Depression, Anxiety, Acute myocardial infarction, Unstable angina Mental and Behavioural Disorders Depression, Anxiety, Acute myocardial infarction, Unstable angina
Conditions
Interventions
Participants will be randomized through the online screening software system into either the treatment group, who will receive the Cardiac Wellbeing Course, or an eight-week waiting-list group. Follow
Dear. et al., 2011) designed to treat symptoms of anxiety and depression among adults. In order to increase the relevance of the intervention to people who have experienced an acute coronary event (i.
Sponsors
University of Regina (Canada)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Citizen of Canada who will be in Canada during the 8 week course period 2. Aged 18 years or older 3. Must have experienced an acute coronary event (i.e., myocardial infarction or unstable angina) within the last 24 months 4. Experiencing symptoms of depression and/or anxiety 5. Has access to a computer and the Internet 6. Willing to provide a medical contact (e.g., family physician) for an emergency contact 7. Has an interest in the Cardiac Wellbeing Course
Exclusion criteria
Exclusion criteria: 1. Not a citizen of Canada 2. Less than 18 years of age 3. Has no regular access to a computer, Internet, and use of printer 4. Currently receiving regular psychotherapy for depression or anxiety elsewhere or in some other form 5. Has an acute health threatening disease (e.g., cancer) 6. Has an unstable heart condition 7. High current risk of suicide or attempt in past year 8. Is experiencing unmanaged symptoms psychosis or mania 9. Alcohol or drug problem that requires primary treatment 10. Hospitalization for mental health problem in past year
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Depressive symptoms will be measured using the Patient Health Questionnaire- 9 Item scale (PHQ-9) at pre-treatment, before each lesson, immediately following completion of the course, and four weeks following completion of the course (intervention group only) 2. Symptoms of generalized anxiety will be measured using the Generalized Anxiety Disorder -7 Item scale (GAD-7) at pre-treatment, before each lesson, immediately following completion of the course, and four weeks following completion of the course (intervention group only) 3. Physical activity will be measured using the Godin Leisure-Time exercise Questionnaire (GLTEQ) at pre-treatment, before each lesson, immediately following completion of the course, and four weeks following completion of the course (intervention group only) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Cardiac anxiety symptoms will be measured using the Cardiac Anxiety Questionnaire (CAQ) at pre-treatment, before each lesson, immediately following completion of the course, and four weeks following completion of the course (intervention group only) 2. Depression symptoms will be measured by the Depression and Anxiety Stress 21-item scale (DASS-21) at pre-treatment, immediately following completion of the course, and four weeks following completion of the course (intervention group only) 3. Health-related quality of life will be measured using the Short Form 12-item Health Survey (SF-12) at pre-treatment and post-treatment 4. Computer anxiety and self-efficacy levels will be measured using computer self-efficacy and computer anxiety questions at pre-treatment and post-treatment 5. Participant satisfaction with treatment is measured using treatment satisfaction questions at post-treatment and four weeks following completion of the course (intervention group only) 6. Participants will be invited to participate in a brief telephone interview to further explore aspects of course satisfaction, which will be evaluated using open-ended satisfaction questions at post-treatment 7. Negative effects associated with completing the course will be examined using negative effect questions at post-treatment and four weeks following completion of the course (intervention group only) 8. Number of log-ins will be measured at post-treatment 9. Days accessing service will be measured at post-treatment 10. Number of emails sent to guide will be measured at post-treatment 11. Number of emails received from guide will be measured at post-treatment 12. Number of phone calls will be measured at post-treatment 13. Number of lessons completed will be measured at post-treatment | — |
Countries
Canada
Outcome results
None listed