Web-based distress management for implantable cardioverter defibrillator patients: A  randomized controlled trial

M. Habibovic; J. Denollet; Pim Cuijpers; P.H. van der Voort; J.P. Herrman; L. Bouwels; S.D.A. Valk; M. Alings; D.A.M.J. Theuns; S.S. Pedersen

doi:10.1037/hea0000451

Web-based distress management for implantable cardioverter defibrillator patients: A randomized controlled trial

M. Habibovic, J. Denollet, Pim Cuijpers, P.H. van der Voort, J.P. Herrman, L. Bouwels, S.D.A. Valk , M. Alings, D.A.M.J. Theuns, S.S. Pedersen

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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.

Original language	English
Pages (from-to)	392-401
Number of pages	10
Journal	Health Psychology
Volume	36
Issue number	4
DOIs	https://doi.org/10.1037/hea0000451
Publication status	Published - 1 Apr 2017

Funding

This work was in part supported with grant 300020002, a VIDI grant (91710393) from the Netherlands Organization for Health Research and Development, The Hague, the Netherlands, to Susanne S. Pedersen, and by Dutch Heart Foundation. Trial registration: http://www.ClinicalTrials.gov. Identifier: NCT00895700.

Funders	Funder number
Dutch Heart Foundation	NCT00895700
Netherlands Organization for Health Research and Development

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1037/hea0000451

2017 Habibovic, Health Psychology, trial heart disease patientsAccepted author manuscript, 233 KBLicence: Article 25fa Dutch Copyright Act

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Cite this

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title = "Web-based distress management for implantable cardioverter defibrillator patients: A randomized controlled trial",

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.",

author = "M. Habibovic and J. Denollet and Pim Cuijpers and {van der Voort}, P.H. and J.P. Herrman and L. Bouwels and S.D.A. Valk and M. Alings and D.A.M.J. Theuns and S.S. Pedersen",

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doi = "10.1037/hea0000451",

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T1 - Web-based distress management for implantable cardioverter defibrillator patients: A randomized controlled trial

AU - Habibovic, M.

AU - Denollet, J.

AU - Cuijpers, Pim

AU - van der Voort, P.H.

AU - Herrman, J.P.

AU - Bouwels, L.

AU - Valk , S.D.A.

AU - Alings, M.

AU - Theuns, D.A.M.J.

AU - Pedersen, S.S.

PY - 2017/4/1

Y1 - 2017/4/1

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.

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.

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