An observational study in Heart Failure, Depression and Anxiety, sponsored by King's College London. Completed at 1 site in United Kingdom. Open to participants aged 19 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2022-10-14.
Sponsored by King's College London · Observational
Heart failure (HF) is a complex clinical syndrome characterized by inability of the heart to pump an adequate amount of blood. Heart failure affects patients' ability to carry out even simple activities of daily living and therefore has negative psychological impact. Many studies reported that depression is prevalent among HF patients and it is being associated with high morbidity, mortality and costs. The European Society of Cardiology guidelines stresses the importance of routine depression screening with a validated questionnaire and initiating treatment for depression for all depressed HF patients and their access to psychological treatment.
The community heart failure nurses provide the integrated heart failure service in the local area of Southwark and Lambeth in South London. The aim of the integrated heart failure team in the community is to provide the HF treatment effectively, help patients understand and manage their symptoms and support with lifestyle changes. Even though, the community HF nurses have extensive role in managing HF patients in the community, their role in assessing anxiety and depression; and providing psychological treatment needs to be further explored.
Therefore, there is a need to assess the process by which community HF nurses assess and manage anxiety and depression. This current study builds on our recent systematic review which illustrated how cognitive behaviour therapy is effective at improving depressive symptoms in HF, but more studies are needed to build on these findings. The findings from this review will be used to examine the perspectives on assessing, managing and treating depression and anxiety in HF patients.
In this current study, an online focus group with community heart failure nurses and qualitative telephone/online interviews with community-based HF patients will be undertaken to explore their views and experiences in managing depression and anxiety; and to assess whether COMPASS a web-based intervention would be useful. Also, this study will explore the impact of COVID-19 on the psychological wellbeing of community-based HF patients.
5,701 studies on the registry are indexed under Heart Failure; 1,220 are open to participants now.
This study's enrollment of 14 is below the median of 200 across 1,679 observational studies indexed under Heart Failure.
Browse Heart Failure studies →King's College London is the lead sponsor of 506 studies on the registry; 125 are open to participants now.
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Participants will be recruited from Guys and St. Thomas's community-based HF services in Lambeth and Southwark Boroughs.
Inclusion Criteria:
Inclusion criteria for Community-based HF patients:
Inclusion criteria for Community HF nurses:
Exclusion Criteria:
Exclusion criteria for community-based HF patients:
Exclusion criteria for Community HF nurses:
COMPASS is a web-based intervention (online CBT program) that was developed for managing illness-related anxiety and depression in patients with long-term conditions (LTC) (https://compass-ltc.org/). COMPASS is tailored to gain an understanding of the difficulties that LTC patients experience and provide information and tools on how to manage these. This qualitative study will explore participants' perspectives on using COMPASS for managing depression and anxiety in heart failure.
Explore community heart failure nurses' perception of assessing, managing and treating depression and anxiety in HF and the use of web-based interventions.
will explore nurses' perception regarding the assessment and management of depression and anxiety in heart failure by undertaking an online focus group with community heart failure nurses.
Time frame: This will take place before the introduction of COMPASS web-based intervention.
Explore community heart failure patients' perception of assessing, managing and treating depression and anxiety in HF and the use of web-based interventions.
will explore patients' perception regarding the assessment and management of depression and anxiety in heart failure. This will be done by undertaking online\\telephone interviews with community-based heart failure patients.
Time frame: This will take place before the introduction of COMPASS web-based intervention.
Explore nurses' perception of using web-based COMPASS intervention for depression and anxiety management in HF
will explore nurses' perception regarding the use of web-based COMPASS intervention for the management of depression and anxiety in heart failure in an online focus group.
Time frame: This will take place 30 minutes after the introduction and demonstration of COMPASS web-based intervention.
Explore patients' perception of using web-based COMPASS intervention for depression and anxiety management in HF
will explore patients' perception regarding the use of web-based COMPASS intervention for the management of depression and anxiety in heart failure. This will be done by conducting online\\telephone interviews with community-based heart failure patients.
Time frame: This will take place 30 minutes after the introduction and demonstration of COMPASS web-based intervention.
Explore with community HF nurses the impact of COVID-19 pandemic on HF patients' depression and anxiety level and changes to management processes.
will discuss with community HF nurses the impact of COVID-19 on the psychological wellbeing of community-based HF patients and how it changed their access to psychological intervention. This will form part of the online focus group.
Time frame: This will take place before the introduction of COMPASS web-based intervention.
Explore with community HF patients the impact of COVID-19 pandemic on HF patients' depression and anxiety level and changes to management processes.
will explore with community HF patients the impact of COVID-19 on the psychological wellbeing of community-based HF patients and how it changed their access to psychological intervention. This will form part of the online/telephone interviews.
Time frame: This will take place before the introduction of COMPASS web-based intervention.
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King's College London