Web-Based Distress Management for Implantable Cardioverter Defibrillator Patients: A Randomized Controlled Trial

Mirela Habibović, Johan Denollet, Pim Cuijpers, Pepijn H van der Voort, Jean-Paul Herrman, Leon Bouwels, Suzanne D A Valk, Marco Alings, Dominic A M J Theuns, Susanne S Pedersen

Research output: Contribution to journalJournal articleResearchpeer-review

Abstract

OBJECTIVE: Sudden cardiac arrest caused by cardiac arrhythmias is 1 of the leading causes of death worldwide. Implantable cardioverter defibrillators (ICDs) are considered as standard care for patients with increased risk of arrhythmias. However, 1 in 4 ICD patients experiences psychological distress post-ICD implantation. The WEB-based distress management program for ICD patients (WEBCARE) was developed to mitigate anxiety and depression and enhance health-related quality of life in ICD patients. This study investigates the 6- and 12-months outcomes.

METHOD: A total of 289 consecutive ICD patients from 6 referral hospitals in the Netherlands were randomized to either the WEBCARE (n = 146) or usual care (n = 143) group. Patients in the WEBCARE group received an online, 12-weeks fixed, 6 lesson behavioral treatment based on problem solving therapy. Patients in the usual care group receive care as usual.

RESULTS: Current findings show no significant difference on anxiety, depression or quality of life between the WEBCARE and Usual Care group at 6- and 12-months postimplantation.

CONCLUSIONS: In this clinical trial of a Web-based behavioral intervention for ICD patients, the Web-based treatment was not superior to usual care on the long-term regarding patient reported outcomes. Future studies are warranted to examine the applicability of blended-care models and focus on further personalizing the program in order to increase adherence and improve outcomes. (PsycINFO Database Record

Original languageEnglish
JournalHealth Psychology
Volume36
Issue number4
Pages (from-to)392-401
ISSN0278-6133
DOIs
Publication statusPublished - 2017

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Implantable Defibrillators
Randomized Controlled Trials
Quality of Life
Depression
Long-Term Care
Netherlands
Cause of Death
Referral and Consultation
Clinical Trials

Keywords

  • Journal Article

Cite this

Habibović, Mirela ; Denollet, Johan ; Cuijpers, Pim ; van der Voort, Pepijn H ; Herrman, Jean-Paul ; Bouwels, Leon ; Valk, Suzanne D A ; Alings, Marco ; Theuns, Dominic A M J ; Pedersen, Susanne S. / Web-Based Distress Management for Implantable Cardioverter Defibrillator Patients : A Randomized Controlled Trial. In: Health Psychology. 2017 ; Vol. 36, No. 4. pp. 392-401.
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Habibović, M, Denollet, J, Cuijpers, P, van der Voort, PH, Herrman, J-P, Bouwels, L, Valk, SDA, Alings, M, Theuns, DAMJ & Pedersen, SS 2017, 'Web-Based Distress Management for Implantable Cardioverter Defibrillator Patients: A Randomized Controlled Trial', Health Psychology, vol. 36, no. 4, pp. 392-401. https://doi.org/10.1037/hea0000451

Web-Based Distress Management for Implantable Cardioverter Defibrillator Patients : A Randomized Controlled Trial. / Habibović, Mirela; Denollet, Johan; Cuijpers, Pim; van der Voort, Pepijn H; Herrman, Jean-Paul; Bouwels, Leon; Valk, Suzanne D A; Alings, Marco; Theuns, Dominic A M J; Pedersen, Susanne S.

In: Health Psychology, Vol. 36, No. 4, 2017, p. 392-401.

Research output: Contribution to journalJournal articleResearchpeer-review

TY - JOUR

T1 - Web-Based Distress Management for Implantable Cardioverter Defibrillator Patients

T2 - A Randomized Controlled Trial

AU - Habibović, Mirela

AU - Denollet, Johan

AU - Cuijpers, Pim

AU - van der Voort, Pepijn H

AU - Herrman, Jean-Paul

AU - Bouwels, Leon

AU - Valk, Suzanne D A

AU - Alings, Marco

AU - Theuns, Dominic A M J

AU - Pedersen, Susanne S

N1 - (c) 2017 APA, all rights reserved).

PY - 2017

Y1 - 2017

N2 - OBJECTIVE: Sudden cardiac arrest caused by cardiac arrhythmias is 1 of the leading causes of death worldwide. Implantable cardioverter defibrillators (ICDs) are considered as standard care for patients with increased risk of arrhythmias. However, 1 in 4 ICD patients experiences psychological distress post-ICD implantation. The WEB-based distress management program for ICD patients (WEBCARE) was developed to mitigate anxiety and depression and enhance health-related quality of life in ICD patients. This study investigates the 6- and 12-months outcomes.METHOD: A total of 289 consecutive ICD patients from 6 referral hospitals in the Netherlands were randomized to either the WEBCARE (n = 146) or usual care (n = 143) group. Patients in the WEBCARE group received an online, 12-weeks fixed, 6 lesson behavioral treatment based on problem solving therapy. Patients in the usual care group receive care as usual.RESULTS: Current findings show no significant difference on anxiety, depression or quality of life between the WEBCARE and Usual Care group at 6- and 12-months postimplantation.CONCLUSIONS: In this clinical trial of a Web-based behavioral intervention for ICD patients, the Web-based treatment was not superior to usual care on the long-term regarding patient reported outcomes. Future studies are warranted to examine the applicability of blended-care models and focus on further personalizing the program in order to increase adherence and improve outcomes. (PsycINFO Database Record

AB - OBJECTIVE: Sudden cardiac arrest caused by cardiac arrhythmias is 1 of the leading causes of death worldwide. Implantable cardioverter defibrillators (ICDs) are considered as standard care for patients with increased risk of arrhythmias. However, 1 in 4 ICD patients experiences psychological distress post-ICD implantation. The WEB-based distress management program for ICD patients (WEBCARE) was developed to mitigate anxiety and depression and enhance health-related quality of life in ICD patients. This study investigates the 6- and 12-months outcomes.METHOD: A total of 289 consecutive ICD patients from 6 referral hospitals in the Netherlands were randomized to either the WEBCARE (n = 146) or usual care (n = 143) group. Patients in the WEBCARE group received an online, 12-weeks fixed, 6 lesson behavioral treatment based on problem solving therapy. Patients in the usual care group receive care as usual.RESULTS: Current findings show no significant difference on anxiety, depression or quality of life between the WEBCARE and Usual Care group at 6- and 12-months postimplantation.CONCLUSIONS: In this clinical trial of a Web-based behavioral intervention for ICD patients, the Web-based treatment was not superior to usual care on the long-term regarding patient reported outcomes. Future studies are warranted to examine the applicability of blended-care models and focus on further personalizing the program in order to increase adherence and improve outcomes. (PsycINFO Database Record

KW - Journal Article

U2 - 10.1037/hea0000451

DO - 10.1037/hea0000451

M3 - Journal article

C2 - 28192003

VL - 36

SP - 392

EP - 401

JO - Health Psychology

JF - Health Psychology

SN - 0278-6133

IS - 4

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Habibović M, Denollet J, Cuijpers P, van der Voort PH, Herrman J-P, Bouwels L et al. Web-Based Distress Management for Implantable Cardioverter Defibrillator Patients: A Randomized Controlled Trial. Health Psychology. 2017;36(4):392-401. https://doi.org/10.1037/hea0000451