Internet-delivered Cognitive Behavioral Therapy Following Myocardial Infarction
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 23
- 试验地点
- 1
- 主要终点
- 12-Item Short-Form Health Survey (SF-12)
研究概览
简要总结
Myocardial infarction (MI) is one of the leading cause s of health loss globally, representing a large proportion of general disability. Anxiety and depression occur in 20-30 percent of patients following MI and have been identified as risk factors for recurrent adverse cardiac event. The purpose of our this study is to develop and evaluate a disease specific cognitive behavioral therapy (C BT) protocol to reduce cardia anxiety, depression, increase physical inactivity and quality of life (Q oL) in patients following MI
详细描述
The study will include 30 patients. The MI-specific CBT lasts for 8 weeks and is therapist guided and delivered via internet via a secure digital platform by licensed psychologists expertise in CBT for cardiac disease or final year psychologist under supervision. During treatment, the psychologists will have direct access to a cardiologist assigned to the project and treatments are conducted in close interdisciplinary collaboration to ensure patient safety
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 75 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •( - )MI ≥ 6 months before assessment ( - )Age 18-75 years endorsed cardiac anxiety that leads to significant distress or interferes with daily life (Cardiac Anxiety Questionnaire (CAQ); score ≥20) ( - ) On optimal medical treatment ( - )Able to read and write in Swedish.
排除标准
- •( - ) heart failure with severe systolic dysfunction (ejection fraction ≤ 35%) ( - ) significant valvular disease ( - ) planned coronary artery bypass surgery or other invasive therapy ( - ) other severe medical illness ( - )any medical restriction to physical exercise ( - )severe psychiatric disorder, severe depression, or risk of suicide ( - )alcohol dependency
结局指标
主要结局
12-Item Short-Form Health Survey (SF-12)
时间窗: 8 months from baseline
General quality of life, with a score ranging from 0 to 100. A higher score indicating a better quality of life. General quality of life, with a score ranging from 0 to 100. A higher score indicating a better quality of life. General quality of life, with a score ranging from 0 to 100. A higher score indicating a better quality of life.
次要结局
- Client satisfaction Questionnaire(2 months from baseline)
- Cardiac anxiety questionnaire(8 months from baseline)
- The Godin Leisure-time Exercise(8 months from baseline)
- Generalized Anxiety Disorder 7-item(8 months from baseline)
- Symptom Checklist (SCL)(8 months from baseline)
- Body Sensation Questionnaire(8 months from baseline)
- Patient Health Questionnaire-9(8 months from baseline)
- Tampas Scale for Kinesophobia-Heart version(8 months from baseline)
- Adverse events(8 months from treatment)
- Insomnia Severity Index(8 months from Baseline)
- Perceived stress scale (4-item version)(8 months from Baseline)
- The Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5)(8 months from Baseline)
研究者
Josefin Särnholm
PhD
Karolinska Institutet