Assessing the effectiveness of enhanced psychological care for patients with depressive symptoms attending cardiac rehabilitation compared with treatment as usual (CADENCE): study protocol for a pilot cluster randomised controlled trial
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  • 作者:Suzanne H. Richards ; Chris Dickens ; Rob Anderson ; David A. Richards…
  • 关键词:Depression ; Coronary heart disease ; Multimorbidity ; Behavioural activation ; Mental health care coordination ; Cardiac rehabilitation ; Randomised controlled trial ; Qualitative interviews
  • 刊名:Trials
  • 出版年:2016
  • 出版时间:December 2016
  • 年:2016
  • 卷:17
  • 期:1
  • 全文大小:733 KB
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  • 作者单位:Suzanne H. Richards (1)
    Chris Dickens (1)
    Rob Anderson (1)
    David A. Richards (1)
    Rod S. Taylor (1)
    Obioha C. Ukoumunne (2)
    David Kessler (3)
    Katrina Turner (4)
    Willem Kuyken (5)
    Manish Gandhi (6)
    Luke Knight (6)
    Andrew Gibson (7)
    Antoinette Davey (1)
    Fiona Warren (1)
    Rachel Winder (1)
    Christine Wright (1)
    John Campbell (1)

    1. University of Exeter Medical School, St Luke’s Campus, Exeter, EX1 2LU, UK
    2. NIHR Collaboration for Leadership in Applied Health Research and Care for the South West Peninsula, University of Exeter Medical School, St Luke’s Campus, Exeter, EX1 2LU, UK
    3. School of Social and Community Medicine, University of Bristol, Oakfield House, Oakfield Grove, Clifton, Bristol, BS8 2BN, UK
    4. School of Social and Community Medicine, University of Bristol, Canynge Hall, Whatley Road, Bristol, BS8 2PS, UK
    5. University Department of Psychiatry, University of Oxford, Warneford Hospital, Oxford, 0X3 7JX, UK
    6. Royal Devon and Exeter NHS Foundation Trust, Barrack Road, Exeter, EX2 5DW, UK
    7. Health and Social Sciences, University of the West of England, Frenchay Campus, Coldharbour Lane, Bristol, BS16 1QY, UK
  • 刊物主题:Medicine/Public Health, general; Biomedicine general; Statistics for Life Sciences, Medicine, Health Sciences;
  • 出版者:BioMed Central
  • ISSN:1745-6215
文摘
Background Around 17 % of people eligible for UK cardiac rehabilitation programmes following an acute coronary syndrome report moderate or severe depressive symptoms. While maximising psychological health is a core goal of cardiac rehabilitation, psychological care can be fragmented and patchy. This study tests the feasibility and acceptability of embedding enhanced psychological care, composed of two management strategies of proven effectiveness in other settings (nurse-led mental health care coordination and behavioural activation), within the cardiac rehabilitation care pathway.

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