Efficacy and Feasibility of a Tele-health Intervention for Acute Coronary Syndrome Patients with Depression: Results of the “MoodCare” Randomized Controlled Trial

O’Neil, Adrienne; Taylor, Barr C.; Sanderson, Kristy; Cyril, Sheila; Chan, Bianca; Hawkes, Anna L.; Hare, David; Jelinek, Michael; Venugopal, Kamalesh; Atherton, J.; Amerena, John; Grigg, Leeanne; Walters, D.; Oldenburg, Brian

doi:10.1007/s12160-014-9592-0

Cited by 40 publications

(51 citation statements)

References 32 publications

(34 reference statements)

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“…Although more intensive treatments often produce gains twice as large as collaborative care interventions (effect size: 0.6 vs. 0.3) (10), they can be difficult to provide at scale or to patients who have difficulty taking time off from work, live in rural areas, or have other transportation issues (11). Consequently, the report by O’Neil and colleagues (12) describing the efficacy and feasibility of a telehealth intervention for depressed ACS patients in this issue of the Annals is timely.…”

mentioning

confidence: 99%

Optimizing Approaches to Addressing Depression in Cardiac Patients: a Comment on O’Neil et al.

Stewart

Rollman

2014

ann. behav. med.

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confidence: 99%

Optimizing Approaches to Addressing Depression in Cardiac Patients: a Comment on O’Neil et al.

Stewart

Rollman

2014

ann. behav. med.

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“…35,37,38 These results mirror trial outcomes in other types of e-health treatments. 19,39–42 In several studies included in this review, however, the issue of programme adoption or drop-out by patients was shown to be an important consideration. 36,37 In some other research, the inherent demands for interactivity were found to be less tolerable for some patients, leading to low completion rates, and some patients were found to drop out before programme completion due to the treatment being so effective in the early stages that further participation was unnecessary.…”

Section: Discussionmentioning

confidence: 99%

Implementing internet-delivered cognitive behavioural therapy for patients with cardiovascular disease and psychological distress: a scoping review

Neher

Nygårdh

Nilsén

et al. 2019

European Journal of Cardiovascular Nursing

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Background: Comorbid psychological distress (i.e. insomnia and depression) is experienced by 20-40% of patients with cardiovascular disease. This has a considerable impact on their health and quality of life, leading to frequent rehospitalisations, higher healthcare costs and a shorter life expectancy. Internet-based cognitive behavioural therapy shows great potential for treating psychological distress in cardiovascular disease. Effective and feasible treatments can, however, only benefit patients if they are fully implemented in clinical care. Aim: This scoping review aimed to explore the literature for internet-based cognitive behavioural therapy in cardiovascular disease and for strategies to implement the intervention. Methods: We searched electronic databases, journals and internet sources to find original studies about internet-based cognitive behavioural therapy in cardiovascular disease, adhering to scoping methodology guidelines. After identifying 267 titles, we screened 40 abstracts and chose 11 full-text articles for full-text screening. The results sections in four articles were searched for outcomes that related to the effectiveness and implementation of internet-based cognitive behavioural therapy by directed qualitative content analysis using an implementation framework. Results: Three of the four articles fulfilling the inclusion criteria concerned internet-based cognitive behavioural therapy for treating mild to moderate depressive symptoms in cardiovascular disease, and none focused on insomnia. The studies showed evidence for the effectiveness of internet-based cognitive behavioural therapy, and/or described patient factors influencing clinical effectiveness. Our qualitative content analysis showed that many implementation aspects and stakeholder perspectives remain unexplored. Conclusions: Internet-based cognitive behavioural therapy promises to alleviate patient suffering in cardiovascular disease. There is, however, little research about internet-based cognitive behavioural therapy for cardiovascular disease, and about how this evidence-based intervention is implemented.

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“…In this regard, a noteworthy finding is that the acceptability of telephone-delivered CBT was worse in our sample of heart transplant recipients compared with other chronic disease populations. For example, the MoodCare study similarly involved a course of telephone-delivered CBT for patients hospitalised with acute coronary syndrome who reported depressive symptoms with a PHQ-9 score more than 5 [22]. Yet in the Mood Care study, 61 % of the 61 participants who were randomised to the intervention group completed five or more CBT sessions and the median number of sessions was eight [22].…”

Section: Discussionmentioning

confidence: 99%

“…For example, the MoodCare study similarly involved a course of telephone-delivered CBT for patients hospitalised with acute coronary syndrome who reported depressive symptoms with a PHQ-9 score more than 5 [22]. Yet in the Mood Care study, 61 % of the 61 participants who were randomised to the intervention group completed five or more CBT sessions and the median number of sessions was eight [22]. It should be noted, though, that 32 % of participants in the Mood Care study who were eligible for inclusion based on initial screening that took place in hospital either withdrew or were lost to follow-up at a second screening undertaken just prior to randomisation [22].…”

Section: Discussionmentioning

confidence: 99%

“…Yet in the Mood Care study, 61 % of the 61 participants who were randomised to the intervention group completed five or more CBT sessions and the median number of sessions was eight [22]. It should be noted, though, that 32 % of participants in the Mood Care study who were eligible for inclusion based on initial screening that took place in hospital either withdrew or were lost to follow-up at a second screening undertaken just prior to randomisation [22]. Future trials involving psychological interventions for heart transplant recipients should therefore consider utilising a two-stage screening process to confirm participants’ intentions in taking part in CBT before randomisation.…”

Section: Discussionmentioning

confidence: 99%

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Pilot testing a model of psychological care for heart transplant recipients

et al. 2016

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BackgroundAnxiety and depression are common after heart transplantation. This study aimed to pilot test the feasibility of a clinical model of psychological care for heart transplant recipients. The model of care involved nurse-led screening for anxiety and depression followed by referral for a course of telephone-delivered cognitive behaviour therapy as well as co-ordination of communication with on-going specialist and primary care services.MethodsA pilot randomised controlled trial was conducted. Heart transplant recipients who self-reported at least mild anxiety or depressive symptoms were randomised (defined as a score higher than 5 on the Patient Health Questionnaire-9 or the Generalized Anxiety Disorder-7 [GAD-7], or a score higher than 20 on the Kessler Psychological Distress Scale [K10]). The primary outcome was assessment of feasibility of conducting a larger trial, which included identification of recruitment and attrition rates as well as the acceptability of the intervention. Follow-up was conducted at 9 weeks and 6 months.ResultsOne hundred twenty-two of the 126 (97 %) heart transplant recipients assessed on their attendance at the outpatient clinic met the study eligibility criteria. Of these patients, 88 (72 %) agreed to participate. A moderate proportion of participants (n = 20; 23 %) reported at least mild symptoms of anxiety or depression. Five participants were excluded because they were currently receiving psychological counselling, two withdrew before randomisation and the remaining 13 were randomised (seven to intervention and six to usual care). The majority of the randomised participants were male (n = 9; 69 %) and aged over 60 (range 35–73). Median length of time post-transplant was 9.5 years (ranging from 1 to 19 years). On enrolment, 3 randomised participants were taking anti-depressants. One intervention group participant withdrew and a further 3 (50 %) declined the telephone-delivered CBT sessions; all because of restrictions associated with physical illnesses. Attrition was 30 % at the 6 month follow-up time-point.ConclusionsDue to the poor acceptability of telephone-delivered cognitive behavioural therapy observed in our sample, changes to intervention components are indicated and further pilot testing is required.Trial registration ACTRN12613000740796 Date registered: 03/07/2013.Electronic supplementary materialThe online version of this article (doi:10.1186/s12912-016-0183-1) contains supplementary material, which is available to authorized users.

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Efficacy and Feasibility of a Tele-health Intervention for Acute Coronary Syndrome Patients with Depression: Results of the “MoodCare” Randomized Controlled Trial

Abstract: ACTRN1260900038623.).

Cited by 40 publications

References 32 publications

Optimizing Approaches to Addressing Depression in Cardiac Patients: a Comment on O’Neil et al.

Optimizing Approaches to Addressing Depression in Cardiac Patients: a Comment on O’Neil et al.

Implementing internet-delivered cognitive behavioural therapy for patients with cardiovascular disease and psychological distress: a scoping review

Pilot testing a model of psychological care for heart transplant recipients

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