Extrait

Background and study aims Coronary heart disease (CHD), also known as ischemic heart disease, is one of the leading causes of death worldwide. CHD develops because of the build-up of fatty deposits (plaque) on the walls of the coronary arteries (the arteries that supply the heart with oxygen-rich blood). When arteries are blocked or narrowed, the heart does not receive enough blood to function properly, which can cause pain and tightness in the chest (angina), or a heart attack. Depression is very common in patients with CHD, and it has been found that these patients are more likely to have a heart attack or die. There are very effective treatments for CHD and depression separately, however there is not currently any good ways of treating both of these conditions simultaneously. The aim of this study is to find out whether a personalised care programme could be an effective treatment strategy for people suffering from CHD and depression. Who can participate? CHD patients over 16 years old with chest pain who are suffering from depression and the GP practices that care for them. What does the study involve? Participants are randomly allocated to one of two groups. Those in the first group continue to receive their usual treatment from their GP and/or practice nurse. Those in the second group continue to receive usual care but also take part in the personalised care plan for 6 months, which is given by two case managers (a community psychiatric nurse and a health psychologist who is also a qualified nurse). At the start of the study, the case managers meet with the patient in order to draw-up a 6-month personalised care plan by talking about the current problems the patient is experiencing, which is passed on to the patient’s GP. The patient then works to achieve the goals set in their care plan and are followed up weekly by telephone to see how they are getting on. At the start of the study and then again after 6 months and 1 year, participants in both groups complete a number of questionnaires in order to assess any changes to their CHD and their mental wellbeing. What are the possible benefits and risks of participating? Not provided at time of registration Where is the study run from? General Practices based in South London (UK) When is the study starting and how long is it expected to run for? March 2010 to March 2012 Who is funding the study? National Institute for Health Research (UK) Who is the main contact? Professor Andre Tylee [email protected]

Critère d'inclusion

• Coronary heart disease/comorbid depression

Liens

• ictrp
• isrctn