July 1, 2005Psychosomatic Medicine
The Effect of a Telephone Counseling Intervention on Self-Rated Health of Cardiac Patients
Key result
Telephone counseling improves self-rated health over usual care in post-ACS patients with depression or anxiety.
- P=0.01
- n=100
Why the study?
The effectiveness of a telephone-based intervention on psychological distress among cardiac patients with depression and/or anxiety after acute coronary syndrome was evaluated.
Does a telephone counseling intervention improve self-rated health in patients surviving an acute coronary syndrome with depression or anxiety?
Population
100 hospitalized ACS survivors with mild to severe depression and/or anxiety at 1 month postdischarge
Comparison
Telephone counseling intervention vs usual care
Design
Randomized controlled trial
Follow-up
6 months
Authors
Discussion
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Implication
Supports telephone counseling to improve self-rated health in post-ACS patients with depression or anxiety; extends evidence for remote psychosocial interventions.
Study Design
Type
RCT (n=100)
Randomization
randomized
Structured PICO
Does a telephone counseling intervention improve self-rated health in patients surviving an acute coronary syndrome with depression or anxiety?
P
Population
100 hospitalized patients surviving an acute coronary syndrome with mild to severe depression and/or anxiety, followed for 6 months.
I
Intervention
Up to six 30-minute telephone-counseling sessions focused on identifying cardiac-related fears.
C
Comparator
Usual care.
O
Outcome
Changes in self-rated health (SRH) measured by the Global Improvement (CGI-I) subscale of the Clinical Global Impressions (CGI) Scale and HADS at 2, 3, and 6 months postbaseline.patient reported
Main Result
p-value: p=0.01
A telephone-based counseling intervention significantly improved self-rated health at 3 months in post-ACS patients with depression or anxiety.
Cite This Study
Aupont et al. (2005) conducted an RCT in Acute coronary syndrome with depression and/or anxiety (n=100). Telephone counseling intervention vs. Usual care was evaluated on Changes in self-rated health (CGI-I measures) (p=0.01). A telephone counseling intervention significantly improved self-rated health between baseline and month 3 compared with usual care in post-ACS patients with depression or anxiety (p = 0.01).