Internet Cognitive Behavioural Therapy - A New Tool for Depressed Heart Failure Patients.: - A Developmental and Feasibility Study
2014 (English)In: Svenska Kardiovaskulära Vårmötet, 2014, 2014Conference paper, Poster (Other academic)
Background: In patients with heart failure (HF) depression is common and is linked to a poor quality of life as well as a poorer prognosis. Despite this less is known about how to treat depression in HF patients.
Aim: The purpose of this study was (I) to design and construct an internet cognitive behavioural therapy (CBT) –program adapted to patients with HF, (II) and in a pilot-study evaluate the feasibility of the program, with respect to its ability to treat depression, time consumption and to identify areas in the need of improvements.
Methods: literature review and expert panel was used to design the program. The feasibility of the program was evaluated in 7 HF patients with depression. Montgomery-Åsberg Depression Rating Scale (MADRS) and Patient Health Questionnaire-9 (PHQ-9) were used to measure depression. Qualitative interviews were conducted to describe the patients perceptions of the program.
Results: The developed 9 week internet CBT program consists of seven modules addressing; introduction, psychoeducation about HF and depression, behavioural activation, problem solving and completion. Before the pilot testing participants mean depression score on MADRS and PHQ-9 was 20 and 11 respectively. After the intervention the mean had decreased to 11.5 and 5.5 respectively. No participants’ depression deteriorated. Time consumption for guidance and feedback was about 20 minutes per participants and week. In interviews pros stated by the participants were: the freedom of time disposition, being able to take the time needed when working with the program and learning about their health problems and what they could do about them. Cons stated were: parts of the program required quiet a lot of reading and work from the participants and some technical problems.
Conclusion: The newly developed 9 week internet CBT-program for patients with HF and depression appears to be feasible and safe.
Place, publisher, year, edition, pages
Heart Failure, Depression, Internet Cognitive Behavioural Therapy
IdentifiersURN: urn:nbn:se:liu:diva-112697OAI: oai:DiVA.org:liu-112697DiVA: diva2:769587
Svenska Kardiovaskulära Vårmötet, 7-9 maj 2014, Malmö