Heart Failure
Conditions
Keywords
Heart failure, Depression, Depressive symptoms, Cognitive therapy, Hospitalization, Quality of life
Brief summary
Heart failure (HF) affects 5 million people in the US and is the most common cause of hospitalization in elderly adults. One-third of patients who are hospitalized with HF have major depression. Depressed HF patients have double the rates of morbidity and/or mortality and worse health-related quality of life than non-depressed HF patients. The investigators previous pilot research suggests that a brief Cognitive Therapy (CT) intervention may improve short-term cardiac survival among depressed hospitalized HF patients compared to non-depressed HF patients who received usual care. Therefore, the investigators will conduct a larger study to evaluate the effects of the intervention on longer cardiac event-free survival, symptoms of depression, health-related quality of life, and stress levels in patients with HF. The investigators hypothesize that patients in the intervention group will experience longer cardiac event-free survival, lower levels of depressive symptom, better health-related quality of life, and lower salivary cortisol levels at follow-up than patients who receive usual care.
Interventions
BEHAVIORALBrief Cognitive Therapy Intervention
The intervention group will receive an individual, 30 minute, scripted cognitive therapy session. This intervention will be delivered by an Advanced Practice Registered Nurse or a trained research nurse. An iPad will guide the outline of the intervention. The nurse will discuss depression in heart disease and the connection between thoughts, emotions, and behaviors. The nurse will ask the patient to describe a recent stressful experience and discuss thoughts that the patient has been experiencing. Two techniques for challenging negative thinking will be introduced to the patient: thought stopping and affirmations. The nurse will ask the patient to practice these techniques at home. After the patient has practiced both techniques, the nurse will leave the patient with a booklet with the intervention. At 1-2 weeks, the nurse will administer a booster session over the phone. This session will last 10-15 minutes and will reinforce the techniques learned during the brief CT intervention.
Sponsors
National Institute of Nursing Research (NINR)
Rebecca L. Dekker, PhD, RN, APRN
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
21 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Admitted to the hospital with a primary or secondary diagnosis of congestive heart failure OR admitted to the hospital for cardiac reasons and has a history of chronic heart failure * American College of Cardiology/ American Heart Association Stage C HF * 21 years or older
Exclusion criteria
* Co-existing terminal illness likely to be fatal within the next 12 months * End-stage HF (defined as American College of Cardiology Stage D HF) * Cognitive impairment that precludes the ability to give informed consent * Active suicidality (defined choosing option 1, 2 or 3 on Item 9 of the PHQ-9) * History of the death of a spouse or child within the past month * History of psychotic illness or bipolar illness * Current alcohol dependence or other substance abuse * Non-English speaking or possessing any other communication barrier
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Cardiac event-free survival | Three months to five years | To compare cardiac event-free survival at 3 months, 6 months, and up to five years between patients with HF and depressive symptoms who receive a brief cognitive therapy intervention (depressive symptom intervention group) and patients with HF and depressive symptoms who receive usual care (depressive symptom usual care group). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Depressive symptoms | 1 week, 3 months, and 6 months | Compare depressive symptoms at 1-week, 3 months, and 6 months between patients with HF and depressive symptoms who receive a brief CT intervention (depressive symptom intervention group) and patients with HF and depressive symptoms who receive usual care (depressive symptom usual care group). |
| Health-related quality of life | 1 week, 3 months, and 6 months | Compare health-related quality of life at 1-week, 3 months, and 6 months between patients with HF and depressive symptoms who receive a brief CT intervention (depressive symptom intervention group) and patients with HF and depressive symptoms who receive usual care (depressive symptom usual care group). |
| Salivary cortisol | 1 week, 3 months, and 6 months | Compare salivary cortisol at 1-week, 3 months, and 6 months between patients with HF and depressive symptoms who receive a brief CT intervention (depressive symptom intervention group) and patients with HF and depressive symptoms who receive usual care (depressive symptom usual care group). |
| No depressive symptom comparison group | 1 week, 3 months, and 6 months | Compare cardiac event-free survival, depressive symptoms, health-related quality of life, and salivary cortisol levels between the depressive symptom intervention group and patients with HF and no depressive symptoms who receive usual care (no depressive symptom group) at 1-week, 3 months, and 6 months. |
| Salivary vs. serum biomarkers | Baseline | Compare levels of salivary cortisol, BNP, CRP and IL-6 at baseline between patients with and without depressive symptoms, and determine whether the salivary measures of BNP, CRP, and IL-6 are correlated with serum measurement of these biomarkers. |
Countries
United States
Outcome results
None listed