Depression Care for Hospitalized Coronary Heart Disease Patients: Bridging the Gap Between Guidelines and Reality
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 1,265
- 试验地点
- 1
- 主要终点
- Percentage of participants in depression care during the 12 months after hospitalization
研究概览
简要总结
The aims of this prospective, observational study are to assess the current use of depression care in Coronary Heart Disease (CHD) patients, and to provide estimates for the resources needed to implement guideline-oriented depression health care acceptable to CHD patients with comorbid depression.
详细描述
In patients with established CHD, unipolar depression is up to three times more prevalent than in the general population and increases the risk for coronary events and mortality, higher health care consumption and decreased quality of life. Most hospitals in Germany have a unique infrastructure of psychiatric, psychosomatic and psychosocial services for CHD patients (psychiatric/psychosomatic consultation liaison services and a wide network of inpatient or outpatient cardiac rehabilitation centers). However, as of today, little is known about the current use and acceptability of depression health care from the perspective of CHD patients.
This project has two main aims:
- to assess the current use of depression care in CHD patients who are hospitalized or receive ambulatory care at a cardiology clinic
- to provide estimates for the resources needed to implement guideline-oriented depression health care acceptable to CHD patients with comorbid depression.
Specifically, the investigators will assess
- rates of and satisfaction with depression health care use in hospitalized CHD patients within one year after hospitalization
- perceived need for depression care and patient preferences for different types, settings and providers of these services
- correlates of depression health care use and patient preferences
- the amount of patients in need for depression health care according to existing recommendations
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •chronic CHD (confirmed by a clinician)
排除标准
- •chart-documented dementia disorder
- •cognitive impairment
- •life expectancy < 1 year
- •unavailability for follow-up
- •insufficient proficiency in German or Turkish language
结局指标
主要结局
Percentage of participants in depression care during the 12 months after hospitalization
时间窗: Baseline and within one year after hospitalization
Assessed via questionnaire (self-reported psychotherapy for depression and / or antidepressant medication and / or other treatment) at baseline, 1month, 6 month and 12 months Additionally, antidepressant medication prescription will be assessed at baseline via chart review (antidepressant medication at admission and discharge)
次要结局
- Percentage of participants reporting current utilization of mental health care and satisfaction with mental health care(Baseline and within one year after hospitalization)
- Percentage of patients in need for depression health care according to existing recommendations(Baseline and within one year after hospitalization)
- Patient preferences for different providers and settings of mental health care services, as indicated by the percentage of patients who indicate actual receipt of or potential willingness to receive mental health care by specific providers and settings(Baseline and within one year after hospitalization)
研究者
Jacqueline Müller-Nordhorn
Professor
Charite University, Berlin, Germany