A pilot study into the feasibility and impact of virtual group cognitive behavioural therapy in severe asthma patients

<bold>Introduction:</bold> The multifactorial complexity of severe asthma is often accompanied by psychological comorbidities, such as anxiety, panic and depression. The primary objective of the pilot was to reduce the psychological symptoms associated with asthma and severe breathlessness, enhancing patients’ quality of life and waitlist management. <bold>Methods:</bold> The pilot consisted of six virtual sessions over 9 weeks, incorporating Cognitive Behavioural Therapy (CBT) and elements of Acceptance Commitment Therapy (ACT). Sessions were facilitated by a Cognitive Behavioural Therapist, and an asthma nurse specialist. Each session focused on a common psychological co-morbidity associated with asthma, whilst providing education on its impact on asthma. Pre and post intervention, patients completed HADS, ACQ, PDSS, Dyspnoea-12 and questions on their perception of coping. <bold>Results:</bold> 47% of participants completed all group therapy sessions. Drop out reasons included chest infection, hospital admissions, disengagement and recovered on waitlist. HADs decreased for 70% of participants. No significant change in ACQ. Reduction in Dyspnoea-12 scores for 70% of participants. Qualitative data assessing perception and current confidence in asthma management increased. Feedback on group included the benefit of sharing, group discussions and psycho-education. <bold>Conclusions:</bold> Virtual CBT groups for patients with symptoms of severe asthma are feasible and improves perceptions of coping. Further research is required to validate these findings and explore the long-term impact of virtual CBT group therapy with the inclusion of MDT medical professionals, reasons behind physilogical as well as psycological improvements.