MBCT Delivered Via Group Videoconferencing for ACS Patients With Elevated Depression Symptoms



Status:Recruiting
Conditions:Angina, Angina, Depression, Depression, Cardiology, Cardiology
Therapuetic Areas:Cardiology / Vascular Diseases, Psychiatry / Psychology
Healthy:No
Age Range:35 - 85
Updated:3/20/2019
Start Date:July 1, 2018
End Date:June 2019
Contact:Christina M Luberto, PhD
Email:cluberto@mgh.harvard.edu
Phone:(617) 724-6300

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Mindfulness-Based Cognitive Therapy Delivered Via Group Videoconferencing for Acute Coronary Syndrome Patients With Elevated Depression Symptoms

The objective of this study is to identify Acute Coronary Syndromes (ACS) patients' specific
needs and preferences for depression treatment via in-person focus groups to (a) guide MBCT
adaptation; and identify barriers and facilitators to (b) group videoconferencing delivery,
and (c) blood spot data collection to enhance feasibility. Through qualitative measures
participants will report specific physical, cognitive, and behavioral symptoms to be targeted
in the intervention, discuss barriers and facilitators to participating in a video-conference
treatment program and completing blood spot data collection procedures.

This is a qualitative research study that will involve at least eight in-person focus group
of ACS patients (approximately 8 participants per group; total N = approximately 30-40
participants) to explore patients' treatment needs and preferences for an adapted MBCT
intervention, and barriers and facilitators for future intervention research procedures
(i.e., videoconferencing delivery of the intervention and collection of dried blood spots).
Participants will be identified using the MGH Research Patient Data Registry (RPDR).
Participants will be pre-screened for eligibility and sent an opt-out letter; patients who
opt out and meet eligibility requirements will be contacted via phone. Over the phone,
patients who express interest in the study will complete an eligibility screen; patients who
meet study eligibility criteria will then complete a verbal consent to enroll in the study.
Once enrolled, participants will partake in a semi-structured in person focus group. Focus
groups will be stratified by gender and time since ACS and explore (a) emotional symptoms;
(b) health behavior challenges; (c) specific preferences for the MBCT intervention; and (d)
potential barriers and facilitators of group videoconferencing and (e) blood spot data
collection. Participants will also complete a survey detailing depression symptoms, trait
mindfulness, health behaviors, and other psychological, behavioral, and physical constructs
that may potentially be impacted by the MBCT intervention in subsequent trials will be
measured. Data will be used to guide MBCT adaptations and research procedures for future
clinical trials.

Inclusion Criteria:

1. Lifetime ACS per medical record and patient confirmation

2. Current elevated depression symptoms (PHQ-9>10)

3. Age 35-85 years

4. Access to high-speed internet

Exclusion Criteria:

1. Active suicidal ideation or past-year psychiatric hospitalization

2. Non-English-speaking

3. Cognitive impairments preventing informed consent.
We found this trial at
1
site
185 Cambridge Street
Boston, Massachusetts 02114
617-724-5200
?
mi
from
Boston, MA
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