{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T06:31:47Z","timestamp":1770186707671,"version":"3.49.0"},"reference-count":39,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T00:00:00Z","timestamp":1769558400000},"content-version":"vor","delay-in-days":27,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Depression and Anxiety"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>\n                    Anxiety and depression affect over 500\u2009million people globally. Despite the availability of effective low\u2010cost treatments, like those provided by NHS talking therapies (TT), over half of patients relapse within a year, highlighting the need to co\u2010develop solutions to maintain wellbeing and optimise healthcare. This study used a multiphase participatory design to synthesise evidence on relapse prevention and collaboratively develop evidence\u2010informed strategies for sustained mental health following low\u2010intensity treatment. The three\u2010phase project began by synthesising evidence from diverse sources. Phase 2 involved two patient and two NHS professional\/key stakeholder co\u2010design workshops, using the RAND\/UCLA appropriateness method. A sustained patient and public involvement (PPI) group reviewed and refined findings, co\u2010designing content for phase 3, which involved a mixed\u2010stakeholder online meeting to finalise key recommendations and priorities. Phase 1 identified 41 evidence\u2010based solutions for rating during phase 2. Across the four phase 2 workshops (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200918), 24 solutions were rated as appropriate and necessary and ranked for priorities. These were refined with the PPI group into 13 core recommendations. These recommendations were incorporated into a relapse prevention model during the final workshop, forming a foundation to enhance post\u2010treatment support and inform clinical practice, service design, workforce training and policy. Preventing relapse and supporting wellbeing are essential for improving patient outcomes and reducing health inequalities. Identifying priorities across multiple levels lays the groundwork for a robust relapse prevention model that promotes sustained recovery. Future research should implement and evaluate the feasibility and impact of these recommendations in routine care.\n                  <\/jats:p>","DOI":"10.1155\/da\/9916526","type":"journal-article","created":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T04:37:53Z","timestamp":1769661473000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Sustaining Recovery After Low\u2010Intensity Treatment for Anxiety and Depression in NHS Talking Therapies: A Multiphase Participatory and Consensus\u2010Building Study of Stakeholder Priorities and Recommendations"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-8188-220X","authenticated-orcid":false,"given":"Saher","family":"Nawaz","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5600-0400","authenticated-orcid":false,"given":"Penny","family":"Bee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6497-9196","authenticated-orcid":false,"given":"Cintia","family":"Faija","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,1,28]]},"reference":[{"key":"e_1_2_17_1_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(21)02143-7"},{"key":"e_1_2_17_2_2","unstructured":"WHO Depressive Disorder (Depression) World Health Organisation 2023 https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/depression."},{"key":"e_1_2_17_3_2","doi-asserted-by":"publisher","DOI":"10.1186\/s43045-023-00315-3"},{"key":"e_1_2_17_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2009.07.010"},{"key":"e_1_2_17_5_2","article-title":"Common Mental Health Problems: Identification and Pathways to Care","author":"NICE","year":"2011","journal-title":"National Institute for Health and Care Excellence"},{"key":"e_1_2_17_6_2","doi-asserted-by":"crossref","unstructured":"NHS The National Collaborating Centre for Mental Health NHS Talking Therapies for Anxiety and Depression Manual 2024 Marchhttps:\/\/www.england.nhs.uk\/wp-content\/uploads\/2018\/06\/nhs-talking-therapies-manual-v7.1-updated.pdf.","DOI":"10.62873\/psclin.v1i1.4"},{"key":"e_1_2_17_7_2","article-title":"NHS Talking Therapies, for Anxiety and Depression, Annual Reports, 2022\u201323","author":"NHS","year":"2024","journal-title":"UK Government"},{"key":"e_1_2_17_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2017.04.006"},{"key":"e_1_2_17_9_2","doi-asserted-by":"publisher","DOI":"10.1159\/000485386"},{"key":"e_1_2_17_10_2","first-page":"16","article-title":"Has IAPT Become a Bit like Frankenstein\u2019s Monster?","volume":"47","author":"Roscoe J.","year":"2019","journal-title":"CBT Today"},{"key":"e_1_2_17_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/bjc.12314"},{"key":"e_1_2_17_12_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2016.0076"},{"key":"e_1_2_17_13_2","doi-asserted-by":"publisher","DOI":"10.2196\/25441"},{"key":"e_1_2_17_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10608-024-10520-x"},{"key":"e_1_2_17_15_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph15061182"},{"key":"e_1_2_17_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-021-07104-w"},{"key":"e_1_2_17_17_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13643-020-1272-5"},{"key":"e_1_2_17_18_2","unstructured":"CouncilDesign Framework for Innovation 2019 https:\/\/www.designcouncil.org.uk\/our-resources\/framework-for-innovation\/."},{"key":"e_1_2_17_19_2","doi-asserted-by":"publisher","DOI":"10.1186\/1748-5908-6-42"},{"key":"e_1_2_17_20_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-015-0242-0"},{"key":"e_1_2_17_21_2","doi-asserted-by":"publisher","DOI":"10.1186\/s43058-020-00023-7"},{"key":"e_1_2_17_22_2","doi-asserted-by":"publisher","DOI":"10.1093\/pubmed\/fdae061"},{"key":"e_1_2_17_23_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2019-029954"},{"key":"e_1_2_17_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2024.12.054"},{"key":"e_1_2_17_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.sapharm.2021.06.004"},{"key":"e_1_2_17_26_2","first-page":"1","article-title":"Policies and Strategies to Retain and Support the Return of Experienced GPs in Direct Patient Care: The ReGROUP Mixed-Methods Study","volume":"7","author":"Campbell J. 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