What question did this study set out to answer?

To determine the effects of group or telephone psychoeducational interventions on anxiety, depression, functional recovery, and healthcare resource use during the first year after implantable cardioverter defibrillator insertion.

September 25, 2009Pacing and Clinical ElectrophysiologyOpen Access

Effect of a Psychoeducational Intervention on Depression, Anxiety, and Health Resource Use in Implantable Cardioverter Defibrillator Patients

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Why the study?

Does a psychoeducational intervention reduce anxiety, depressive symptoms, and health resource use in patients after ICD implantation?

Population

246 patients during the first year after implantable cardioverter defibrillator implantation, mean age 58…

Comparison

Psychoeducational intervention via group or… vs Usual care (UC).

Design

RCT, Randomized to usual care, group, or telephone counseling intervention.

Follow-up

12 months

Authors

SDSandra B. DunbarHeart Failure & Transplant JLJonathan J. LangbergElectrophysiology CRCarolyn M. ReillyHeart Failure / Cardiomyopathy

Discussion

Member takes

Implication

Supports integrating group or telephone counseling into post-ICD care; extends RCT evidence for reducing depressive symptoms.

Key Points

To determine the effects of group or telephone psychoeducational interventions on anxiety, depression, functional recovery, and healthcare resource use during the first year after implantable cardioverter defibrillator insertion.
ICD patients (n = 246; mean age 58 ± 11 years, 73% men, 23% minorities) were randomized to usual care (UC), group psychoeducation (GRP), or telephone counseling (TC).
Interventions focused on education, symptom management, and coping skills, assessing outcomes with STAI, BDI-II, and DASI at baseline, 1, 3, 6, and 12 months alongside health resource use.
Statistical evaluations utilized repeated-measures ANCOVA for group-by-time interactions, chi-square testing, and logistic regression.
Anxiety and depressive symptoms improved across all cohorts over 12 months, with the GRP group achieving significantly lower STAI anxiety scores than UC at 3 months (P = 0.03).
At 12 months, the predicted probability of experiencing clinically significant depressive symptoms was significantly lower in both intervention arms compared to usual care (UC = 0.31 vs. GRP = 0.17 vs. TC = 0.13; P = 0.03).
Patients receiving usual care had significantly more calls to healthcare providers at 1 and 6 months (P < 0.05) and logged more sick and disability days at 12 months (P = 0.01) than intervention participants.

Structured PICO

Does a psychoeducational intervention reduce anxiety, depressive symptoms, and health resource use in patients after ICD implantation?

Population

246 patients during the first year after implantable cardioverter defibrillator (ICD) implantation, mean age 58 +/- 11 years, 73% men, 23% minorities.

Intervention

Psychoeducational intervention via group (GRP) or telephone counseling (TC) including education, symptom management, and coping skill training.

Comparator

Usual care (UC).

Outcome

Anxiety (State-Trait Anxiety Inventory [STAI]), depressive symptoms (Beck Depression Inventory II [BDI-II]), functional status (Duke Activity Status Inventory [DASI]), health resource use, and disability days measured at baseline and after 1, 3, 6, and 12 months.patient reported

A psychoeducational intervention delivered via group or telephone counseling significantly reduces anxiety, depressive symptoms, and healthcare resource use in the first year following ICD implantation.

Cite This Study

Dunbar et al. (2009) studied this question.

synapsesocial.com/papers/6a71a849e5469ee92be214cd https://doi.org/10.1111/j.1540-8159.2009.02495.x

Topics

Cardiac device therapy

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Effect of a Psychoeducational Intervention on Depression, Anxiety, and Health Resource Use in Implantable Cardioverter Defibrillator Patients

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Topics

Effect of a Psychoeducational Intervention on Depression, Anxiety, and Health Resource Use in Implantable Cardioverter Defibrillator Patients

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Also Consider

Topics

Also Consider