Adapting ‘Tame Your Gut’ for patients with inflammatory bowel disease and co-morbid anxiety and/or depression
Open accessAbstract
This qualitative study collected stakeholders’ views on adapting an existing online psychotherapy programme, ‘Tame Your Gut’, to the needs of patients with inflammatory bowel disease (IBD) and comorbid anxiety and/or depression. Adult patients ( n = 13) and health professionals ( n = 12) participated in semi-structured focus groups or interviews, analysed with a thematic analysis. Patients had a generally positive attitude towards ‘Tame Your Gut’, while health professionals saw it as useful for selected patients only. Both groups indicated their preference for clinician-assisted online psychotherapy. ‘Tame Your Gut’ is acceptable to patients and health professionals but only when supported by clinicians.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Previous qualitative research found the inclusion of both therapist-led and self-directed modules maximizes exposure to subject matter experts while circumnavigating possible non-adherence with fully self-directed programs.
“Previous qualitative research which explored perspectives of both consumers and health professionals found the inclusion of both therapist-led and self-directed modules maximizes exposure to subject matter experts while circumnavigating possible non-adherence with fully self-directed programs (Dober et al., 2021; Hanlon et al., 2022, Mikocka-Walus et al., 2017).”
From Moving Towards Acceptance and Values: A Qualitative Study of ACTforIBD Compared to IBD Psychoeducation (2024) · cites this paper as Hanlon et al., 2022
Cites
Using thematic analysis in psychology
Braun, V., & Clarke, V. (2006) · Qualitative Research in Psychology · doi:10.1191/1478088706qp063oa · Cited by 194,414 · see citing works
Qualitative research and evaluation methods
Patton, M. Q. (1980) · Cited by 35,637 · see citing works
(2001) · Cited by 25,534 · see citing works
Qualitative evaluation and research methods
Ellis, D. J. (1990) · International Journal of Information Management · doi:10.1016/0268-4012(90)90041-p · Cited by 17,942 · see citing works
Cognitive impairment in depression: a systematic review and meta-analysis
Rock, P. L., Roiser, J. P., Riedel, W. J., & Blackwell, A. D. (2014) · Psychological Medicine · doi:10.1017/s0033291713002535 · Cited by 2,161 · see citing works
Skills for Communicating with Patients
Silverman, J., Kurtz, S. M., & Draper, J. (2016) · CRC Press eBooks · doi:10.1201/9781910227268 · Cited by 1,257 · see citing works
Carlbring, P., Andersson, G., Cuijpers, P., Riper, H., & Hedman-Lagerlöf, E. (2018) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2017.1401115 · Cited by 1,232 · cited 2× · see citing works
“A systematic review (20 studies, 1418 participants) reported that guided internetdelivered CBT is possibly as effective as faceto-face CBT for some psychiatric and somatic disorders (Carlbring et al., 2018).”
BackgroundUnderstanding tailoring in communicating about health
Hawkins, R. P., Kreuter, M., Resnicow, K., Fishbein, M., & Dijkstra, A. (2008) · Health Education Research · doi:10.1093/her/cyn004 · Cited by 934 · see citing works
A meta-analysis of web-delivered tailored health behavior change interventions
Lustria, M. L. A., Noar, S. M., Cortese, J., Van Stee, S. K., Glueckauf, R. L., & Lee, J. (2013) · Journal of Health Communication · doi:10.1080/10810730.2013.768727 · Cited by 689 · cited 1× · see citing works
“Indeed, tailored online interventions appear to be more effective compared to non-tailored (De Cocker et al., 2016; Lustria et al., 2013; Strecher et al., 2005).”
BackgroundMikocka-Walus, A., Knowles, S. R., Keefer, L., & Graff, L. (2016) · Inflammatory Bowel Diseases · doi:10.1097/mib.0000000000000620 · Cited by 567 · see citing works
Self-citationErbe, D., Eichert, H.-C., Riper, H., & Ebert, D. D. (2017) · Journal of Medical Internet Research · doi:10.2196/jmir.6588 · Cited by 532 · see citing works
O’Cathain, A., Hoddinott, P., Lewin, S., Thomas, K. J., Young, B., Adamson, J., Jansen, Y. J., Mills, N., Moore, G., & Donovan, J. L. (2015) · Pilot and Feasibility Studies · doi:10.1186/s40814-015-0026-y · Cited by 458 · cited 1× · see citing works
“Qualitative research is essential in shaping future interventions, particularly complex and pragmatic ones, by facilitating the development of personalised / tailor-made approaches (Jansen et al., 2010; O’Cathain et al., 2015; Thirsk and Clark, 2017).”
BackgroundKaryotaki, E., Kleiboer, A., Smit, F., Turner, D. T., Pastor, A. M., Andersson, G., Berger, T., Botella, C., Breton, J. M., Carlbring, P., et al. (2015) · Psychological Medicine · doi:10.1017/s0033291715000665 · Cited by 408 · cited 1× · see citing works
“A meta-analysis of data from 2705 patients on self-guided online interventions for depression reported that such factors as lower education, male gender and co-morbid anxiety significantly increased attrition risk (Karyotaki et al., 2015).”
MethodBi-directionality of brain–gut interactions in patients with inflammatory bowel disease
Gracie, D. J., Guthrie, E. A., Hamlin, P. J., & Ford, A. C. (2018) · Gastroenterology · doi:10.1053/j.gastro.2018.01.027 · Cited by 408 · cited 1× · see citing works
“Mental disorders co-morbid with IBD have been associated with more frequent disease flares (Gracie et al., 2018; Mikocka-Walus et al., 2016b), aggressive disease presentation (Kochar et al.”
BackgroundKessler, D., Lewis, G., Kaur, S., Wiles, N., King, M., Weich, S., Sharp, D. J., Araya, R., Hollinghurst, S., & Peters, T. J. (2009) · The Lancet · doi:10.1016/s0140-6736(09)61257-5 · Cited by 387 · see citing works
Mikocka-Walus, A., Pittet, V., Rossel, J.-B., von Känel, R., Anderegg, C., Bauerfeind, P., Beglinger, C., Begré, S., Belli, D., Bengoa, J. M., et al. (2016) · Clinical Gastroenterology and Hepatology · doi:10.1016/j.cgh.2015.12.045 · Cited by 348 · see citing works
Self-citationStrecher, V. J., Shiffman, S. M., & West, R. (2005) · Addiction · doi:10.1111/j.1360-0443.2005.01093.x · Cited by 308 · cited 1× · see citing works
“Indeed, tailored online interventions appear to be more effective compared to non-tailored (De Cocker et al., 2016; Lustria et al., 2013; Strecher et al., 2005).”
BackgroundGrist, R., Croker, A., Denne, M., & Stallard, P. (2019) · Clinical Child and Family Psychology Review · doi:10.1007/s10567-018-0271-8 · Cited by 287 · cited 1× · see citing works
“The evidence from the literature suggests that online psychotherapy, CBT in particular, is effective when therapistassisted, with the addition of telephone support, or combined with face-to-face interventions (Brabyn et al., 2016; Erbe et al., 2017; Everitt et al., 2019; Grist et al., 2019; Kessler et al., 2009).”
BackgroundGracie, D. J., Irvine, A. J., Sood, R., Mikocka-Walus, A., Hamlin, P. J., & Ford, A. C. (2017) · The Lancet Gastroenterology & Hepatology · doi:10.1016/s2468-1253(16)30206-0 · Cited by 271 · cited 1× · see citing works
“A recent meta-analysis has demonstrated usefulness of psychotherapy, particularly cognitive-behavioural therapy (CBT), in improving quality of life and symptoms of depression in IBD (Gracie et al., 2017).”
BackgroundSelf-citationIBD prevalence in Lothian, Scotland, derived by capture–recapture methodology
Jones, G.-R., Lyons, M., Plevris, N., Jenkinson, P. W., Bisset, C., Burgess, C., Din, S., Fulforth, J., Henderson, P., Ho, G.-T., et al. (2019) · Gut · doi:10.1136/gutjnl-2019-318936 · Cited by 206 · cited 1× · see citing works
“IBD is a chronic debilitating gastrointestinal condition affecting >500,000 people in the UK (Jones et al., 2019).”
BackgroundDepression is associated with more aggressive inflammatory bowel disease
Kochar, B., Barnes, E. L., Long, M. D., Cushing, K. C., Galanko, J., Martin, C. F., Raffals, L. E., & Sandler, R. S. (2018) · American Journal of Gastroenterology · doi:10.1038/ajg.2017.423 · Cited by 178 · cited 1× · see citing works
“, 2016b), aggressive disease presentation (Kochar et al., 2018), hospital readmissions and increased risk of surgery (Ananthakrishnan et al.”
BackgroundBrief cognitive-behavioral internet therapy for irritable bowel syndrome
Hunt, M. G., Moshier, S., & Milonova, M. (2009) · Behaviour Research and Therapy · doi:10.1016/j.brat.2009.05.002 · Cited by 139 · see citing works
Online interventions for depression and anxiety – a systematic review
Saddichha, S., Al-Desouki, M., Lamia, A., Linden, I. A., & Krausz, M. (2014) · Health Psychology and Behavioral Medicine · doi:10.1080/21642850.2014.945934 · Cited by 133 · cited 1× · see citing works
“Support from a clinician enhances the treatment effects of online interventions for some mental health disorders, including anxiety and depression (Kenwright et al., 2005; Saddichha et al., 2014).”
BackgroundLjótsson, B., Andersson, G., Andersson, E., Hedman, E., Lindfors, P., Andréewitch, S., Rück, C., & Lindefors, N. (2011) · BMC Gastroenterology · doi:10.1186/1471-230x-11-110 · Cited by 132 · see citing works
Kenwright, M., Marks, I., Graham, C., Franses, A., & Mataix‐Cols, D. (2005) · Journal of Clinical Psychology · doi:10.1002/jclp.20204 · Cited by 125 · cited 1× · see citing works
“Support from a clinician enhances the treatment effects of online interventions for some mental health disorders, including anxiety and depression (Kenwright et al., 2005; Saddichha et al., 2014).”
BackgroundPsychiatric co‐morbidity is associated with increased risk of surgery in Crohn's disease
Ananthakrishnan, A. N., Gainer, V. S., Perez, R. G., Cai, T., Cheng, S. ‐., Savova, G., Chen, P., Szolovits, P., Xia, Z., De Jager, P. L., et al. (2013) · Alimentary Pharmacology & Therapeutics · doi:10.1111/apt.12195 · Cited by 122 · cited 1× · see citing works
“, 2018), hospital readmissions and increased risk of surgery (Ananthakrishnan et al., 2013).”
BackgroundSack, C., Phan, V. A., Grafton, R., Holtmann, G., van Langenberg, D. R., Brett, K., Clark, M., & Andrews, J. M. (2012) · Journal of Crohn's and Colitis · doi:10.1016/j.crohns.2011.08.019 · Cited by 121 · cited 1× · see citing works
“In IBD specifically, biopsychosocial approaches to care have been found to reduce healthcare costs (Lores et al., 2020; Sack et al., 2012).”
BackgroundUsing Qualitative Research for Complex Interventions
Thirsk, L. M., & Clark, A. M. (2017) · International Journal of Qualitative Methods · doi:10.1177/1609406917721068 · Cited by 121 · cited 1× · see citing works
“Qualitative research is essential in shaping future interventions, particularly complex and pragmatic ones, by facilitating the development of personalised / tailor-made approaches (Jansen et al., 2010; O’Cathain et al., 2015; Thirsk and Clark, 2017).”
BackgroundThe Oxford Handbook of Clinical Psychology
(2014) · Oxford University Press eBooks · doi:10.1093/oxfordhb/9780199328710.001.0001 · Cited by 113 · see citing works
McCombie, A., Gearry, R., Andrews, J., Mulder, R., & Mikocka-Walus, A. (2016) · Inflammatory Bowel Diseases · doi:10.1097/mib.0000000000000567 · Cited by 100 · cited 6× · see citing works
“Although this online intervention was useful and well received by patients (McCombie et al., 2016; MikockaWalus et al., 2015), it was not developed for people with co-morbid anxiety and/or depression.”
BackgroundMethodInfluentialSelf-citationJamison, R. N., Sbrocco, T., & Parris, W. C. V. (1989) · The International Journal of Psychiatry in Medicine · doi:10.2190/ftr1-f9vx-cb8t-wpmc · Cited by 93 · see citing works
Mikocka-Walus, A., Bampton, P., Hetzel, D., Hughes, P., Esterman, A., & Andrews, J. M. (2015) · BMC Gastroenterology · doi:10.1186/s12876-015-0278-2 · Cited by 86 · see citing works
Jansen, Y. J. F. M., Foets, M., & Bont, A. A. D. (2009) · European Journal of Public Health · doi:10.1093/eurpub/ckp085 · Cited by 68 · cited 1× · see citing works
“Qualitative research is essential in shaping future interventions, particularly complex and pragmatic ones, by facilitating the development of personalised / tailor-made approaches (Jansen et al., 2010; O’Cathain et al., 2015; Thirsk and Clark, 2017).”
BackgroundSoetens, K. C. M., Vandelanotte, C., de Vries, H., & Mummery, K. W. (2014) · Journal of Health Communication · doi:10.1080/10810730.2014.894597 · Cited by 65 · cited 1× · see citing works
“In addition, information delivered through videos appears to be more effective than the textual presentation of information, by improving patient engagement, concentration and interest (Alley et al., 2014; Lee, 2011; Soetens et al., 2014; Stanczyk et al., 2016).”
BackgroundCocker, K. A. D., Bourdeaudhuij, I. D., Cardon, G., & Vandelanotte, C. (2016) · Journal of Medical Internet Research · doi:10.2196/jmir.5266 · Cited by 61 · see citing works
van Langenberg, D. R., Yelland, G. W., Robinson, S. R., & Gibson, P. R. (2016) · United European Gastroenterology Journal · doi:10.1177/2050640616663397 · Cited by 61 · see citing works
Mikocka‐Walus, A., Massuger, W., Knowles, S. R., Moore, G. T., Buckton, S., Connell, W., Pavli, P., Raven, L., & Andrews, J. M. (2020) · JGH Open · doi:10.1002/jgh3.12236 · Cited by 55 · see citing works
Self-citationBen-Zeev, D., Brian, R. M., Aschbrenner, K. A., Jonathan, G., & Steingard, S. (2018) · Psychiatric Rehabilitation Journal · doi:10.1037/prj0000197 · Cited by 50 · cited 1× · see citing works
“This is supported by the finding of online health interventions for other mental health disorders, where patients found communication through videos to be more personal (Ben-Zeev et al., 2018).”
BackgroundHanlon, I., Hewitt, C. E., Bell, K. J., Phillips, A., & Mikocka‐Walus, A. A. (2018) · Alimentary Pharmacology & Therapeutics · doi:10.1111/apt.14840 · Cited by 50 · see citing works
Self-citationStanczyk, N. E., de Vries, H., Candel, M. J. J. M., Muris, J. W. M., & Bolman, C. A. W. (2015) · Preventive Medicine · doi:10.1016/j.ypmed.2015.11.002 · Cited by 49 · cited 1× · see citing works
“In addition, information delivered through videos appears to be more effective than the textual presentation of information, by improving patient engagement, concentration and interest (Alley et al., 2014; Lee, 2011; Soetens et al., 2014; Stanczyk et al., 2016).”
BackgroundArtom, M., Czuber-Dochan, W., Sturt, J., Proudfoot, H., Roberts, D., & Norton, C. (2019) · Pilot and Feasibility Studies · doi:10.1186/s40814-019-0538-y · Cited by 48 · cited 1× · see citing works
“Of relevance, a recent feasibility trial of a telephone-based CBT intervention for fatigue included a nested qualitative element (Artom et al., 2019).”
BackgroundEveritt, H., Landau, S., Little, P. S., Bishop, F. L., O’Reilly, G., Sibelli, A., Holland, R., Hughes, S. F., Windgassen, S., McCrone, P., et al. (2019) · Health Technology Assessment · doi:10.3310/hta23170 · Cited by 40 · cited 2× · see citing works
“The evidence from the literature suggests that online psychotherapy, CBT in particular, is effective when therapistassisted, with the addition of telephone support, or combined with face-to-face interventions (Brabyn et al., 2016; Erbe et al., 2017; Everitt et al., 2019; Grist et al., 2019; Kessler et al., 2009).”
BackgroundBrabyn, S., Araya, R., Barkham, M., Bower, P., Cooper, C., Duarte, A., Kessler, D., Knowles, S. E., Lovell, K., Littlewood, E., et al. (2016) · Health Technology Assessment · doi:10.3310/hta20890 · Cited by 36 · see citing works
Inflammatory Bowel Disease Patient Experiences with Psychotherapy in the Community
Craven, M. R. A., Quinton, S., & Taft, T. (2018) · Journal of Clinical Psychology in Medical Settings · doi:10.1007/s10880-018-9576-5 · Cited by 35 · cited 1× · see citing works
“A smaller study (n = 162) on experiences with psychotherapy noted its usefulness on quality of life, emotional wellbeing and stress (Craven et al., 2019).”
BackgroundAlley, S., Jennings, C. A., Persaud, N., Plotnikoff, R. C., Horsley, M., & Vandelanotte, C. (2014) · Frontiers in Public Health · doi:10.3389/fpubh.2014.00013 · Cited by 32 · cited 1× · see citing works
“In addition, information delivered through videos appears to be more effective than the textual presentation of information, by improving patient engagement, concentration and interest (Alley et al., 2014; Lee, 2011; Soetens et al., 2014; Stanczyk et al., 2016).”
BackgroundHigh Demand for Psychotherapy in Patients with Inflammatory Bowel Disease
Klag, T., Mazurak, N., Fantasia, L., Schwille‐Kiuntke, J., Kirschniak, A., Falch, C., Goetz, M., Malek, N. P., Enck, P., & Wehkamp, J. (2017) · Inflammatory Bowel Diseases · doi:10.1097/mib.0000000000001216 · Cited by 28 · cited 1× · see citing works
“High demand for psychotherapy in IBD has been observed in another large survey (n = 578) (Klag et al., 2017).”
BackgroundGPs’ attitudes towards digital technologies for depression: an online survey in primary care
Breedvelt, J. J., Zamperoni, V., Kessler, D., Riper, H., Kleiboer, A. M., Elliott, I., Abel, K. M., Gilbody, S., & Bockting, C. L. (2019) · British Journal of General Practice · doi:10.3399/bjgp18x700721 · Cited by 27 · cited 1× · see citing works
“Guided online interventions were more acceptable and offered by General Practitioners (GPs) in primary care compared to unguided interventions according to a large (n = 1044) survey (Breedvelt et al., 2019).”
BackgroundMikocka-Walus, A., Hanlon, I., Dober, M., Emerson, C., Beswick, L., Selinger, C., Taylor, J., Olive, L., Evans, S., & Hewitt, C. (2021) · Journal of Health Psychology · doi:10.1177/1359105320911427 · Cited by 23 · see citing works
Self-citationMcCombie, A., Gearry, R. B., & Mulder, R. (2013) · Journal of Crohn s and Colitis · doi:10.1016/j.crohns.2013.11.011 · Cited by 15 · cited 2× · see citing works
“Further, according to a small New Zealand survey (n = 102), patients with IBD seem to prefer online to face-to-face psychotherapy (McCombie et al., 2014).”
BackgroundLee, J. A. (2011) · Proceedings of the American Society for Information Science and Technology · doi:10.1002/meet.2011.14504801317 · Cited by 14 · cited 1× · see citing works
“In addition, information delivered through videos appears to be more effective than the textual presentation of information, by improving patient engagement, concentration and interest (Alley et al., 2014; Lee, 2011; Soetens et al., 2014; Stanczyk et al., 2016).”
Background
Flagged first, then by citations
Cited by
Sorted by citations
Feeney, M., Chur-Hansen, A., & Mikocka-Walus, A. (2022) · Journal of Clinical Psychology in Medical Settings · doi:10.1007/s10880-021-09801-4 · Cited by 17 · see citing works
Self-citationNaude, C., Skvarc, D., Biurra, Y. C., Blake, L., Evans, S., Knowles, S. R., Eric, O., Prasertsung, C., Russell, L., Bassili, A., et al. (2024) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2024.111984 · Cited by 8 · see citing works
Self-citationWilkin, K., Evans, S., Van Niekerk, L., Romano, D., Fuller-Tyszkiewicz, M., Knowles, S., Chesterman, S., Raven, L., & Mikocka-Walus, A. (2024) · Journal of Clinical Psychology in Medical Settings · doi:10.1007/s10880-023-09999-5 · Cited by 5 · see citing works
“…consumers and health professionals found the inclusion of both therapist-led and self-directed modules maximizes exposure to subject matter experts while circumnavigating possible non-adherence with fully self-directed programs (Dober et al., 2021; Hanlon et al., 2022, Mikocka-Walus et al., 2017).”
BackgroundSelf-citationEmerson, C., Klas, A., Gibson, P. R., OLIVE, L. S., Fuller‐Tyszkiewicz, M., & Mikocka‐Walus, A. A. (2026) · JGH Open · doi:10.1002/jgh3.70363 · Cited by 1 · see citing works
“Questions were modeled off prior qualitative studies in the area [18, 19] and adapted for each participant group (see Supporting Information for questions).”
Self-citation
- Authors
- Hanlon, I., Hewitt, C., Evans, S., Taylor, J., Selinger, C., & Mikocka-Walus, A.
- Affiliations
- University of York (GB)
- Deakin University (AU)
- Leeds Teaching Hospitals NHS Trust (GB)
- University of York, UK
- ORCID
- Venue
- Journal of Health Psychology
- Publisher
- SAGE Publications
- Published
- 2020-07-21
- Volume
- 27
- Issue
- 1
- Pages
- 58-68
- ISSN
- 1359-1053 (ISSN-L)
- 1461-7277
- OpenAlex
- W3044748300
- Cited by
- 4
- References
- 52
- Citations by year
- 2026: 1 · 2024: 2 · 2021: 1
- FWCI
- 0.23
- Type
- journal article
- Language
- en
- Open access
- green
- figshare.com
- Locations
- Journal of Health Psychology (publishedVersion)
- PubMed (publishedVersion)
- White Rose Research Online (University of Leeds, The University of Sheffield, University of York) (acceptedVersion)
- Figshare (submittedVersion, cc-by)
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Inflammatory Bowel Disease
- Keywords
- inflammatory bowel disease, anxiety, depression, comorbidities, online therapy, digital mental health interventions, intervention adaptation, stakeholder perspectives, acceptability
- MeSH terms
- Adult, Anxiety, Anxiety Disorders, Chronic Disease, Depression, Humans, Inflammatory Bowel Diseases
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review