"People with severe CFS/ME should be offered an individually tailored activity management programme (see recommendation
1.6.2.22) as the core therapeutic strategy, which may:
- be delivered at home, or using telephone or email if appropriate
- incorporate the elements of recommendation 1.6.2.22 and draw on the principles of CBT and GET (see recommendations 1.6.2.1–21)."
This is a travesty of evidenced based recommendation. You do not recommend drug therapies 'drawing on the principles of clinical pharmacology'. You test specific regimens and publish evidence for their validity. Nobody knows if 'principles' of CBT and GET have anything to do with any efficacy of those treatments - especially when we have no such evidence of efficacy and nobody can agree what the principles really are.
How on earth are we going to know that an email system that draws on principles is effective?
How come if a digital system is being advocated that a book out of the library is not just as good?
I have a suspicion the therapists may be marketing themselves out of business soon. After all, there is no evidence that the results of PACE cannot be obtained with robots.