Assessing the effectiveness of Enhanced Psychological Care for patients with depressive symptoms attending cardiac rehabilitation compared with treatment as usual (CADENCE): a pilot cluster randomised controlled trial
Suzanne H Richards, Chris Dickens, Rob Anderson, David A Richards, Rod S Taylor, Obioha C Ukoumunne, Katrina M Turner, Manish Gandhi, Willem Kuyken, Andrew Gibson, Antoinette Davey, Fiona Warren, Rachel Winder, John Campbell
TRIALS | BMC | Published : 2018
BACKGROUND: Around 17% of people attending UK cardiac rehabilitation programmes have depression. Optimising psychological wellbeing is a rehabilitation goal, but provision of psychological care is limited. We developed and piloted an Enhanced Psychological Care (EPC) intervention embedded within cardiac rehabilitation, aiming to test key areas of uncertainty to inform the design of a definitive randomised controlled trial (RCT) and economic evaluation. METHODS: An external pilot randomised controlled trial (RCT) randomised eight cardiac rehabilitation teams (clusters) to either usual care of cardiac rehabilitation provision (UC), or EPC in addition to UC. EPC comprised mental health care coo..View full abstract
Awarded by UK NIHR Health Technology Assessment Programme
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.r Rob Anderson, John Campbell, Christopher Dickens, David Richards, Suzanne Richards, Rod Taylor, Obioha Ukoumunne and Fiona Warren were centrally funded by the University of Exeter Medical School. Suzanne Richards was also centrally funded by the University of Leeds during the drafting of this manuscript. Katrina Turner is funded by the University of Bristol, Andrew Gibson by the University of the West of England and Willem Kuyken by Oxford University. Katrina Turner is also supported by the National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care West (CLAHRC West) at University Hospitals Bristol NHS Foundation Trust. Manish Gandhi is funded by the Royal Devon and Exeter NHS Foundation Trust. Antoinette Davey and Rachel Winder were 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.