{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T16:03:12Z","timestamp":1770912192934,"version":"3.50.1"},"reference-count":44,"publisher":"Royal College of Psychiatrists","issue":"2","license":[{"start":{"date-parts":[[2025,2,19]],"date-time":"2025-02-19T00:00:00Z","timestamp":1739923200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["BJPsych open"],"published-print":{"date-parts":[[2025,3]]},"abstract":"\n\t Background<\/jats:title>\n\t Research indicates that treatment outcomes are poorer for people with long-term physical health conditions (LTCs) in Talking Therapies services (formerly known as Improving Access to Psychological Therapies). However, the impact of having an LTC on attendance at assessment and treatment appointments within Talking Therapies remains unclear. Internet-enabled therapies may be one way to overcome barriers to treatment engagement in Talking Therapies. However, their effect on engagement and the influence of LTC status on receipt of internet-enabled therapies is unknown.<\/jats:p>\n\t <\/jats:sec>\n\t \n\t Aims<\/jats:title>\n\t To explore the association between LTC status and assessment attendance, treatment engagement and internet-enabled therapy receipt within Talking Therapies services, and whether receipt of internet-enabled treatment bolsters engagement.<\/jats:p>\n\t <\/jats:sec>\n\t \n\t Method<\/jats:title>\n\t We used anonymous patient-level data from two inner London Talking Therapies services during January to December 2022 (n<\/jats:italic> = 17\u00a0095 referrals). Binary logistic regression models were constructed to compare differences between LTC and non-LTC groups on (a) assessment attendance, (b) engagement and (c) internet-enabled therapy receipt. In our regression models, we controlled for key clinical and demographic covariates.<\/jats:p>\n\t <\/jats:sec>\n\t \n\t Results<\/jats:title>\n\t There were no differences between patients with or without an LTC in assessment attendance or treatment engagement, after controlling for covariates. Across the whole sample, receiving internet-enabled treatment increased engagement. People with an LTC were less likely to receive an internet-enabled treatment.<\/jats:p>\n\t <\/jats:sec>\n\t \n\t Conclusions<\/jats:title>\n\t Having an LTC does not negatively affect assessment attendance and engagement with talking therapies. However, receiving an internet-enabled treatment bolstered engagement in our regression models. People with an LTC were less likely to receive internet-enabled treatment.<\/jats:p>\n\t <\/jats:sec>","DOI":"10.1192\/bjo.2024.846","type":"journal-article","created":{"date-parts":[[2025,2,11]],"date-time":"2025-02-11T14:20:57Z","timestamp":1739283657000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":2,"title":["Assessment attendance and treatment engagement with talking and internet-enabled therapies of people with and without a long-term physical health condition: analysis of Talking Therapies service data"],"prefix":"10.1192","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6257-0506","authenticated-orcid":false,"given":"Emma","family":"Jenkinson","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5428-2950","authenticated-orcid":false,"given":"Ruth A.","family":"Hackett","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2927-3446","authenticated-orcid":false,"given":"Rona","family":"Moss-Morris","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Grace","family":"Wong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jon","family":"Wheatley","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mirko","family":"Cirkovic","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0672-2621","authenticated-orcid":false,"given":"Joanna","family":"Hudson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"170","published-online":{"date-parts":[[2025,2,19]]},"reference":[{"key":"S2056472424008469_ref36","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1080\/16506073.2017.1401115","article-title":"Internet-based vs. face-to-face cognitive behavior therapy for psychiatric and somatic disorders: an updated systematic review and meta-analysis","volume":"47","author":"Carlbring","year":"2018","journal-title":"Cogn Behav Ther"},{"key":"S2056472424008469_ref13","doi-asserted-by":"crossref","first-page":"224","DOI":"10.1177\/1355819621997493","article-title":"The employment and mental health impact of integrated Improving Access to Psychological Therapies: evidence on secondary health care utilization from a pragmatic trial in three English counties","volume":"26","author":"Toffolutti","year":"2021","journal-title":"J Health Serv Res Policy"},{"key":"S2056472424008469_ref12","doi-asserted-by":"crossref","first-page":"364","DOI":"10.1177\/0141076816665270","article-title":"Bringing together physical and mental health within primary care: a new frontier for integrated care","volume":"109","author":"Das","year":"2016","journal-title":"J R Soc Med"},{"key":"S2056472424008469_ref16","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1017\/S1352465817000492","article-title":"Is cognitive behavioural therapy focusing on depression and anxiety effective for people with long-term physical health conditions? 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