Abstract
Purpose: We aimed to evaluate the 6-month efficacy and feasibility of a tele-health program (MoodCare) that integrates depression management into a cardiovascular disease risk reduction program for acute coronary syndrome patients with low mood.
Methods: A two-arm, parallel, randomized design was used comprising 121 patients admitted to one of six hospitals for acute coronary syndrome.
Background: Depression is common after a cardiac event, yet there remain few approaches to management that are both effective and scalable.
Results: Significant treatment effects were observed for Patient Health Questionnaire 9 (PHQ9) depression (mean difference [change] = −1.8; p = 0.025; effect size: d = 0.36) for the overall sample, when compared with usual medical care. Results were more pronounced effects for those with a history of depression (mean difference [change] = −2.7; p = 0.043; effect size: d = 0.65).
Conclusions: MoodCare was effective for improving depression in acute coronary syndrome patients, producing effect sizes exceeding those of some face-to-face psychotherapeutic interventions and pharmacotherapy. (Trial Registration Number: ACTRN1260900038623.)
Original language | English |
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Pages (from-to) | 163-174 |
Number of pages | 12 |
Journal | Annals of Behavioral Medicine |
Volume | 48 |
Issue number | 2 |
Early online date | 26 Feb 2014 |
DOIs | |
Publication status | Published - Oct 2014 |
Keywords
- Acute coronary syndrome
- Cardiac
- Cognitive behavior therapy
- Depression
- Tele-health