METACOGNITIVE THERAPY HOME-BASED SELF-HELP FOR CARDIAC REHABILITATION PATIENTS EXPERIENCING ANXIETY AND DEPRESSIVE SYMPTOMS: STUDY PROTOCOL FOR A FEASIBILITY RANDOMISED CONTROLLED TRIAL (PATHWAY HOME-MCT)

Wells, A., McNicol, K., Reeves, D., Salmon, P., Davies, L., Heagerty, A., … & Fisher, P. (2018). Metacognitive therapy home-based self-help for cardiac rehabilitation patients experiencing anxiety and depressive symptoms: study protocol for a feasibility randomised controlled trial (PATHWAY Home-MCT). Trials, 19, 1-13. 

Background: Anxiety and depression are common among patients attending cardiac rehabilitation services. Currently available pharmacological and psychological interventions have limited effectiveness in this population. There are presently no psychological interventions for anxiety and depression integrated into cardiac rehabilitation services despite emphasis in key UK National Health Service policy. A new treatment, metacognitive therapy, is highly effective at reducing anxiety and depression in mental health settings.