Hostname: page-component-669899f699-8p65j Total loading time: 0 Render date: 2025-04-26T07:09:40.541Z Has data issue: false hasContentIssue false
  • English
  • Français

Development and testing of an intervention to increase staff knowledge and confidence in responding to health anxiety in the context of cognitive decline: a pilot study

Published online by Cambridge University Press:  22 June 2023

Jessica Colenutt Open the ORCID record for Jessica Colenutt [Opens in a new window] ,
Rita De Nicola Open the ORCID record for Rita De Nicola [Opens in a new window]  and
Jo Daniels Open the ORCID record for Jo Daniels [Opens in a new window]
Jessica Colenutt*
Affiliation:
Department of Psychology, University of Bath, Bath, BA2 7AY, UK
Rita De Nicola
Affiliation:
Department of Psychology, University of Bath, Bath, BA2 7AY, UK
Jo Daniels
Affiliation:
Department of Psychology, University of Bath, Bath, BA2 7AY, UK
*
Corresponding author: Jessica Colenutt; Email: Jessica.Colenutt@nbt.nhs.uk
Get access Rights & Permissions [Opens in a new window]

Abstract

Background:

Memory complaint in the absence of organic pathology is a common phenomenon accounting for up to one third of patients presenting to memory clinics. Health anxiety has been specifically linked to dementia worry and repeated presentations to the National Health Service (NHS). Providing reassurance that an individual does not have dementia appears ineffective in reducing presentations to primary and secondary care services.

Aims:

This study sought to evaluate and establish the effectiveness of a 1-hour pilot training workshop to enhance healthcare professionals’ knowledge and confidence to those with health anxiety around cognitive decline.

Method:

The one-session pilot training workshop was developed and informed by previous work and consultation with the 2Gether NHS Foundation Trust Memory Assessment Service staff. The training workshop was then evaluated by employing an idiosyncratic self-report questionnaire. Participants completed the questionnaire prior to and after the training workshop.

Results:

Pre- and post-training questionnaires revealed that the pilot training workshop was effective in increasing perceived knowledge and confidence in staff responding to patients presenting with health anxiety and co-occurring subjective memory complaints.

Conclusions:

The findings suggest that healthcare professionals may benefit from training in identifying and addressing health-anxious individuals with subjective memory complaints. This may have implications in the provision of psychologically informed care offered in a memory assessment service. Recommendations are made for further enhancing the effectiveness of staff training and promoting alternative service treatment pathways.

Keywords

Clinical neuropsychologyHealth anxietyMemory assessment serviceSubjective memory complaintsService evaluation
Type
Brief Clinical Report
Information
Behavioural and Cognitive Psychotherapy , Volume 51 , Issue 5 , September 2023 , pp. 485 - 490
Copyright
© The Author(s), 2023. Published by Cambridge University Press on behalf of British Association for Behavioural and Cognitive Psychotherapies

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

References

Carson, A. J., Ringbauer, B., Stone, J., McKenzie, L., Warlow, C., & Sharpe, M. (2000). Do medically unexplained symptoms matter? A prospective cohort study of 300 new referrals to neurology outpatient clinics. Journal of Neurology, Neurosurgery & Psychiatry, 68, 207–210. https://doi.org/10.1136/jnnp.68.2.207 CrossRefGoogle Scholar
Daniels, J., Osborn, M., & Davis, C. (2018). Better safe than sorry? Frequent attendance in a hospital emergency department: an exploratory study. British Journal of Pain, 12, 10–19. https://doi.org/10.1177/2049463717720635 CrossRefGoogle Scholar
National Institute for Health and Care Excellence (2018). Dementia: Assessment, Management and Support for People Living with Dementia and their Carers. https://www.nice.org.uk/guidance/ng97/chapter/Recommendations#diagnosis Google Scholar
Salkovskis, P. M., & Warwick, H. M. (1986). Morbid preoccupations, health anxiety and reassurance: a cognitive-behavioural approach to hypochondriasis. Behaviour Research and Therapy, 24, 597–602. https://doi.org/10.1016/0005-7967(86)90041-0 CrossRefGoogle ScholarPubMed
Tyrer, P., Cooper, S., Crawford, M., Dupont, S., Green, J., Murphy, D., Salkovskis, P., Smith, G., Wang, D., Bhogal, S., Keeling, M., Loebenberg, G., Seivewright, R., Walker, G., Cooper, F., Evered, R., Kings, S., Kramo, K., McNulty, A., Nagar, J., … & Tyrer, H. (2011). Prevalence of health anxiety problems in medical clinics. Journal of Psychosomatic Research, 71, 392–394. https://doi.org/10.1016/j.jpsychores.2011.07.004 CrossRefGoogle ScholarPubMed
Tyrer, P., Cooper, S., Salkovskis, P., Tyrer, H., Crawford, M., Byford, S., Dupont, S., Finnis, S., Green, J., McLaren, E., Murphy, D., Reid, S., Smith, G., Wang, D., Warwick, H., Petkova, H., & Barrett, B. (2014). Clinical and cost-effectiveness of cognitive behaviour therapy for health anxiety in medical patients: a multicentre randomised controlled trial. The Lancet, 883, 219–225. https://doi.org/10.1016/S0140-6736(13)61905-4 CrossRefGoogle Scholar
Supplementary material: File

Colenutt et al. supplementary material

Colenutt et al. supplementary material

Download Colenutt et al. supplementary material(File)
File 53.4 KB
Submit a response

Comments

No Comments have been published for this article.