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Online Psychological Support Group for Patients With Heart Failure and Depression

I

Instituto de Cardiologia do Rio Grande do Sul

Status

Active, not recruiting

Conditions

Depression
Heart Failure

Treatments

Other: Standard multidisciplinary care
Other: Online psychological support group

Study type

Interventional

Funder types

Other

Identifiers

NCT05948241
UP 5977/21

Details and patient eligibility

About

Heart failure is a chronic disease, being the second cause of death in Brazil. Currently, it is estimated that 6.4 million Brazilians suffer from this disease. The higher number of rehospitalization, lower survival of these individuals. There are recommendations from Societies of Cardiology for the inclusion of effective self-care for patients with chronic HF, intend greater control of symptoms, greater adherence to treatment and, consequently, decrease of rehospitalization. One of the pillars of self-care's education for chronic patients recommended by the Health Ministry is the management of the patient's emotional aspects. These have been undertreated in most studies. The prevalence of depression among patients with HF is high and ranges from 41% to 72%, and the assessment with the BDI-II, which is the gold standard used, is 67%. Patients with HF and depression have greater difficulty in adhering to treatment and poor maintenance of self-care. Also, they present 4 times more risk of rehospitalization/mortality. Faced with this problem, this project was designed, proposing an online psychological support group for patients with heart failure and depression, primarily aimed at improving self-care, adherence and secondarily at reducing the rates of depression and readmission.

Enrollment

132 estimated patients

Sex

All

Ages

18 to 79 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Patients diagnosed with heart failure
  • Age between 18 and 79 years B)
  • After hospital discharge
  • Depression (BDI-II score above 14 points)
  • Acceptance of the Term of Consent;

Exclusion criteria

  • Patients with dementia
  • Communication barriers
  • Octogenarians
  • People unable to access the internet for the intervention
  • Who declined to participate;

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Single Blind

132 participants in 2 patient groups

Standard treatment
Active Comparator group
Description:
The control group will undergo 1 consultation with the multidisciplinary team, offered as standard treatment at the Heart Failure outpatient clinic of the Institute of Cardiology, with the areas: medicine, nutritionist and psychology. Monitoring with a multidisciplinary team is the gold standard for monitoring patients with HF and its multiple comorbidities. These patients are followed up on average every 3 months in this outpatient clinic.
Treatment:
Other: Standard multidisciplinary care
Online psychological support group
Experimental group
Description:
The intervention group, in addition to standard treatment, will have 1 weekly session in an online psychological support group of 45 minutes each, totaling 12 sessions in three months. The intervention will be carried out by research psychologists specializing in cardiology, with online consultations via whatsapp
Treatment:
Other: Online psychological support group

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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