Chronic Obstructive Pulmonary Disease, Depression, Heart Failure
Conditions
Keywords
Depression, Heart Failure, Chronic Obstructive Pulmonary Disease, Quality of Life, Functional Impairment
Brief summary
The purpose of this research study is to test a program developed to help patients with chronic heart or lung problems take care of themselves and cope with their illness or limitations.
Interventions
BEHAVIORALCombined Psychotherapy and Illness Management
Participants will have 10 weekly visits with a study clinician at their home and by phone. They will focus on their self care and illness management as well as how to manage their mood/cope emotionally. Follow up assessments will occur at 26 and 52 weeks.
BEHAVIORALIllness Management Only
Participants in this group will have 10 weekly sessions with a study clinician at home and by phone. They will focus only on how they manage their illness. Follow up assessments will occur at 26 and 52 weeks.
Sponsors
National Institute of Mental Health (NIMH)
University of Iowa
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
55 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Age 55 years or older * Diagnosis of Heart Failure or COPD * Depressive symptoms indicated by a BDI-II score of 10 or higher * Functional impairment
Exclusion criteria
* Current psychotherapy * Cognitive Impairment * Psychiatric diagnosis * Active suicidal thoughts * Significant vision or hearing impairment * Residence in long term care facility
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Reduction in depressive symptoms | 10 weeks | Change from Baseline in depressive symtoms at 10 weeks |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Improvement in quality of life/functioning | 10 weeks | Change from Baseline in quality of life/functioning at 10 weeks |
Countries
United States
Outcome results
None listed