Abstract

Introduction

Interstitial Lung Disease (ILD) is characterised by reduced life expectancy, high disease burden, lowered Quality of Life (QoL) and elevated anxiety and depression for which psychological care is often underserved.

Method

A five-session group intervention incorporating Cognitive Behavioural, Acceptance and Commitment and Compassion-focused Therapy was delivered to ILD patients (n=9) virtually with pre, post and 3-month follow-up KBILD (ILD specific health status), EQ5D-5L and HADS scores collected electronically.

Results

Pre, post- and follow-up measures were completed by 100%, 94% and 33% of participants. One patient died before follow-up. Wilcoxon signed-rank tests showed significant improvement in EQ5D activity and anxiety/depression scores. Health VAS, KBILD total and psychological change exceeded MCID. VAS health ratings showed continued improvement at 3-month follow-up, but statistical analysis was not possible. Feedback inferred high acceptability of the online format (9.86/10 with 10 = very accessible), high applicability (8.57/10 with 10 = highly useful) of group content and positive qualitative responses.

Conclusion

Virtual group psychological intervention is feasible and improves psychological domains. Further groups should be rolled out, and their efficacy monitored with attention to compliance with follow-up data collection.