Journal article

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

Suzanne H Richards, Chris Dickens, Rob Anderson, David A Richards, Rod S Taylor, Obioha C Ukoumunne, David Kessler, Katrina Turner, Willem Kuyken, Manish Gandhi, Luke Knight, Andrew Gibson, Antoinette Davey, Fiona Warren, Rachel Winder, Christine Wright, John Campbell

TRIALS | BIOMED CENTRAL LTD | Published : 2016


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. METHODS/DESIGN: This study tests the uncertainties associated with a large-scale evaluation by conducting an ex..

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Awarded by UK NIHR Health Technology Assessment Programme

Awarded by National Institute for Health Research

Funding Acknowledgements

This project was funded by the UK NIHR Health Technology Assessment Programme (project number 12/189/06). The Royal Devon and Exeter NHS Foundation Trust is acting as trial sponsor. The Funding Agency and Trial sponsors have not been substantively involved in the design, or data acquisition for this research, nor the drafting of this manuscript; the views and opinions expressed in this paper are those of the authors and do not necessarily reflect those of the Health Technology Assessment Programme, NIHR, NHS or the Department of Health.Rob Anderson, John Campbell, Christopher Dickens, David Richards, Suzanne Richards, Rod Taylor, Obioha Ukoumunne, and Fiona Warren are centrally funded by the University of Exeter Medical School. David Kessler and Katrina Turner are funded by the University of Bristol, Andrew Gibson by the University of the West of England, and Willem Kuyken by Oxford University. Manish Gandhi and Luke Knight are funded by the Royal Devon and Exeter NHS Foundation Trust. Antoinette Davey, Rachel Winder and Christine Wright are employed by the University of Exeter Medical School on the above funding award. David Richards, Rod Taylor and Obioha Ukoumunne are also supported by the NIHR Collaboration for Leadership in Applied Health Research and Care South West Peninsula.