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Efficacy and Feasibility of a Tele-health Intervention for Acute Coronary Syndrome Patients with Depression: Results of the 'MoodCare' Randomized Controlled Trial

Citation

O'Neil, A and Taylor, B and Sanderson, K and Cyril, S and Chan, B and Hawkes, AL and Hare, DL and Jelinek, M and Venugopal, K and Atherton, JJ and Amerena, J and Grigg, L and Walters, DL and Oldenburg, B, on behalf of the MoodCare Investigator Team, 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. ISSN 0883-6612 (2014) [Refereed Article]

Copyright Statement

Copyright 2014 The Society of Behavioral Medicine

DOI: doi:10.1007/s12160-014-9592-0

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. (Trial Registration Number: ACTRN1260900038623.) © 2014 The Society of Behavioral Medicine.

Item Details

Item Type:Refereed Article
Research Division:Medical and Health Sciences
Research Group:Clinical Sciences
Research Field:Psychiatry (incl. Psychotherapy)
Objective Division:Health
Objective Group:Public Health (excl. Specific Population Health)
Objective Field:Mental Health
Author:Sanderson, K (Associate Professor Kristy Sanderson)
ID Code:93715
Year Published:2014
Web of Science® Times Cited:6
Deposited By:Menzies Institute for Medical Research
Deposited On:2014-08-13
Last Modified:2017-11-02
Downloads:0

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