Internet-based cognitive behavior therapy for patients with heart failure and depressive symptoms: a proof of concept study
Abstract
Objective The aim was (1) to describe the development of a guided internet-based CBT (ICBT) program adapted to patients with heart failure (HF) and (2) to evaluate the feasibility of the ICBT program in regard to depressive symptoms, the time used by health care providers to give feedback, and participants' perceptions of the ICBT program.Method A multi-professional team developed the program and seven HF patients with depressive symptoms were recruited to the study. The Patient Health Questionnaire-9 (PHQ-9) and the Montgomery Åsberg Depression Rating-Self-rating scale (MADRS-S) were used to measure depression, and patients were interviewed about their perceptions of the program.Results Based on research in HF and CBT, a nine-week program was developed. The median depression score decreased from baseline to the end of the study (PHQ-9: 11-8.5; MADRS-S: 25.5-16.5) and none of the depression scores worsened. Feedback from health care providers required approximately 3h per patient. Facilitating perceptions (e.g. freedom of time) and demanding perceptions (e.g. part of the program demanded a lot of work) were described by the patients.Conclusion The program appears feasible and time-efficient. However, the program needs to be evaluated in a larger randomized study.
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Before being used in the RCT, the iCBT programme had been developed together with a patient representing a cardiac patient organization and evaluated in proof of concept and pilot studies.
“Before being used in the RCT, the programme had been developed together with a patient representing a cardiac patient organization and evaluated in proof of concept and pilot studies. 25,26”
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- Authors
- Lundgren, J., Andersson, G., Dahlström, Ö., Jaarsma, T., Köhler, A. K., & Johansson, P.
- Affiliations
- Linköping University (SE)
- Corresponding author
- Lundgren, Johan
- ORCID
- Venue
- Patient Education and Counseling
- Publisher
- Elsevier BV
- Published
- 2015-08
- Volume
- 98
- Issue
- 8
- Pages
- 935-942
- ISSN
- 0738-3991 (ISSN-L)
- OpenAlex
- W1979213865
- Cited by
- 34
- References
- 58
- Citations by year
- 2023: 2 · 2022: 7 · 2021: 3 · 2020: 3 · 2019: 5 · 2018: 4 · 2017: 4 · 2016: 3 · 2015: 3
- FWCI
- 7.55
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Patient Education and Counseling (publishedVersion)
- PubMed (publishedVersion)
- Research Bank (Australian Catholic University) (submittedVersion)
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Keywords
- internet-based cognitive behavioral therapy, heart failure, depressive symptoms, depression, feasibility, program development, patient perspectives, digital mental health interventions
- MeSH terms
- Depression, Depressive Disorder, Feasibility Studies, Feedback, Female, Heart Failure, Humans, Male, Middle Aged, Psychiatric Status Rating Scales, Quality of Life, Cognitive Behavioral Therapy, Program Development, Treatment Outcome, Patient Satisfaction, Internet
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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