Internet-based Intervention in Cardioverter-defibrillator Patients to Enhance Quality of Life

Conditions

Heart Diseases, Implantable Cardioverter-Defibrillators

Keywords

Anxiety, ICD concerns, Quality of life

Brief summary

The implantable cardioverter defibrillator (ICD) is generally well-accepted by patients, but a subgroup experiences increased anxiety and poor quality of life. A web-based behavioral intervention may comprise a novel approach to reduce anxiety and enhance well-being in ICD patients, which may be equally effective and have advantages over more traditional forms of therapy, due to its low-threshold accessibility via the internet. The purpose of this study is to determine whether patients receiving a behavioral intervention via the internet experience less anxiety and device concerns and improved quality of life compared to patients receiving usual care.

Habibović M, Broers E, Heumen D, Widdershoven J, Pedersen SS, Denollet J.

2017-11-084 citations

10.1016/j.genhosppsych.2017.10.005

E-Health to Manage Distress in Patients With an Implantable Cardioverter-Defibrillator

Mirela Habibović, Johan Denollet, Pim Cuijpers, Viola Spek, Krista C. van den Broek et al. (13 authors)

Psychosomatic Medicine2014-10-0137 citations

10.1097/psy.0000000000000096

Attrition and Adherence in a Web-Based Distress Management Program for Implantable Cardioverter Defibrillator Patients (WEBCARE): Randomized Controlled Trial

Mirela Habibović, Pim Cuijpers, Marco Alings, Pepijn van der Voort, Dominic A.M.J. Theuns et al. (9 authors)

Journal of Medical Internet Research2014-02-2849 citations

10.2196/jmir.2809

Rationale and design of WEBCARE: a randomized, controlled, web-based behavioral intervention trial in cardioverter-defibrillator patients to reduce anxiety and device concerns and enhance quality of life.

Pedersen SS, Spek V, Theuns DA, Alings M, van der Voort P, Jordaens L, Cuijpers P, Denollet J, van den Broek KC.

2009-12-2319 citations

10.1186/1745-6215-10-120

Interventions

BEHAVIORALweb-based multifactorial intervention

12-week multi-factorial web-based behavioral intervention comprised of psycho-education, cognitive behavioral therapy (CBT) and relaxation therapy

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Masking

NONE

Eligibility

Sex/Gender

ALL

Age

18 Years to 75 Years

Healthy volunteers

No

Inclusion criteria

* patients implanted with a cardioverter-defibrillator (ICD) * between 18-75 years of age * speaking and understanding Dutch * with access to the internet and ability to use the internet * providing written informed consent

Exclusion criteria

* a life expectancy less than 1 year * a history of psychiatric illness other than affective/anxiety disorders * on the waiting list for heart transplantation * with insufficient knowledge of the Dutch language

Design outcomes

Primary

Measure	Time frame
Anxiety	Baseline
Anxiet	26 weeks

Secondary

Measure	Time frame
Cortisol awakening response	Baseline

Countries

Netherlands

Contacts

Primary ContactSusanne S Pedersen, PhD

s.s.pedersen@uvt.nl31 13 466 2503

Backup ContactMirela Habibovic, MSc

m.habibovic@uvt.nl31 13 466 4020

Outcome results

None listed