Why the study?
Psychological factors can affect non-cardiac chest pain presentations to emergency departments, but whether psychological interventions can reduce emergency department re-presentations remains to be determined.
Does a 6-session CBT-based psychological intervention reduce emergency department re-presentations in adults aged 18-65 with non-cardiac chest pain?
Does a 6-session CBT-based psychological intervention reduce emergency department re-presentations in adults aged 18-65 with non-cardiac chest pain?
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This study protocol outlines a randomized controlled trial to evaluate whether a 6-session CBT-based psychological intervention can reduce emergency department re-presentations and improve quality of life in patients with non-cardiac chest pain.
<ns7:p> Background Psychological factors can have an impact on non-cardiac chest pain presentations to emergency departments (ED). The current study aims to investigate if providing psychological interventions for non-cardiac chest pain can reduce the number of ED re-presentations Aim The primary aim of the study is to reduce the number of ED re-presentations in the target population through provision of psychological interventions. Specifically, the aim of this study is to determine whether there are differences in outcomes for individuals who present to ED with non-cardiac chest pain and receive psychological intervention vs those who receive usual care, in relation to ED re-presentations over a 6-month period. The secondary aim is to study if the intervention will be cost effective and result in an improvement in the quality of life and reduction in psychological distress Methods This is a single-blind randomized controlled trial in which the assessor is blind to treatment vs standard care condition. All individuals between 18 and 65 who present with non-cardiac chest pain to ED will be invited to participate in the research. Consenting participants who meet the selection criteria, will be randomly allocated to either -: <ns7:list list-type="bullet"> <ns7:list-item> <ns7:p>A) Psychological treatment group consisting of 6 sessions of psychotherapy</ns7:p> </ns7:list-item> <ns7:list-item> <ns7:p>B) Usual care/Wait list controls</ns7:p> </ns7:list-item> </ns7:list> Outcomes will be assessed for both groups at baseline, 8 weeks, 16 weeks and 24 weeks Discussion Results are expected to inform practice guidelines for ED and referral pathways for patients with non-cardiac chest pain. <ns7:bold>Trial registration</ns7:bold> : ACTRN12619000872134 ( <ns7:italic>prospectively registered on 19/06/2019</ns7:italic> ) The ethics approval for the study was provided by: Human Research Ethics Committee; Townsville University Hospital <ns7:bold>Human Research Ethics Committee Reference number:</ns7:bold> HREC/2018/QTHS/47872 </ns7:p>
Garde et al. (2026) studied this question.
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