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Adjusting to Chronic Conditions Using Education, Support, and Skills - NCT01149772-73104(Clinical Trial 680407)



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City:  Oklahoma City
State:  
OK
Zip Code: 73104
Conditions: Chronic Obstructive Pulmonary Disease - Heart Failure - Anxiety - Depression
Purpose: The current study seeks to test the effectiveness of a talk-therapy intervention designed to better meet the needs of chronically ill veterans. This project looks to recruit 320 veterans with either chronic obstructive pulmonary disease (COPD) or heart failure (HF) who also have symptoms of worry, stress, anxiety, or sadness. Participants will be randomly put into either the talk-therapy intervention or enhanced usual care. The talk therapy intervention will be provided by VA clinicians in the primary care setting and will consist of 6 core meetings (30-45 minutes in duration) and 4 follow-up telephone meetings. Enhanced usual care participants will receive feedback about the current functioning, educational materials about COPD/HF and stress, and periodic follow-up appointments to assess their functioning.
Study summary: Diseases of the heart and circulatory system, namely, Chronic Obstructive Pulmonary Disease (COPD) and Heart Failure (HF), are two of the most common and disabling chronic diseases. Both COPD and HF account for significant disability, mortality, and healthcare costs and are associated with lower health status and more functional and social limitations than other chronic illnesses, such as hypertension and diabetes. As our population ages and life span increases, the numbers of patients with these conditions and the subsequent healthcare costs will increase dramatically. The symptoms associated with COPD and HF can significantly affect daily functioning. Physical symptoms are often linked to increased levels of psychological distress, namely, anxiety and depression, which significantly affect quality of life and functioning above and beyond the impact of the medical disease. As depression and anxiety are modifiable clinical factors, there is a potential to significantly alter patient outcomes, as well as use of healthcare services. However, focused interventions are needed, given the high risk for poor mental health treatment and underuse of mental health services in persons with COPD and HF. Unfortunately, few intervention studies have been conducted in medically ill patients with these conditions. The current project will examine whether existing VA clinicians in the primary care setting, with training and support, can effectively administer a structured Cognitive Behavioral Therapy (CBT) intervention for depressed and anxious Veterans with COPD and HF.
Criteria: Inclusion Criteria: - COPD and/or HF diagnosis; confirmation based upon medical chart review. - clinically significant symptoms for anxiety and/or depression. Exclusion Criteria: - cognitive impairment - presence of bipolar, psychotic or substance abuse disorder.
Study is available at: VA Medical Center, Oklahoma City
Oklahoma City, OK 73104
United States

Primary Contact:
Darrell Zeno, MS BS
Email: darrell.zeno@va.gov
Phone: (713) 794-8678
If you are interested in this clinical trial please use the contact information above. If you would like to get additional information about this clinical trial please visit ClinicalTrials.gov.
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Data Source: ClinicalTrials.gov
Date Processed: March 23, 2011
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