Neurologists' experiences of participating in the CODES study-A multicentre randomised controlled trial comparing cognitive behavioural therapy vs standardised medical care for dissociative seizures.
Adult
Attitude of Health Personnel
Cognitive Behavioral Therapy
/ statistics & numerical data
Conversion Disorder
/ etiology
Dissociative Disorders
/ complications
Female
Humans
Male
Middle Aged
Neurologists
/ statistics & numerical data
Patient Satisfaction
/ statistics & numerical data
Patient Selection
Referral and Consultation
/ statistics & numerical data
Seizures
/ etiology
Cognitive behavioural therapy
Experience
Neurologist
Non-epileptic attack disorder
Psychogenic non-epileptic seizures
Qualitative
Journal
Seizure
ISSN: 1532-2688
Titre abrégé: Seizure
Pays: England
ID NLM: 9306979
Informations de publication
Date de publication:
Oct 2019
Oct 2019
Historique:
received:
18
03
2019
revised:
03
05
2019
accepted:
20
05
2019
pubmed:
4
6
2019
medline:
7
3
2020
entrez:
4
6
2019
Statut:
ppublish
Résumé
We investigated neurologists' experience of participating in the large CODES trial involving around 900 adults with dissociative seizures which subsequently evaluated the effectiveness of tailored cognitive behavioural therapy (CBT) plus standardised medical care versus standardised medical care alone in 368 patients with dissociative seizures. We asked all neurologists referring patients with dissociative seizures to the CODES study to complete a 43-item online survey. This examined neurologists' (i) demographics, (ii) knowledge of dissociative seizures before and after their involvement in the CODES trial, (iii) clinical practice before, during and since their involvement, and (iv) their experience of the CODES trial. Forty-three (51%) neurologists completed the questionnaire. Only about half of neurologists could make referrals to psychological intervention specific for dissociative seizures before and after the trial. One-third of doctors reported having changed their referral practice following their involvement. The majority (>69%) agreed that patient satisfaction with different aspects of the trial was very high, and 83.7% thought that it was easy to recruit patients for the study. Over 90% agreed they would like the treatment pathway to continue. Respondents found different elements of the trial useful, in particular, the patient factsheet booklet (98%), diagnosis communication advice (93%) and the CBT package (93%). Neurologists participating in CODES generally found it easy to recruit patients and perceived patient satisfaction as very high. However, 46.5% of neurologists could not offer psychotherapy once the trial had finished, suggesting that problems with lack of access to psychological treatment for dissociative seizures persist.
Identifiants
pubmed: 31158560
pii: S1059-1311(19)30187-6
doi: 10.1016/j.seizure.2019.05.020
pmc: PMC6814443
mid: EMS84637
pii:
doi:
Types de publication
Comparative Study
Journal Article
Multicenter Study
Randomized Controlled Trial
Langues
eng
Sous-ensembles de citation
IM
Pagination
8-12Subventions
Organisme : Department of Health
ID : 12/26/01
Pays : United Kingdom
Informations de copyright
Copyright © 2019 The Authors. Published by Elsevier Ltd.. All rights reserved.
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