At a glance
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Depression and CHF in Outpatients
In Brief
A clinical study evaluating Single Illness Management and Comorbid Illness Management for Heart Failure and Depression. Completed, enrolled 134 participants across 2 sites.
Detailed Summary
Patients with a diagnosis of CHF, NYHA class II, III or IV will be recruited for a study comparing a nursing intervention addressing CHF (SIM group) or CHF and depression (CIM group). Participants in the standard illness management program will receive an 8-week, 8-session intervention designed to help them improve daily weighing, salt-restriction, medication management, etc. This intervention will be conducted in a combination of home visits and phone visits. They will also receive interactive, telephone-based daily monitoring that assesses daily weight, dyspnea, fatigue and medication compliance. Patients in the comorbid illness management program will receive the same illness management program PLUS education and behavioral techniques designed to help them cope emotionally with the illness. The comorbid illness management home monitoring will include a twice-monthly screen for depression. Major Variables: The major outcomes will be depressive symptoms, health-related quality of life, functional status, heart failure symptom severity, and self-care behaviors in heart failure.
Study Details
Timeline
Interventions
8 week nursing intervention addressing Congestive Heart Failure
8 week nursing intervention to address Congestive Heart Failure and emotional coping