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, Amerena, John J., Grigg, Leeanne, Walters, Darren L., & 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. (Trial Registration Number: ACTRN1260900038623.)

Impact and interest:

5 citations in Scopus
5 citations in Web of Science®
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ID Code: 88550
Item Type: Journal Article
Refereed: Yes
DOI: 10.1007/s12160-014-9592-0
ISSN: 0883-6612
Divisions: Past > Research Centres > Centre for Health Research
Current > QUT Faculties and Divisions > Faculty of Health
Deposited On: 06 Nov 2015 04:12
Last Modified: 25 Jun 2017 20:01

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