School of Health Sciences – Implementation before effectiveness: The story of COMPASS- Navigating your Long Term Condition

The School of Health Sciences would like to invite you to this Digital Health Seminar on 21st January, 12-1pm.

We are delighted to announce our Guest Speaker: Professor Rona Moss Morris.

Rona Moss-Morris is Professor of Psychology as Applied to Medicine. She is Head of the Health Psychology Section at the Institute of Psychiatry, Psychology and Neuroscience, King’s College London. She is a Fellow of Academy of Social Sciences, was awarded the British Psychological Society Division of Health Psychology’s Outstanding Contribution to Research Award in 2015 and the Multiple Sclerosis Society MS Research of the Year in 2014.  

She was National Advisor to NHS England for Increasing Access to Psychological Therapies for People with Long Term Conditions from 2011-2016. She was Editor of Psychology and Health from 2006-2010 and is current Editor of Health Psychology Review.

She has been researching psychological factors that affect symptom experience and adjusting to long term conditions for the past 20 years. This research has been used to design theory based cognitive behavioural interventions, including web based interventions, for a range of patient groups. Randomised controlled trials to test the clinical and cost effectiveness of these interventions form a key component of her research. More recently her focus is on rolling out interventions into real world practice

Presentation title: Implementation before effectiveness: The story of COMPASS- Navigating your Long Term Condition

Abstract: Common mental health disorders, including depression and anxiety, are 2-3 times more prevalent in people with long-term physical health conditions (LTCs) compared with the general population. Mental health comorbidity in LTCs is associated with poorer health outcome and a 60% increase in health costs. Cognitive behavioural therapy (CBT) is a NICE recommended treatment for depression and anxiety in LTCs. However, outcomes of routinely collected data from NHS Improving Access to Psychological Therapy (IAPT) services suggests that outcomes following talking therapies are significantly less for people with LTCs than those without. This may be because cognitive-behavioural mechanisms targeted in traditional CBT protocols are based on empirical models of mental health disorders. 

This raises important theoretical and clinical issues which I will discuss in this presentation. These include the difference between primary mental health disorder and distress in the context of LTC and conceptualising adjustment to LTCs. I will present our new model of adjustment to LTCs and how we used this to develop a transdiagnostic digital CBT programme for distress in LTC called COMPASS: Navigating your long-term condition.  I will describe how we are embedding normalisation process theory (NPT) and the personal centred approach into the development and evaluation of this treatment to increase the chances of implementation of COMPASS if shown to be an effective treatment. This includes assessing the whole treatment pathway, from routine screening of patients, referral, uptake and completion of treatment. 


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