, ASJ, RM, AA, LAP, MAS and JG contributed to the interpretation of the data, and contributed to drafting the final manuscript. All authors provided final approval of the final version.
Funding JAE is supported by the National Institute of Health Research (CL-2015-27-002). This service evaluation was conducted at the Digestive Diseases Centre at Brighton and Sussex University Hospitals NHS Trust. The Centre received a grant from Abbvie which supported the salary of AL. Abbvie had no influence over the design or interpretation of the service evaluation.
Competing interests None declared.
Patient consent for publication Not required.
Provenance and peer review Not commissioned; externally peer reviewed.
Data availability statement Data are available upon request
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