Depression and Congestive Heart Failure in Outpatients.

Completed · Not applicable

Conditions studied: Heart Failure, Depression

In brief

Patients with a diagnosis of CHF, NYHA class II, III or IV will be recruited for a study comparing a nursing intervention addressing CHF (SIM group) or CHF and depression (CIM group). Participants in the standard illness management program will receive an 8-week, 8-session intervention designed to help them improve daily weighing, salt-restriction, medication management, etc. This intervention will be conducted in a combination of home visits and phone visits. They will also receive interactive, telephone-based daily monitoring that assesses daily weight, dyspnea, fatigue and medication compliance. Patients in the comorbid illness management program will receive the same illness management program PLUS education and behavioral techniques designed to help them cope emotionally with the illness. The comorbid illness management home monitoring will include a twice-monthly screen for depression. Major Variables: The major outcomes will be depressive symptoms, health-related quality of life, functional status, heart failure symptom severity, and self-care behaviors in heart failure.

Key facts

Study ID

NCT00321269

Run by

VA Office of Research and Development

People needed

134

Starts

2007-10-01

Expected to finish

2010-12-01

Last updated by the study team

2015-12-24

Who can join

Age: 45 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Receiving treatment for NYHA Class 2-4 heart failure.
• Patients of the Iowa City, IA or Columbia, MO Veterans Affairs Medical Center Primary Care or Cardiac Care Clinics.
• Life expectancy greater than 6 months.
• Must speak English.
• Must possess a working telephone.

You may not qualify if…

• Presence of major psychiatric illness such as schizophrenia, bipolar disorder and substance abuse (PTSD patients are eligible).
• Life expectancy less than 3 months.
• Planned relocation to a nursing home.
• Marked visual or hearing impairment.

Where it is running

• Iowa City VA Medical Center — Iowa City, Iowa, United States
• Harry S. Truman Memorial VA Medical Center — Columbia, Missouri, United States

Full record on ClinicalTrials.gov

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