Perspectives of digital cognitive behavioural therapy for functional dyspepsia: qualitative interviews using thematic analysis.

Objective: Cognitive behavioural therapy (CBT) has shown efficacy in improving mental health and symptoms of functional dyspepsia (FD), a prevalent disorder of gut-brain interaction (DGBI). However, FD-specific CBT is not widely available or scalable. Therefore, this study explored the perspectives of patients with FD and clinicians who treat them on the use of digital CBT-based interventions.

Methods and measures: This qualitative study involved semi-structured interviews with 21 patients with FD and 10 clinicians. Iterative, inductive thematic analysis was conducted.

Results: Three patient themes were developed: (1) their experiences contributing to coping difficulties, emphasising the complexity of self-management; (2) a desire for more personalised options, highlighting the need for accessible, FD-tailored CBT; and (3) concerns regarding human contact, safety, usability, and data security. Four clinician themes were also developed: (1) digital CBT bridges a gap in psychological support within gastroenterology; (2) perceived clinical utility of CBT; (3) digital CBT allows patient self-management; and (4) clinical concerns, including symptom tracking and patient safety.

Conclusion: Both patients and clinicians recognised the value and utility of digital CBT for FD. Tailored, digital CBT could inform and improve current management, making FD-specific psychological support more accessible.