multimorbidity psychological comorbidity / distress I50
Conditions
Interventions
Group 1: RCT intervention group: 9 months of routine treatment + support by care manager & feedback on managing psychological distress, heart failure and other comorbidities including access to educat
Sponsors
Univeresitätsmedizin Göttingen
Eligibility
Sex/Gender
All
Age
65 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Patients aged = 65 years 2. Physician-diagnosed chronic heart failure 3. Two or more physician-diagnosed medical comorbidities 4. Elevated psychological distress (HADS total score >12) and/or diagnosed mental disorder(s)
Exclusion criteria
Exclusion criteria: 1. Life expectancy <1 year due to causes other than heart failure 2. Communication barriers (e.g. no telephone, severe hearing impairment, inability to speak, read and understand the language of the country of recruitment) 3. Severe mental disorder needing specific psychiatric treatment and / or interfering with the study treatment, e.g. bipolar disorder, active suicidality, schizophrenia, severe dementia. Current psychosomatic or psychotherapeutic treatment is not an exclusion criterion. 4. Permanently living in a nursing home 5. Being permanently bedridden
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Health-related quality of life (HRQoL) measured with the EQ-5D-5L at 3 time points: baseline, 9 months and once between 18 - 30 months, depending on time of enrolment | — |
Secondary
| Measure | Time frame |
|---|---|
| Objective medical endpoints: admissions to hospitals and nursing homes, morbidity, all-cause mortality. - Cost-effectiveness & cost-utility - Patient- and carer-reported outcomes: depression and anxiety, disease-specific quality of life, cognitive impairment, frailty, activities of daily living, physical function, physical activity, patient expectations to treatment, sleep problems, pain/ discomfort, treatment burden to patients, informal carer burden, emotional support | — |
Countries
Denmark, Germany, Hungary, Ireland, Italy, Lithuania
Contacts
Public ContactChristine Zelenak
Universitätsmedizin Göttingen, Klinik für Psychosomatische Medizin und Psychotherapie
Outcome results
None listed