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Internet-based cognitive behavior therapy for patients with heart failure and depressive symptoms: A proof of concept study
Lundgren, Johan Andersson, Gerhard Dahlstrom, Orjan Jaarsma, Tiny Kohler, Anita Karner Johansson, Peter
Lundgren, Johan
Andersson, Gerhard
Dahlstrom, Orjan
Jaarsma, Tiny
Kohler, Anita Karner
Johansson, Peter
Abstract
Objective: The aim was (1) to describe the development of a guided internet-based CBT (ICBT) program adapted to patients with heart failure (HF) and (2) to evaluate the feasibility of the ICBT program in regard to depressive symptoms, the time used by health care providers to give feedback, and participants’ perceptions of the ICBT program. Method: A multi-professional team developed the program and seven HF patients with depressive symptoms were recruited to the study. The Patient Health Questionnaire-9 (PHQ-9) and the Montgomery Åsberg Depression Rating-Self-rating scale (MADRS-S) were used to measure depression, and patients were interviewed about their perceptions of the program. Results: Based on research in HF and CBT, a nine-week program was developed. The median depression score decreased from baseline to the end of the study (PHQ-9: 11–8.5; MADRS-S: 25.5–16.5) and none of the depression scores worsened. Feedback from health care providers required approximately 3 h per patient. Facilitating perceptions (e.g. freedom of time) and demanding perceptions (e.g. part of the program demanded a lot of work) were described by the patients. Conclusion: The program appears feasible and time-efficient. However, the program needs to be evaluated in a larger randomized study.
Keywords
internet, cognitive behavior therapy, heart failure, depression
Date
2015
Type
Journal article
Journal
Patient Education and Counseling
Book
Volume
98
Issue
8
Page Range
935-942
Article Number
ACU Department
Faculty of Health Sciences
Collections
Relation URI
Source URL
Event URL
Open Access Status
License
File Access
Controlled