Efficacy and feasibility of a tele-health intervention for acute coronary syndrome patients with depression: results of the "MoodCare" randomized controlled trial

O'Neil, Adrienne, Taylor, Barr, Sanderson, Kristy, Cyril, Sheila, Chan, Bianca, Hawkes, Anna L., Hare, David L., Jelinek, Michael, Venugopal, Kamalesh, Atherton, John J., Amerena, John, Grigg, Leeanne, Walters, Darren L., and Oldenburg, Brian (2014) Efficacy and feasibility of a tele-health intervention for acute coronary syndrome patients with depression: results of the "MoodCare" randomized controlled trial. Annals of Behavioral Medicine, 48 (2). pp. 163-174.

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Abstract

Background: Depression is common after a cardiac event, yet there remain few approaches to management that are both effective and scalable.

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.

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.

Item ID: 36170
Item Type: Article (Research - C1)
ISSN: 1532-4796
Keywords: depression, acute coronary syndrome, tele-health, cognitive behavior therapy, cardiac
Funders: Australian Government Department of Health and Ageing, Beyondblue, Heart Foundation (HF), National Health and Medical Research Council (NHMRC), Australian Research Council (ARC)
Projects and Grants: HF PP 08 M4079, NHMRC Fellowship 1052865, ARC Future Fellowship FT991524
Date Deposited: 12 Nov 2014 12:34
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1102 Cardiovascular Medicine and Haematology > 110299 Cardiovascular Medicine and Haematology not elsewhere classified @ 50%
11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111709 Health Care Administration @ 50%
SEO Codes: 92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920103 Cardiovascular System and Diseases @ 50%
92 HEALTH > 9202 Health and Support Services > 920209 Mental Health Services @ 50%
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