eSDM Tool for Depression in Heart Disease
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial tests a new online tool designed to help manage depression in people with heart disease. The Electronic Shared Decision Making (eSDM) tool facilitates collaborative treatment decisions between patients and doctors, aiming to reduce depressive symptoms. It is ideal for individuals with coronary heart disease who speak English or Spanish, experience significant depression, and have appointments at certain clinics. Participants will use the tool and undergo assessments at the start and after six months to evaluate changes in their symptoms. As an unphased trial, this study provides a unique opportunity to contribute to innovative research that could enhance depression management for heart disease patients.
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.
What prior data suggests that this electronic shared decision making tool is safe for depression in heart disease patients?
Research has shown that tools like the electronic shared decision-making (eSDM) tool are generally easy for patients to use. These tools help patients understand their options better, enabling informed choices about their care. In past uses, these tools did not cause any significant problems. They primarily enhance collaboration between patients and doctors. Additionally, these tools have improved patient adherence to treatment plans without causing harm. This suggests that the eSDM tool is safe for patients with heart disease and depression.12345
Why are researchers excited about this trial?
Researchers are excited about the electronic shared decision making (eSDM) tool for depression in heart disease because it offers a personalized approach to treatment. Unlike traditional methods that primarily focus on medication or therapy, the eSDM tool integrates patient preferences and promotes active participation in care decisions. This tool not only screens and activates behavioral changes but also educates both patients and providers, creating a more collaborative healthcare environment. By tailoring interventions to individual patient needs, it has the potential to improve outcomes and patient satisfaction significantly.
What evidence suggests that the eSDM tool is effective for depression in heart disease?
Research has shown that tools like the electronic shared decision-making (eSDM) tool, studied in this trial, can help patients better understand their treatment options. These tools increase patient involvement in their care, potentially improving mental health by reducing symptoms of depression. Early results suggest that patients who actively participate in treatment decisions often feel more satisfied and experience better health outcomes. Although limited data exists specifically on the eSDM tool for heart disease patients with depression, similar tools have shown promise in enhancing patient knowledge and involvement. Active involvement is crucial for effectively managing both heart disease and depression.12467
Who Is on the Research Team?
Nathalie Moise, MD, MS
Principal Investigator
Columbia University
Are You a Good Fit for This Trial?
This trial is for heart disease patients who also have significant depression symptoms (PHQ9 score ≥10) and speak English or Spanish. It's not for those with psychosis, schizophrenia, bipolar disorder, recent suicide attempts, severe cognitive issues, non-elevated depression symptoms, current pregnancy, or substance abuse problems.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Pre-intervention
Patients receive usual care and are assessed at baseline
Intervention
Patients complete a web application delivering screening, behavioral activation, and shared decision making (eSDM)
Follow-up
Participants are monitored for changes in depressive symptoms and quality of life
What Are the Treatments Tested in This Trial?
Interventions
- Electronic shared decision making (eSDM) tool
Electronic shared decision making (eSDM) tool is already approved in United States for the following indications:
- Depression in coronary heart disease patients
Find a Clinic Near You
Who Is Running the Clinical Trial?
Columbia University
Lead Sponsor
National Heart, Lung, and Blood Institute (NHLBI)
Collaborator