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| ID | Type | Description | Link |
|---|---|---|---|
| 5K23HL123607-03 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Institutes of Health (NIH) | NIH |
| National Heart, Lung, and Blood Institute (NHLBI) | NIH |
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The focus of this study is to examine the feasibility, acceptability, and preliminary impact of a 12-week, telephone-delivered, positive psychology (PP)-based health behavior intervention in a group of patients with mild to moderate heart failure (HF), compared to a motivational interviewing- (MI-) based education condition and treatment as usual (TAU).
The investigators are proposing a study that will focus on the implementation of a novel PP-based health behavior intervention that is adapted for patients with HF. The MGH inpatient units, MGH Heart Center, and MGH primary care clinic outpatients will serve as the source of participants for the study, with patients who have a diagnosis of HF serving as potential participants. The investigators will enroll 60 HF patients, who will take part in a 12-week PP-based health behavior intervention.
In this project, the investigators hope to do the following:
Baseline information about enrolled participants will be obtained from the patients, care providers, and the electronic medical record as required for characterization of our population. This information will include data regarding medical history (history of prior acute coronary syndrome, coronary artery disease, coronary artery bypass graft, congestive HF, hypertension, diabetes mellitus, hyperlipidemia, and current smoking), current medical variables (renal function, left ventricular ejection fraction, NYHA class), medications, and sociodemographic data (age, gender, race/ethnicity, living alone).
Participants will undergo two in person visits during which they will meet with study staff in person (or if preferred over the phone). In their first visit, they will answer questionnaires related to psychological and physical health and functioning and will be asked to wear an accelerometer for one week to measure their baseline physical activity. At their second in-person visit, they will be randomized to receive (1) the PP-based health behavior intervention, (2) the MI-based educational condition, or (3) TAU. Participants in the TAU group will not receive any additional intervention but will complete follow-up phone calls at 12 and 24 weeks.
Following randomization, participants in the two treatment groups will be provided a treatment manual corresponding with their treatment condition with weekly exercises, along with a copy of the Learning to Live with Heart Failure guide. The appropriate intervention will be introduced, and the first exercise will be assigned. Finally, participants in both treatment groups will receive a personal step counter to use over the course of the study.
Following the second in-person visit, participants in the PP-based intervention and MI-based control condition groups will complete twelve 30- to 45-minute weekly phone sessions with a study trainer. The phone sessions primarily will include a review of the prior week's session content and a discussion of the rationale and assignment of the next week's exercise/assignment.
At Weeks 12 and 24, a member of the study staff will call participants to repeat the self-report questionnaires that were administered at baseline. At these two time points, participants also will be asked to wear an accelerometer for an additional 7 days to measure physical activity.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| PP-based health behavior intervention | Experimental | Participants will undergo a 12-week, Positive Psychology (PP)-based health behavior intervention. Each weekly session will include (a) a review of the week's PP exercise, (b) a discussion of the rationale of the next week's PP exercise through a guided review of the PP manual, and (c) assignment of the next week's PP exercise. Additionally for the goal-setting portion, participants will (a) review their goals and behaviors from the prior week, (b) discuss techniques for improving health behavior adherence (e.g., monitoring physical activity, reading nutrition labels), and (c) set goals for the next week. |
|
| MI-based educational control condition | Experimental | Participants will undergo 12 weekly phone sessions to learn about a different health behavior topic related to cardiac health. This Motivational Interviewing (MI)-based educational control condition will introduce these participants to motivational interviewing topics in concert with the health behavior education topics. |
|
| Treatment as Usual (TAU) | No Intervention | Participants in the Treatment as Usual (TAU) group will not receive any interventions between the baseline visit and follow-up visits. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PP-based health behavior intervention | Behavioral | The positive psychology exercises include 3 modules: gratitude-based activities, strength-based activities, and meaning-based activities. The goal-setting portion of the program focuses primarily on physical activity (8 weeks) but also includes 4 weeks focusing on diet and medication adherence. |
| Measure | Description | Time Frame |
|---|---|---|
| Feasibility of the PP-based Health Behavior Intervention | Feasibility will be measured by examining the number of completed exercises for individuals randomized to the Positive Psychology (PP)-based intervention. | Change between baseline and 12 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Acceptability of the Exercises | Participants receiving the PP-based health behavior intervention will provide ratings of ease and utility after each exercise, measured on a 10-point Likert scale. | 12 weeks |
| Immediate Impact of the Exercises |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Christopher Celano, MD | Massachusetts General Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Massachusetts General Hospital | Boston | Massachusetts | 02114 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33160091 | Derived | Celano CM, Freedman ME, Harnedy LE, Park ER, Januzzi JL, Healy BC, Huffman JC. Feasibility and preliminary efficacy of a positive psychology-based intervention to promote health behaviors in heart failure: The REACH for Health study. J Psychosom Res. 2020 Dec;139:110285. doi: 10.1016/j.jpsychores.2020.110285. Epub 2020 Oct 29. |
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| ID | Title | Description |
|---|---|---|
| FG000 | PP-based Health Behavior Intervention | Participants will undergo a 12-week, Positive Psychology (PP)-based health behavior intervention. Each weekly session will include (a) a review of the week's PP exercise, (b) a discussion of the rationale of the next week's PP exercise through a guided review of the PP manual, and (c) assignment of the next week's PP exercise. Additionally for the goal-setting portion, participants will (a) review their goals and behaviors from the prior week, (b) discuss techniques for improving health behavior adherence (e.g., monitoring physical activity, reading nutrition labels), and (c) set goals for the next week. PP-based health behavior intervention: The positive psychology exercises include 3 modules: gratitude-based activities, strength-based activities, and meaning-based activities. The goal-setting portion of the program focuses primarily on physical activity (8 weeks) but also includes 4 weeks focusing on diet and medication adherence. |
| FG001 | MI-based Educational Control Condition | Participants will undergo 12 weekly phone sessions to learn about a different health behavior topic related to cardiac health. They will also be introduced to motivational interviewing topics in concert with the health behavior education topics. Motivational Interviewing (MI)-based educational control condition: The MI-based educational program includes information on five topics: (1) information about heart disease and risk factors for worsening heart disease, (2) physical activity, (3) a heart-healthy diet, (4) medication adherence, and (5) stress management. |
| FG002 | Treatment as Usual (TAU) | Participants in the Treatment as Usual (TAU) group will not receive any interventions between the baseline visit and follow-up visits. |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
While 50 participants enrolled in this study, only 45 participants were randomized to a condition as 2 participants withdrew consent, 1 participant terminated consent, 1 participant was lost to follow-up, and 1 participant did not provide the data necessary to be randomized.
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| ID | Title | Description |
|---|---|---|
| BG000 | PP-based Health Behavior Intervention | Participants will undergo a 12-week, Positive Psychology (PP)-based health behavior intervention. Each weekly session will include (a) a review of the week's PP exercise, (b) a discussion of the rationale of the next week's PP exercise through a guided review of the PP manual, and (c) assignment of the next week's PP exercise. Additionally for the goal-setting portion, participants will (a) review their goals and behaviors from the prior week, (b) discuss techniques for improving health behavior adherence (e.g., monitoring physical activity, reading nutrition labels), and (c) set goals for the next week. PP-based health behavior intervention: The positive psychology exercises include 3 modules: gratitude-based activities, strength-based activities, and meaning-based activities. The goal-setting portion of the program focuses primarily on physical activity (8 weeks) but also includes 4 weeks focusing on diet and medication adherence. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Feasibility of the PP-based Health Behavior Intervention | Feasibility will be measured by examining the number of completed exercises for individuals randomized to the Positive Psychology (PP)-based intervention. | Posted | Mean | Standard Deviation | sessions completed out of 12 sessions | Change between baseline and 12 weeks |
|
Adverse event data were collected from each participant for 6 months, the entire duration of time when they were active in the study.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | PP-based Health Behavior Intervention | Participants will undergo a 12-week, PP-based health behavior intervention. Each weekly session will include (a) a review of the week's PP exercise, (b) a discussion of the rationale of the next week's PP exercise through a guided review of the PP manual, and (c) assignment of the next week's PP exercise. Additionally for the goal-setting portion, participants will (a) review their goals and behaviors from the prior week, (b) discuss techniques for improving health behavior adherence (e.g., monitoring physical activity, reading nutrition labels), and (c) set goals for the next week. PP-based health behavior intervention: The positive psychology exercises include 3 modules: gratitude-based activities, strength-based activities, and meaning-based activities. The goal-setting portion of the program focuses primarily on physical activity (8 weeks) but also includes 4 weeks focusing on diet and medication adherence. |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Flu and pneumonia | General disorders | Systematic Assessment | Participant was hospitalized as a result of having the flu and pneumonia. |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Unexpected Shortness of Breath and Weight Gain | Cardiac disorders | Systematic Assessment | Participant reported worsening shortness of breath and weight gain. |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Dr. Christopher Celano | Massachusetts General Hospital | 617-726-6485 | ccelano@partners.org |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Mar 2, 2018 | Mar 19, 2020 | Prot_SAP_000.pdf |
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| ID | Term |
|---|---|
| D006333 | Heart Failure |
| D010349 | Patient Compliance |
| ID | Term |
|---|---|
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D010342 | Patient Acceptance of Health Care |
| D000074822 | Treatment Adherence and Compliance |
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Randomized, single-blinded, controlled trial
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Participants and treating study staff will be aware of the participant's treatment condition. However, follow-up assessments will be performed by a study staff member that is masked to the participant's treatment condition.
|
| MI-based educational control condition | Behavioral | The MI-based educational program includes information on five topics: (1) information about heart disease and risk factors for worsening heart disease, (2) physical activity, (3) a heart-healthy diet, (4) medication adherence, and (5) stress management. |
|
Participants receiving the PP-based health behavior intervention will provide ratings of optimism and positive affect, before and after each exercise, measured on a 10-point Likert scale.
| Weekly, up to 12 weeks |
| Change in PANAS Scores (Primary Psychological Outcome) | The positive affect items on the Positive and Negative Affect Schedule (PANAS), a well-validated scale used in other intervention trials and in patients with HF, will be used to measure positive affect (Range: 10-50). Change was calculated by subtracting the score at baseline from the score at 12 and 24 weeks. Higher scores indicate higher levels of positive affect. | Baseline, 12 weeks, and 24 weeks |
| Changes in LOT-R Scores | Life Orientation Test-Revised (LOT-R) is a well-validated 6-item instrument used to measure dispositional optimism (Range: 0-24). Change was calculated by subtracting the score at baseline from the score at 12 and 24 weeks. Higher scores indicate higher levels of dispositional optimism. | Baseline, 12 weeks, and 24 weeks |
| Changes in SOM Scores | The State Optimism Measure (SOM) will be used to measure state optimism (Range: 7-35). Change was calculated by subtracting the score at baseline from the score at 12 and 24 weeks. Higher scores indicate higher levels of state optimism. | Baseline, 12 weeks, and 24 weeks |
| Changes in HADS-Anxiety Subscale Scores | The Hospital Anxiety and Depression Scale (HADS)-anxiety subscale was be used to measure anxiety. This is a well-validated scale with few somatic symptom items that can confound mood/anxiety assessment in medically-ill patients (Range: 0-21). Change was calculated by subtracting the score at baseline from the score at 12 weeks and 24 weeks. Higher scores indicate higher levels of anxiety. | Baseline, 12 weeks, and 24 weeks |
| Change in HADS-Depression Subscale Scores | The Hospital Anxiety and Depression Scale (HADS)-depression subscale was be used to measure depression. This is a well-validated scale with few somatic symptom items that can confound mood/anxiety assessment in medically-ill patients (Range: 0-21). Change was calculated by subtracting the score at baseline from the score at 12 weeks and 24 weeks. Higher scores indicate higher levels of depression. | Baseline, 12 weeks, and 24 weeks |
| Changes in KCCQ Scores (Primary Functional Outcome) | The Kansas City Cardiomyopathy Questionnaire (KCCQ) is a well-validated questionnaire of health status in HF. The full scale will be used to measure HF-specific health-related QoL (HRQoL), and an eight-question subset of the KCCQ will be used as a measure of HF symptoms (QoL score range: 0-100; total symptom score range: 0-100). Change was calculated by subtracting the score at baseline from the score at 12 weeks and 24 weeks. Higher QoL scores indicate better HF specific health-related QoL, and higher total symptom scores indicate fewer symptoms. | Baseline, 12 weeks, and 24 weeks |
| Changes in SF-12 Scores | The Medical Outcomes Study Short Form-12 (SF-12) will be used to measure quality of life. This is an instrument which has been used in multiple cardiac studies in the past (SF-12 Mental Composite Score and Physical Composite Score Range: 0-100 each). Change was calculated by subtracting the score at baseline from the score at 12 weeks and 24 weeks. Higher scores indicate higher level of health related QoL. | Baseline, 12 weeks, and 24 weeks |
| Changes in MOS SAS Scores | Three Medical Outcomes Study Specific Adherence Scale (MOS SAS) items assessing medication, diet, and exercise, will be measured individually and as a composite score (Range: 3-18). Change was calculated by subtracting the score at baseline from the score at 12 weeks and 24 weeks. Higher scores indicate better adherence to health behaviors. | Baseline, 12 weeks, and 24 weeks |
| Changes in Sodium Intake (as Measured With the SSQ) | The Scored Sodium Questionnaire (SSQ) is a self-report scale that assesses the frequency with which participants consume a variety of sodium-containing foods, ranging from "Rarely or Never Eaten" to "At Least Once Daily." It is used to calculate daily sodium intake (Range: 0-215). Change was calculated by subtracting the score at baseline from the score at 12 weeks and 24 weeks. Higher scores indicate higher sodium intake. | Baseline, 12 weeks, and 24 weeks |
| Changes in Self-Reported Medication Adherence (SRMA) | The Self-Reported Medication Adherence (SRMA) asks what percent of the time (in 10% increments) participants took all of their medications as prescribed in the past week and in the past 2 weeks (Range: 0-100). Change was calculated by subtracting the score at baseline from the score at 10 weeks. | Baseline, 12 weeks and 24 weeks |
| Change in Physical Activity | Assessed by ActiGraph GT3X+ step counters which are validated as measures of physical activity and have been used in numerous studies of physical activity in patients with medical illness. We will measure both number of steps per day (primary physical health outcome). Change scores will be calculated by subtracting the number of steps per day at baseline from number of steps per day at 12 weeks and 24 weeks. | Baseline, 12 weeks, and 24 weeks |
| Change in Moderate to Vigorous Physical Activity | Assessed with ActiGraph GT3X+ step counters, which are validated as measures of physical activity and have been used in numerous studies of physical activity in patients with medical illness. Change was calculated by subtracting the MVPA at baseline from the MVPA at 12 weeks and 24 weeks. | Baseline, 12 weeks, and 24 weeks |
| Feasibility of Actigraph | Feasibility will be measured by examining the number of participants who provide adequate Actigraph data, defined in this study as at least 480 minutes for 5 days, at each time point. | Baseline, 12 weeks and 24 weeks |
| BG001 | MI-based Educational Control Condition | Participants will undergo 12 weekly phone sessions to learn about a different health behavior topic related to cardiac health. They will also be introduced to motivational interviewing topics in concert with the health behavior education topics. Motivational Interviewing (MI)-based educational control condition: The MI-based educational program includes information on five topics: (1) information about heart disease and risk factors for worsening heart disease, (2) physical activity, (3) a heart-healthy diet, (4) medication adherence, and (5) stress management. |
| BG002 | Treatment as Usual (TAU) | Participants in the Treatment as Usual (TAU) group will not receive any interventions between the baseline visit and follow-up visits. |
| BG003 | Total | Total of all reporting groups |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
|
| Race (NIH/OMB) | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
| Positive and Negative Affect Schedule (PANAS) | The positive affect items on the Positive and Negative Affect Schedule (PANAS), a well-validated scale used in other intervention trials and in patients with HF, will be used to measure positive affect (Range: 10-50). Higher scores indicate higher levels of positive affect. | Mean | Standard Deviation | units on a scale |
|
| Life Orientation Test-Revised (LOT-R) | Life Orientation Test-Revised (LOT-R) is a well-validated 6-item instrument used to measure dispositional optimism (Range: 0-24). Higher scores indicate higher levels of dispositional optimism. | Mean | Standard Deviation | units on a scale |
|
| State Optimism Measure (SOM) | The State Optimism Measure (SOM) will be used to measure state optimism (Range: 7-35). Higher scores indicate higher levels of state optimism. | Mean | Standard Deviation | units on a scale |
|
| Hospital Anxiety and Depression Scale (HADS) anxiety subscale | The Hospital Anxiety and Depression Scale (HADS)-anxiety subscale was be used to measure anxiety. This is a well-validated scale with few somatic symptom items that can confound mood/anxiety assessment in medically-ill patients (Range: 0-21). | Mean | Standard Deviation | units on a scale |
|
| Hospital Anxiety and Depression Scale (HADS) depression subscale | The Hospital Anxiety and Depression Scale (HADS)-depression subscale was be used to measure depression. This is a well-validated scale with few somatic symptom items that can confound mood/anxiety assessment in medically-ill patients (Range: 0-21). Higher scores indicate higher levels of depression. | Mean | Standard Deviation | units on a scale |
|
| Kansas City Cardiomyopathy Questionnaire (KCCQ) | The Kansas City Cardiomyopathy Questionnaire (KCCQ) is a well-validated questionnaire of health status in HF. The full scale will be used to measure HF-specific health-related QoL (HRQoL), and an eight-question subset of the KCCQ will be used as a measure of HF symptoms (QoL score range: 0-100; total symptom score range: 0-100). Higher QoL scores indicate better HF specific health-related QoL, and higher total symptom scores indicate fewer symptoms. | Mean | Standard Deviation | units on a scale |
|
| Medical Outcomes Study Short Form-12 (SF-12) | The Medical Outcomes Study Short Form-12 (SF-12) will be used to measure quality of life. This is an instrument which has been used in multiple cardiac studies in the past (SF-12 Mental Composite Score and Physical Composite Score Range: 0-100 each). Higher scores indicate higher level of health related QoL. | Mean | Standard Deviation | units on a scale |
|
| Medical Outcomes Study Specific Adherence Scale (MOS SAS) | Three Medical Outcomes Study Specific Adherence Scale (MOS SAS) items assessing medication, diet, and exercise, will be measured individually and as a composite score (Range: 3-18). Higher scores indicate better adherence to health behaviors. | Mean | Standard Deviation | units on a scale |
|
| Scored Sodium Questionnaire (SSQ) | The Scored Sodium Questionnaire (SSQ) is a self-report scale that assesses the frequency with which participants consume a variety of sodium-containing foods, ranging from "Rarely or Never Eaten" to "At Least Once Daily." It is used to calculate daily sodium intake (Range: 0-215). Higher scores indicate higher sodium intake. | Mean | Standard Deviation | units on a scale |
|
| Self-Reported Medication Adherence (SRMA) | The Self-Reported Medication Adherence (SRMA) asks what percent of the time (in 10% increments) participants took all of their medications as prescribed in the past week and in the past 2 weeks (Range: 0-100). | Mean | Standard Deviation | percentage |
|
| Physical Activity | Assessed by ActiGraph GT3X+ step counters which are validated as measures of physical activity and have been used in numerous studies of physical activity in patients with medical illness. We will measure both number of steps per day (primary physical health outcome). | Mean | Standard Deviation | steps/day |
|
| Moderate to Vigorous Physical Activity | Assessed with ActiGraph GT3X+ step counters, which are validated as measures of physical activity and have been used in numerous studies of physical activity in patients with medical illness. | Mean | Standard Deviation | minutes/day |
|
| Feasibility of Actigraph | Feasibility will be measured by examining the number of participants who provide adequate Actigraph data, defined in this study as at least 480 minutes for 5 days. | Count of Participants | Participants |
|
|
|
| Secondary | Acceptability of the Exercises | Participants receiving the PP-based health behavior intervention will provide ratings of ease and utility after each exercise, measured on a 10-point Likert scale. | Posted | Mean | Standard Deviation | rating out of 10 | 12 weeks |
|
|
|
| Secondary | Immediate Impact of the Exercises | Participants receiving the PP-based health behavior intervention will provide ratings of optimism and positive affect, before and after each exercise, measured on a 10-point Likert scale. | Posted | Mean | Standard Deviation | units on a scale | Weekly, up to 12 weeks |
|
|
|
| Secondary | Change in PANAS Scores (Primary Psychological Outcome) | The positive affect items on the Positive and Negative Affect Schedule (PANAS), a well-validated scale used in other intervention trials and in patients with HF, will be used to measure positive affect (Range: 10-50). Change was calculated by subtracting the score at baseline from the score at 12 and 24 weeks. Higher scores indicate higher levels of positive affect. | Not all participants provided follow-up data at both timepoints. | Posted | Mean | Standard Deviation | units on a scale | Baseline, 12 weeks, and 24 weeks |
|
|
|
| Secondary | Changes in LOT-R Scores | Life Orientation Test-Revised (LOT-R) is a well-validated 6-item instrument used to measure dispositional optimism (Range: 0-24). Change was calculated by subtracting the score at baseline from the score at 12 and 24 weeks. Higher scores indicate higher levels of dispositional optimism. | Not all participants provided follow-up data at both timepoints. | Posted | Mean | Standard Deviation | units on a scale | Baseline, 12 weeks, and 24 weeks |
|
|
|
| Secondary | Changes in SOM Scores | The State Optimism Measure (SOM) will be used to measure state optimism (Range: 7-35). Change was calculated by subtracting the score at baseline from the score at 12 and 24 weeks. Higher scores indicate higher levels of state optimism. | Not all participants provided follow-up data at both timepoints. | Posted | Mean | Standard Deviation | units on a scale | Baseline, 12 weeks, and 24 weeks |
|
|
|
| Secondary | Changes in HADS-Anxiety Subscale Scores | The Hospital Anxiety and Depression Scale (HADS)-anxiety subscale was be used to measure anxiety. This is a well-validated scale with few somatic symptom items that can confound mood/anxiety assessment in medically-ill patients (Range: 0-21). Change was calculated by subtracting the score at baseline from the score at 12 weeks and 24 weeks. Higher scores indicate higher levels of anxiety. | Not all participants provided follow-up data at both timepoints. | Posted | Mean | Standard Deviation | units on a scale | Baseline, 12 weeks, and 24 weeks |
|
|
|
| Secondary | Change in HADS-Depression Subscale Scores | The Hospital Anxiety and Depression Scale (HADS)-depression subscale was be used to measure depression. This is a well-validated scale with few somatic symptom items that can confound mood/anxiety assessment in medically-ill patients (Range: 0-21). Change was calculated by subtracting the score at baseline from the score at 12 weeks and 24 weeks. Higher scores indicate higher levels of depression. | Not all participants provided follow-up data at both timepoints. | Posted | Mean | Standard Deviation | units on a scale | Baseline, 12 weeks, and 24 weeks |
|
|
|
| Secondary | Changes in KCCQ Scores (Primary Functional Outcome) | The Kansas City Cardiomyopathy Questionnaire (KCCQ) is a well-validated questionnaire of health status in HF. The full scale will be used to measure HF-specific health-related QoL (HRQoL), and an eight-question subset of the KCCQ will be used as a measure of HF symptoms (QoL score range: 0-100; total symptom score range: 0-100). Change was calculated by subtracting the score at baseline from the score at 12 weeks and 24 weeks. Higher QoL scores indicate better HF specific health-related QoL, and higher total symptom scores indicate fewer symptoms. | Not all participants provided follow-up data at both timepoints. | Posted | Mean | Standard Deviation | units on a scale | Baseline, 12 weeks, and 24 weeks |
|
|
|
| Secondary | Changes in SF-12 Scores | The Medical Outcomes Study Short Form-12 (SF-12) will be used to measure quality of life. This is an instrument which has been used in multiple cardiac studies in the past (SF-12 Mental Composite Score and Physical Composite Score Range: 0-100 each). Change was calculated by subtracting the score at baseline from the score at 12 weeks and 24 weeks. Higher scores indicate higher level of health related QoL. | Not all participants provided follow-up data at both timepoints. | Posted | Mean | Standard Deviation | units on a scale | Baseline, 12 weeks, and 24 weeks |
|
|
|
| Secondary | Changes in MOS SAS Scores | Three Medical Outcomes Study Specific Adherence Scale (MOS SAS) items assessing medication, diet, and exercise, will be measured individually and as a composite score (Range: 3-18). Change was calculated by subtracting the score at baseline from the score at 12 weeks and 24 weeks. Higher scores indicate better adherence to health behaviors. | Not all participants provided follow-up data at both timepoints. | Posted | Mean | Standard Deviation | units on a scale | Baseline, 12 weeks, and 24 weeks |
|
|
|
| Secondary | Changes in Sodium Intake (as Measured With the SSQ) | The Scored Sodium Questionnaire (SSQ) is a self-report scale that assesses the frequency with which participants consume a variety of sodium-containing foods, ranging from "Rarely or Never Eaten" to "At Least Once Daily." It is used to calculate daily sodium intake (Range: 0-215). Change was calculated by subtracting the score at baseline from the score at 12 weeks and 24 weeks. Higher scores indicate higher sodium intake. | Not all participants provided follow-up data at both timepoints. | Posted | Mean | Standard Deviation | units on a scale | Baseline, 12 weeks, and 24 weeks |
|
|
|
| Secondary | Changes in Self-Reported Medication Adherence (SRMA) | The Self-Reported Medication Adherence (SRMA) asks what percent of the time (in 10% increments) participants took all of their medications as prescribed in the past week and in the past 2 weeks (Range: 0-100). Change was calculated by subtracting the score at baseline from the score at 10 weeks. | Not all participants provided follow-up data at both timepoints. | Posted | Mean | Standard Deviation | percentage of time | Baseline, 12 weeks and 24 weeks |
|
|
|
| Secondary | Change in Physical Activity | Assessed by ActiGraph GT3X+ step counters which are validated as measures of physical activity and have been used in numerous studies of physical activity in patients with medical illness. We will measure both number of steps per day (primary physical health outcome). Change scores will be calculated by subtracting the number of steps per day at baseline from number of steps per day at 12 weeks and 24 weeks. | Not all participants provided wore Actigraph GT3X+ step counters or provided follow-up data at both timepoints. | Posted | Mean | Standard Deviation | steps/day | Baseline, 12 weeks, and 24 weeks |
|
|
|
| Secondary | Change in Moderate to Vigorous Physical Activity | Assessed with ActiGraph GT3X+ step counters, which are validated as measures of physical activity and have been used in numerous studies of physical activity in patients with medical illness. Change was calculated by subtracting the MVPA at baseline from the MVPA at 12 weeks and 24 weeks. | Not all participants provided wore Actigraph GT3X+ step counters or provided follow-up data at both timepoints. | Posted | Mean | Standard Deviation | minutes/day | Baseline, 12 weeks, and 24 weeks |
|
|
|
| Secondary | Feasibility of Actigraph | Feasibility will be measured by examining the number of participants who provide adequate Actigraph data, defined in this study as at least 480 minutes for 5 days, at each time point. | Not all participants provided wore Actigraph GT3X+ step counters or provided follow-up data at both timepoints. | Posted | Number | Participants with adequate activity data | Baseline, 12 weeks and 24 weeks |
|
|
|
| 0 |
| 15 |
| 1 |
| 15 |
| 3 |
| 15 |
| EG001 | MI-based Educational Control Condition | Participants will undergo 12 weekly phone sessions to learn about a different health behavior topic related to cardiac health. They will also be introduced to motivational interviewing topics in concert with the health behavior education topics. MI-based educational control condition: The MI-based educational program includes information on five topics: (1) information about heart disease and risk factors for worsening heart disease, (2) physical activity, (3) a heart-healthy diet, (4) medication adherence, and (5) stress management. | 0 | 15 | 1 | 15 | 5 | 15 |
| EG002 | Treatment as Usual (TAU) | Participants in the TAU group will not receive any interventions between the baseline visit and follow-up visits. | 0 | 15 | 1 | 15 | 1 | 15 |
|
| Altered mental state | Psychiatric disorders | Systematic Assessment | Participant was admitted to the hospital as a result of having an altered mental state. |
|
| Urinary Tract Infection | Renal and urinary disorders | Systematic Assessment | Participant was admitted to the hospital after being found to have a urinary tract infection. |
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| Unexpected Chest Pain | Cardiac disorders | Systematic Assessment | 3 participants each reported experiencing chest pain. |
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| Unexpected Shortness of Breath | Cardiac disorders | Systematic Assessment | Participant reported experiencing shortness of breath. |
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| Urinary Tract Infection | Renal and urinary disorders | Systematic Assessment | Participant went to the ED for a urinary tract infection but was not admitted. |
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| Unexpected Arm Pain | General disorders | Systematic Assessment | Participant reported experiencing arm pain and thought it was likely attributable to weight lifting exercises. |
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| Fractured foot and ankle | General disorders | Systematic Assessment | Participant was in a car accident which left them with a fractured foot and ankle. |
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| Unexpected Fall | General disorders | Systematic Assessment | Participant reported that they had tripped and fell in their home, but that there was no head trauma or need for medical care. |
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Not provided
Not provided
| D015438 | Health Behavior |
| D001519 | Behavior |
| 24 weeks |
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| 24 weeks |
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| 24 weeks |
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| 24 weeks |
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| 24 weeks |
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| 12 weeks Total Symptom |
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| 24 weeks HRQoL |
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| 24 weeks Total Symptom |
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| 12 weeks Physical Health Composite Score |
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| 24 weeks Mental Health Composite Score |
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| 24 weeks Physical Health Composite Score |
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| 24 weeks |
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| 24 weeks |
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| 24 weeks |
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| Title | Measurements |
|---|---|
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