- In patients with comorbid depression and heart failure (HF), a blended collaborative care model improved health-related QoL (HRQoL) and reduced mood symptoms better than usual care in the Hopeful Heart study.
Why this matters
- Depression in patients with HF highly underdiagnosed and undertreated.
- The blended care model included weekly team meetings with a psychiatrist, cardiologist, internist, and nurses; the collaborative model included a cardiologist, internist, and nurses.
- A care manager telephoned each patient every 2 weeks to evaluate care and monitor treatment response.
- 629 patients with comorbid depression and HF were followed for 12 months.
- Outcomes were assessed using the Mental Component of the Short-Form 12 Health Survey (SF-12 MCS) and PROMIS Depression scales.
- The blended care model improved HRQoL (effect size [ES], 0.34; P=.002) and decreased mood symptoms (ES, 0.47; P<.0001 better than usual care after months of follow-up.>
- The blended care model decreased mood symptoms more than collaborative care alone (ES, 0.24; P=.006) after 12 months of follow-up.
- Single-site study.
- Health information privacy concerns (HIPPA).
- "Depression is highly comorbid with HF and associated with worse self-reported function and HRQoL. More effective treatments for depression are needed," said Bruce Rollman, MD, MPH, professor of medicine at the University of Pittsburgh Medical Center, Pittsburgh. He was not a participant in the trial.