Patient and Partner Intervention After an Implantable Cardioverter Defibrillator (ICD) (P+P)
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Purpose
The goal of this study is to compare a patient only to a patient+partner intervention on recovery outcomes of patients and partners after Implantable Cardioverter Defibrillator (ICD) implantation.
| Condition | Intervention | Phase |
|---|---|---|
|
Implantable Cardioverter Defibrillator (ICD) |
Behavioral: patient only Behavioral: patient and partner intervention |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Patient and Intimate Partner Intervention to Improve Outcomes After an ICD |
- Physical functioning [ Time Frame: 3 months ] [ Designated as safety issue: No ]symptoms, health related quality of life, steps/day
- psychological adjustment [ Time Frame: 3 months ] [ Designated as safety issue: No ]anxiety, depression, ICD acceptance
| Estimated Enrollment: | 300 |
| Study Start Date: | July 2009 |
| Estimated Study Completion Date: | June 2014 |
| Estimated Primary Completion Date: | June 2014 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: patient only
Patient with the ICD is involved in the intervention
|
Behavioral: patient only
education, behavioral strategies, psychological interventions
|
|
Experimental: patient and partner
patient with the ICD and intimate partner are involved in the intervention
|
Behavioral: patient and partner intervention
education, psychological support, behavioral strategies
|
Detailed Description:
The goal of this randomized trial is to test a patient+partner intervention against the patient only intervention on recovery outcomes of patients and partners after ICD implantation. By interventing with both ICD patients and their partners, we expect to further improve outcomes of patients and aid in recovery of partners. Over a five year period we will test the effects of a 12 week patient+partner intervention against a patient only intervention in the first year subsequent to ICD implantation, using a 2 group (N=150/group) randomized clinical trial design. Relevant data will be collected on ICD patients and intimate partners at hospital discharge, 1, 3, 6, 12 months post-ICD implantation. The four major outcomes are: physical functioning, psychological adjustment, health care utilization, and relationship impact. The primary analysis of treatment effect is the change in outcome variables from baseline to 3 months for the patient and partner. Secondarily, exploring long term effects of the intervention, theoretical elements, and the intervention effects by ICD implant reason will be determined.
Eligibility| Ages Eligible for Study: | 21 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- first ICD implantation due to either primary or secondary prevention of SCA
- intimate partner (spouse, lover, or life partner) living at the same residence and willing to participate
- able to read, speak, and write English
- access to telephone for 1 year after ICD implantation
Exclusion Criteria:
- clinical co-morbidities that severely impair cognitive and physical functioning at telephone screening
- Short BLESSED score > 6
- age less than 21 years
- AUDIT-C score > 4 for alcohol use
- ASSIST 2.0 score > 4 for daily non-medical use of opiates or hallucinogens,
Contacts and Locations| Contact: Cynthia M Dougherty, PHD | 206-221-7927 | cindyd@uw.edu |
| United States, Washington | |
| Cynthia M. Dougherty | Recruiting |
| Seattle, Washington, United States, 98195 | |
| Principal Investigator: Cynthia M Dougherty, PhD. | |
| Principal Investigator: | Cynthia M Dougherty, PhD | University of Washington |
More Information
Additional Information:
No publications provided by University of Washington
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | University of Washington |
| ClinicalTrials.gov Identifier: | NCT01252615 History of Changes |
| Other Study ID Numbers: | 36576-C |
| Study First Received: | November 18, 2010 |
| Last Updated: | September 12, 2012 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by University of Washington:
|
ICD HF cardiac arrest VF cardiac arrhythmias |
ClinicalTrials.gov processed this record on June 18, 2013