Cognitive Therapy Improves Three-Month Outcomes in Hospitalized Patients With Heart Failure

Dekker, Rebecca L.; Moser, Debra K.; Peden, Ann R.; Lennie, Terry A.

doi:10.1016/j.cardfail.2011.09.008

Cited by 71 publications

(136 citation statements)

References 32 publications

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“…Regarding year of publication, nine articles were dated 2012 (15)(16)18,(20)(21)(22)(29)(30)(31) , followed by years 2011 (n=6) (11)(12)(13)17,19,23,33) , 2010 (n=4) de la salud que tratan de personas con insuficiencia cardiaca. Futuras revisiones sistemáticas con meta-análisis son necesarias para identificar las intervenciones más eficaces para mejorar la calidad de vida de estos individuos.…”

Section: Resultsunclassified

“…Regarding year of publication, nine articles were dated 2012 (15)(16)18,(20)(21)(22)(29)(30)(31) , followed by years 2011 (n=6) (11)(12)(13)17,19,23,33) , 2010 (n=4) (24)(25)32,34) , 2013 (n=3) (14,(27)(28) and 2008 (n=1) (26) . The articles were published in General Cardiology journals (12)(13)(16)(17)(18)20,22,(24)(25)(28)(29)(30)(31)(32)34) , followed by General Clinical journals (14)(15)(26)(27)33) . Two articles were published in Nursing journals (19,23) and one was published in a Nutrition journal (21) (Chart 1).…”

Section: Resultsmentioning

confidence: 99%

“…The selected studies were performed in the following countries: USA (n=8) (12,15,17,19,(24)(25)(32)(33) , Sweden (n=2) (18,23) , Germany (n=2) (22,34) , Brazil (n=2) (21,26) , Australia (n=2) (28)(29) , United Kingdom (n=2) (14,31) , Italy (n=2) (16,30) , Spain (n=1) (13) , Taiwan (n=1) (19) and Iran (n=1) (27) . Nurses were the professionals performing the interventions in most studies (12,(14)(15)(19)(20)32) . Another study was performed by nurses in partnership with physical therapists (24) or physicians (22) , followed by nurses working with physical therapists, physicians and occupational therapists (18) .…”

Section: Resultsmentioning

confidence: 99%

“…Dekker et al (20) , 2012 CG: Routine care: standard planning post-discharge, which includes treatment plans and appointments with a cardiologist between 7 and 14 days (n=363). IG: Presence during hospitalization, with practical supervision of measurements of arterial pressure, heart frequency and symptoms, distribution of educational resources on self-monitoring; telephone monitoring, with a questionnaire on signs of worsening HF, other symptoms, medication, use of health services, mood and general health status and well-being; explanation and names of medication; necessary adjustments to specialized care administered by a nurse (n=352).…”

Section: Journal Of Cardiac Failurementioning

confidence: 99%

“…Most studies (12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(29)(30)(31)(33)(34) were randomized clinical trials (n=18), followed by two quasi-experimental studies (28,32) . Only one article (27) was a non-randomized clinical trial (4.3%) (Chart 1).…”

Section: Archives Of Internal Medicinementioning

confidence: 99%

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Intervenções não farmacológicas para melhor qualidade de vida na insuficiência cardíaca: revisão integrativa

et al. 2017

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Nursing, Clinical and Surgical Nursing Department. São Paulo, Brazil. How to cite this article: Amaral DR, Rossi MB, Lopes CT, Lopes JL. Nonpharmacological interventions to improve quality of life in heart failure: an integrative review. Rev Bras Enferm [Internet]. 2017;70(1):187-98. DOI: http://dx.doi.org/10.1590/0034-7167-2016-0112Submission: 04-01-2016Approval: 09-07-2016 ABSTRACT Objective: to identify articles that assessed the effectiveness or effi cacy of nonpharmacological interventions to improve quality of life of people with heart failure in the literature. Method: an integrative literature review was performed in Lilacs, MedLine and SciELO databases, including randomized or nonrandomized clinical trials and quasi-experimental studies published between 2003 and 2014, in Portuguese, English or Spanish. Results: twenty-three studies were included. The categories of nonpharmacological interventions that improved quality of life of people with heart failure were: Remote health monitoring, Instructions on health practices, Physical activity follow-up and Traditional Chinese Medicine practices. Conclusion: these results can guide the selection of interventions to be implemented by health professionals that treat people with heart failure. Future systematic reviews with meta-analyses are needed in order to identify the most effective interventions for improving these individuals' quality of life. Descriptors: Clinical trials; Heart failure; Quality of Life; Review; Nursing. RESUMO Objetivo: identifi car, na literatura, artigos que avaliaram a efetividade ou efi cácia de intervenções não farmacológicas para melhorar a qualidade de vida de pessoas com insufi ciência cardíaca. Método: revisão integrativa de literatura realizada nas bases de dados Lilacs, MedLine e SciELO, incluindo ensaios clínicos randomizados ou não randomizados e estudos quaseexperimentais publicados entre 2003 e 2014, em português, inglês e espanhol. Resultados: foram incluídos 23 estudos. As categorias de intervenções não farmacológicas que melhoraram a qualidade de vida de pessoas com insufi ciência cardíaca foram: Monitoramento remoto da saúde, Orientação sobre práticas de saúde, Acompanhamento de atividade física e Práticas de Medicina Tradicional Chinesa. Conclusão: estes resultados podem direcionar a seleção de intervenções a serem implementadas por profi ssionais de saúde que cuidam de pessoas com insufi ciência cardíaca. Futuras revisões sistemáticas com metanálise são necessárias para identifi car as intervenções mais efi cazes para melhorar a qualidade de vida desses indivíduos. Descritores: Estudos de Intervenção; Insufi ciência Cardíaca; Qualidade de Vida; Revisão; Enfermagem. RESUMEN Objetivo: identifi car, en la literatura, artículos que evaluaron la efectividad o efi cacia de intervenciones no farmacológicas para mejorar la calidad de vida de personas con insufi ciencia cardíaca. Método: revisión integrativa de literatura realizada en las bases de datos Lilacs, MedLine y SciELO, incluyendo ensayos clínicos aleatorios o no...

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Section: Resultsunclassified

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Journal Of Cardiac Failurementioning

confidence: 99%

Section: Archives Of Internal Medicinementioning

confidence: 99%

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Intervenções não farmacológicas para melhor qualidade de vida na insuficiência cardíaca: revisão integrativa

et al. 2017

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Efficacy of Blended Collaborative Care for Patients With Heart Failure and Comorbid Depression

et al. 2021

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IMPORTANCE Depression is often comorbid in patients with heart failure (HF) and is associated with worse clinical outcomes. However, depression generally goes unrecognized and untreated in this population.OBJECTIVE To determine whether a blended collaborative care program for treating both HF and depression can improve clinical outcomes more than collaborative care for HF only and physicians' usual care (UC). DESIGN, SETTING, AND PARTICIPANTSThis 3-arm, single-blind, randomized effectiveness trial recruited 756 participants with HF with reduced left ventricular ejection fraction (<45%) from 8 university-based and community hospitals in southwestern Pennsylvania between March 2014 and October 2017 and observed them until November 2018. Participants included 629 who screened positive for depression during hospitalization and 2 weeks postdischarge and 127 randomly sampled participants without depression to facilitate further comparisons. Key analyses were performed November 2018 to March 2019. INTERVENTIONS Separate physician-supervised nurse teams provided either 12 months of collaborative care for HF and depression ("blended" care) or collaborative care for HF only (enhanced UC [eUC]). MAIN OUTCOMES AND MEASURES The primary outcome was mental health-related quality of life (mHRQOL) as measured by the Mental Component Summary of the 12-item Short Form Health Survey (MCS-12). Secondary outcomes included mood, physical function, HF pharmacotherapy use, rehospitalizations, and mortality. RESULTS Of the 756 participants (mean [SD] age, 64.0 [13.0] years; 425 [56%] male), those with depression reported worse mHRQOL, mood, and physical function but were otherwise similar to those without depression (eg, mean left ventricular ejection fraction, 28%). At 12 months, blended care participants reported a 4.47-point improvement on the MCS-12 vs UC (95% CI, 1.65 to 7.28; P = .002), but similar scores as the eUC arm (1.12; 95% CI, −1.15 to 3.40; P = .33). Blended care participants also reported better mood than UC participants (Patient-Reported Outcomes Measurement Information System-Depression effect size, 0.47; 95% CI, 0.28 to 0.67) and eUC participants (0.24; 95% CI, 0.07 to 0.41), but physical function, HF pharmacotherapy use, rehospitalizations, and mortality were similar by both baseline depression and randomization status. CONCLUSIONS AND RELEVANCEIn this randomized clinical trial of patients with HF and depression, telephone-delivered blended collaborative care produced modest improvements in mHRQOL, the primary outcome, on the MCS-12 vs UC but not eUC. Although blended care did not differentially affect rehospitalization and mortality, it improved mood better than eUC and UC and thus may enable organized health care systems to provide effective first-line depression care to medically complex patients.

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Comparative Effectiveness of Psychotherapy vs Antidepressants for Depression in Heart Failure

IsHak,

Hamilton,

Korouri

et al. 2024

JAMA Netw Open

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ImportanceHeart failure (HF) affects more than 6 million adults in the US and more than 64 million adults worldwide, with 50% prevalence of depression. Patients and clinicians lack information on which interventions are more effective for depression in HF.ObjectiveTo compare the effectiveness of behavioral activation psychotherapy (BA) vs antidepressant medication management (MEDS) on patient-centered outcomes inpatients with HF and depression.Design, Setting, and ParticipantsThis pragmatic randomized comparative effectiveness trial was conducted from 2018 to 2022, including 1-year follow-up, at a not-for-profit academic health system serving more than 2 million people from diverse demographic, socioeconomic, cultural, and geographic backgrounds. Participant included inpatients and outpatients diagnosed with HF and depression, and data were analyzed as intention-to-treat. Data were analyzed from 2022 to 2023.InterventionsBA is an evidence-based manualized treatment for depression, promoting engagement in personalized pleasurable activities selected by patients. MEDS involves the use of an evidence-based collaborative care model with care managers providing coordination with patients, psychiatrists, and primary care physicians to only administer medications.Main Outcomes and MeasuresThe primary outcome was depressive symptom severity at 6 months, measured using the Patient Health Questionnaire 9-Item (PHQ-9). Secondary outcomes included physical and mental health-related quality of life (HRQOL), measured using the Short-Form 12-Item version 2 (SF-12); heart failure-specific HRQOL, measured using the Kansas City Cardiomyopathy Questionnaire; caregiver burden, measured with the Caregiver Burden Questionnaire for Heart Failure; emergency department visits; readmissions; days hospitalized; and mortality at 3, 6, and 12 months.ResultsA total of 416 patients (mean [SD] age, 60.71 [15.61] years; 243 [58.41%] male) were enrolled, with 208 patients randomized to BA and 208 patients randomized to MEDS. At baseline, mean (SD) PHQ-9 scores were 14.54 (3.45) in the BA group and 14.31 (3.60) in the MEDS group; both BA and MEDS recipients experienced nearly 50% reduction in depressive symptoms at 3, 6, and 12 months (eg, mean [SD] score at 12 months: BA, 7.62 (5.73); P &lt; .001; MEDS, 7.98 (6.06); P &lt; .001; between-group P = .55). There was no statistically significant difference between BA and MEDS in the primary outcome of PHQ-9 at 6 months (mean [SD] score, 7.53 [5.74] vs 8.09 [6.06]; P = .88). BA recipients, compared with MEDS recipients, experienced small improvement in physical HRQOL at 6 months (mean [SD] SF-12 physical score: 38.82 [11.09] vs 37.12 [10.99]; P = .04), had fewer ED visits (3 months: 38% [95% CI, 14%-55%] reduction; P = .005; 6 months: 30% [95% CI, 14%-40%] reduction; P = .008; 12 months: 27% [95% CI, 15%-38%] reduction; P = .001), and spent fewer days hospitalized (3 months: 17% [95% CI, 8%-25%] reduction; P = .002; 6 months: 19% [95% CI, 13%-25%] reduction; P = .005; 12 months: 36% [95% CI, 32%-40%] reduction; P = .001).Conclusions and RelevanceIn this comparative effectiveness trial of BA and MEDS in patients with HF experiencing depression, both treatments significantly reduced depressive symptoms by nearly 50% with no statistically significant differences between treatments. BA recipients experienced better physical HRQOL, fewer ED visits, and fewer days hospitalized. The study findings suggested that patients with HF could be given the choice between BA or MEDS to ameliorate depression.Trial RegistrationClinicalTrials.gov Identifier: NCT03688100.

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Cognitive Therapy Improves Three-Month Outcomes in Hospitalized Patients With Heart Failure

Cited by 71 publications

References 32 publications

Intervenções não farmacológicas para melhor qualidade de vida na insuficiência cardíaca: revisão integrativa

Intervenções não farmacológicas para melhor qualidade de vida na insuficiência cardíaca: revisão integrativa

Efficacy of Blended Collaborative Care for Patients With Heart Failure and Comorbid Depression

Comparative Effectiveness of Psychotherapy vs Antidepressants for Depression in Heart Failure

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