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- W1991569326 abstract "Although engaging in self-care is important to improve quality of life in patients with heart failure (HF), lack of family support and depressive symptoms of both patients and caregivers may be major barriers to adequate self-care in HF. Interventions to improve self-care should include strategies to decrease depressive symptoms and the education should target both patients and family caregivers. The purpose of this study was to examine feasibility and efficacy of the Family Cognitive Education Therapy intervention that combines cognitive behavioral therapy (CBT) with an educational self-care intervention in patients with HF and their caregivers. In this randomized controlled trial, 24 dyads were randomly assigned to intervention (12 dyads) and control (12 dyads) groups and 4 weekly home-based sessions were delivered to the intervention group by nurse interventionists. We assessed the short-term (2-month) and long term (6-month) effects of the intervention on depression (i.e., the Patient Health Questionnaire), and quality of life (i.e., the SF-36 and the Minnesota Living with Heart Failure) for dyads; perceived control, adherence to treatment regimens (patients only), and caregiving burden (caregivers only) using repeated measures ANOVA. Emotional well-being for both patient and caregivers was significantly improved at post-intervention assessments (p<.05, Figure 1). Patients in the Intervention group demonstrated significantly reduced depressive symptoms at 2-month follow up, which remained stable at 6 months (PHQ-9 score: 8.4 vs. 6.5 vs. 5.3 p=.01). Although all changes were in the expected directions, we demonstrated no impact of the intervention on depressive symptoms and caregiving burden in caregivers, or perceived control and adherence to treatment regimens in patients. The Family CET intervention improved depressive symptoms of patients and quality of life of the dyad. This feasibility study did not have the power to detect significant changes in some parameters due to small sample sizes, but it did allow us to calculate effects sizes for a future trial." @default.
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- W1991569326 date "2014-08-01" @default.
- W1991569326 modified "2023-10-16" @default.
- W1991569326 title "The Feasibility of the Family Cognitive Educational Intervention to Improve Depressive symptoms and Quality of Life in Patients with Heart Failure and Their Family Caregivers" @default.
- W1991569326 doi "https://doi.org/10.1016/j.cardfail.2014.06.148" @default.
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