At a glance
ClinicalIndex Comparison Record- ✓Stable, clinically-documented New York Heart Association (NYHA) Class I-III heart failure
- ✓Current major depressive episode
- ✓Beck Depression Inventory (BDI-II) score 14 or greater
- ✕Dementia or other significant cognitive or communication deficits
- ✕Terminal illness other than heart failure
- ✕Age less than 25 years
- ✕Current clinically significant substance abuse, bipolar disorder, schizophrenia, or other psychotic disorder
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
Stepped Care for Depression in Heart Failure
In Brief
A clinical study evaluating Stepped care for depression for Heart Failure and Depressive Disorder, Major. Completed, enrolled 139 participants across 1 site.
Detailed Summary
This study evaluates stepped care for depression in patients with heart failure (HF). The stepped care intervention consists of individualized cognitive behavior therapy (CBT). Half of the participants will receive stepped care and half will receive usual care for depression; all participants will receive heart failure self-care education and support. The primary aims are to determine whether stepped care is superior to usual care for depression, and whether treating depression improves heart failure self-care outcomes.
Study Details
Timeline
Interventions
Cognitive behavior therapy (CBT), plus referral to the participant's own physician to discuss antidepressant medications if indicated.