A Patient Activation Approach to Implementing Depression Treatment in Cardiac Patients
A Theory-Informed, Brief Patient Activation and Motivational Interviewing Approach to Implementing Depression Treatment in Cardiac Patients: A Quality Improvement Initiative
Who can join
As published by the study on ClinicalTrials.gov. "Not stated" means the study hasn't said — ask the study team.
- Age
- 18 Years and older
- Sex
- All sexes
- Healthy volunteers
- Not accepted
- Compensation
- Not stated
Other requirements are listed under Eligibility below. Only the study team can confirm whether you can join.
What to expect
No one can promise a trial will help you personally — that is what the research is trying to find out.
What participation involves
Not stated in the study description — ask the study team about visits and procedures.
- Compensation
- Not stated
- Study-related exams and procedures are typically provided at no cost. This is how many trials work in general — confirm the details for this study with the study team.
- Participants are monitored closely by the research team throughout the study.
- Some participants may receive access to an investigational treatment, which is still being studied.
- Your participation helps researchers learn whether this approach could help future patients.
About this study
In plain language
This study tests whether the iHeart DepCare tool helps people with coronary heart disease get better care for depression. It is for adults with signs of depression and heart disease that affects the blood vessels supplying the heart. Patients will be assigned by chance to usual care or the tool with brief support based on their needs and wishes.
This study, which is being conducted as part of a Quality Improvement (QI) Initiative at Columbia University Irving Medical Center, will test whether delivering the iHeart DepCare tool increases real world reach and adoption of depression treatment among CHD patients. As part of the QI Initiative, Clinic Navigators will administer and record (in EPIC) depression screening in advance of primary care and cardiology appointments. Eligible patients with elevated depressive symptoms will be randomized to receive usual care vs. the iHeart DepCare tool in conjunction with brief motivational, technical and navigation support per patient preference. Aim 1: To test the effect of iHeart DepCare on depression treatment optimization (primary outcome) among coronary heart disease patients with elevated depressive symptoms. Aim 2: To explore the effect of iHeart DepCare on implementation outcomes, including provider referrals, among coronary heart disease patients with elevated depressive symptoms.
Compensation is read from the study's own description and may be missing — always confirm with the study team.
Eligibility
Who can join
- You are older than 18.
- You score 8 or higher on a PHQ9 or PHQ8 questionnaire, which checks for signs of depression.
- Your electronic health record shows a history of coronary heart disease.
- You have a primary care or heart doctor visit in an NYP/Columbia clinic where care teams work together. Visits only for a procedure or lab test do not count.
- You have a primary care doctor at NYP/Columbia who uses its electronic health record system.
Who can't join
- You do not speak English or Spanish.
- You have a history of severe mental illness, including bipolar disorder, schizophrenia, or depression that lasts a long time or keeps coming back, or you have attempted suicide or injured yourself on purpose.
- You have dementia, a condition that affects memory and thinking.
- Your health record shows a mental health visit through the integrated care team in the past 3 months.
- You are enrolled in the phase of study IRB# AAAR9175 that takes place after its program was put into use.
Simplified for readability. The official criteria below are what the study team uses.
Official eligibility criteria
Inclusion Criteria: * Over 18 years of age * PHQ9 or PHQ8 score \>=8 * History of coronary heart disease per EHR search for ICD-9 codes of 410-414 and ICD-10 codes: I20, I21, I22, I23, I24, I25. * Appointment with a primary care provider (PCP) or cardiologist in an integrated care setting in NYP/Columbia (e.g., does not include procedure or lab-only visits) * Has a PCP at NYP/Columbia active on the NYP/Columbia EHR Exclusion Criteria: * Not English or Spanish speaking * History of severe mental illness (bipolar disorder, schizophrenia, chronic/recurrent depression, history of suicide attempt or self-inflicted injuries) * Dementia * Had an integrated mental health visit in the last 3 months as indicated in the EHR * Enrollment in the post-implementation period of IRB# AAAR9175
Study sites (1)
NY
- Columbia University Irving Medical Center · New York, NY 10032Nathalie Moise, MD, MS, FAHA · Study contact · 212-342-2889Nathalie Moise, MD, MS, FAHA · Principal investigatorMore trials in New York