Depression Screening and Care in Coronary Heart Disease Patients

Not Applicable

• Conditions: Depression; Mental Health - Depression; Coronary Heart Disease; Cardiovascular - Coronary heart disease; Public Health - Health service research

• Registration Number: ACTRN12620001306909
• Lead Sponsor: The University of Adelaide

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2020-12-02
• Last Update Posted: 7 December 2020

Recruitment & Eligibility

• Status: ot yet recruiting
• Sex: All
• Target Recruitment: 756

Inclusion Criteria

1) aged greater than or equal to 18 years.
2) able to communicate in English.
3) CHD out-patient with history of any; acute coronary syndrome [ST and non-ST elevation myocardial infarction, unstable angina], percutaneous coronary intervention or coronary artery bypass graft, or other clinical indication of CHD e.g. greater than or equal to 50% stenosis in 1 coronary artery from coronary angiography.
4) have a moderate to severe level of depression denoted as a PHQ-9 depression screening score greater than or equal to 10

Exclusion Criteria

1) already receiving current antidepressant, psychotherapy, or psychiatric care.
2) have a complex psychiatric comorbidity including any psychosis, bi-polar disorder, personality disorder, drug or alcohol dependence, as defined by medical records or self-report.
3) high suicide risk requiring acute psychiatric assessment via a referral to the emergency department, determined as a severe level of depression and a positive response to PHQ suicidality item more than half the days” or higher.
4) observed cognitive impairment or dementia (e.g. donepezil use) impeding delivery of collaborative care components such as psychotherapy.
5) severe non-vascular comorbidity with life expectancy <12 months.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
The primary outcome is the uptake of collaborative depression care, derived from the proportion of eligible patients with depression symptoms (identified from screening), who receive- vs. do not receive- collaborative depression care. This outcome is adjudicated by assessors blinded to hospital and time-period, from a complete case audit of medical records and nurse care manager records. [18 and 24 (primary timepoint) weeks after implementation of the intervention ]