• About
  • Masthead
  • License Content
  • Advertise
  • Submit Press Release
  • RSS/Email List
  • Write for us
  • Contact us
2 Minute Medicine
No Result
View All Result

No products in the cart.

SUBSCRIBE
  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • AccountLog-in/out
    • Subscribe
    • Sign-in
    • My account
2 Minute Medicine
  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • AccountLog-in/out
    • Subscribe
    • Sign-in
    • My account
SUBSCRIBE
2 Minute Medicine
Subscribe
Home All Specialties Cardiology

Collaborative care intervention does not improve health in chronic heart failure, but alleviates depression and fatigue

byAngela ZhangandAnees Daud
March 7, 2018
in Cardiology, Chronic Disease, Psychiatry, Public Health
Reading Time: 3 mins read
0
Share on FacebookShare on Twitter

1. Collaborative Care to Alleviate Symptoms and Adjust to Illness (CASA), a collaborative care intervention combining symptom and psychosocial care, did not improve heart failure-specific health status in chronic heart disease, compared to usual care.

2. When compared to usual care, CASA did improve secondary outcomes of depression and fatigue.

Evidence Rating Level: 1 (Excellent)

Study Rundown: Patients with heart failure experience significant morbidity from symptoms such as breathlessness, fatigue, pain, and depression. Though palliative care is recommended for heart failure patients, the availability of palliative care specialists for the large population of heart failure patients is limited, and interventions that can be integrated earlier and are scalable to a large number of patients are greatly needed. This study assessed the potential benefits of the Collaborative Care to Alleviate Symptoms and Adjust to Illness (CASA) intervention, which uses nurses and social workers to apply palliative care approaches to treat symptoms and psychosocial care to treat depression. The authors found that compared to usual care, CASA did not differ in improving the Kansas City Cardiomyopathy Questionnaire (KCCQ) score, a measure of heart failure-specific health status. However, the depressive symptoms did improve with CASA over usual care, and there was a temporary improvement in both fatigue and anxiety.

This trial was the first to assess a palliative and psychosocial collaborative care intervention for heart failure patients, and was both randomized and consisted of a large number of patients from a diverse background and health systems. However, it is possible that the sample was not representative of and cannot be generalized to all heart failure patients, and that there was not sufficient power to detect a modest intervention effect.

Click to read the study in JAMA Internal Medicine

Relevant Reading: Defining the role of palliative care in older adults with heart failure.

RELATED REPORTS

Islamic-based interventions may improve both depression and anxiety

Wellness Check: Spirituality

Gratitude-focused writing may improve mental wellness during periods of chronic stress

In-Depth [randomized controlled trial]: This study examined a sample of 314 heart failure patients in 3 health systems (urban safety net, Veterans Affairs, and academically affiliated health systems) identified via electronic health records, and randomized them to receive the CASA intervention or usual care. The CASA intervention included (1) a registered nurse to address symptoms, (2) a social worker to provide structured psychosocial care, and (3) a team including physicians, who reviewed the patient’s care and provided guidance on tests and medications to the patients’ clinicians. On the other hand, usual care involved care at the discretion of their clinicians.

Patients who received CASA did not differ significantly from patients receiving usual care in terms of the KCCQ health status score (score improvement of 5.5 vs. 2.9 points in the CASA and usual care arms, respectively; difference, 2.6; 95% CI, -1.3 to 6.6; p = 0.19). However, depressive symptoms did improve with CASA (effect size of -0.34 at 3 months with p = 0.01; -0.29 at 6 months with p = 0.02). Fatigue and anxiety also improved but did not persist at 12 months. Mortality was similar in both arms (10 of 157 in CASA arm, 13 of 157 in usual care arm, p = 0.52).

Image: PD

©2018 2 Minute Medicine, Inc. All rights reserved. No works may be reproduced without expressed written consent from 2 Minute Medicine, Inc. Inquire about licensing here. No article should be construed as medical advice and is not intended as such by the authors or by 2 Minute Medicine, Inc.

Tags: community health workerscongestive heart failuredepressionpalliative care
Previous Post

Physical, physiological benefits of hormonal treatment in gender dysphoria

Next Post

HCV-infected kidney donors could save lives

RelatedReports

Children’s hospital visits for suicide ideation and attempts are increasing
Psychiatry

Islamic-based interventions may improve both depression and anxiety

June 22, 2022
Wellness

Wellness Check: Spirituality

June 21, 2022
Quick Take: Effect of Developmentally Adapted Cognitive Processing Therapy for Youth With Symptoms of Posttraumatic Stress Disorder After Childhood Sexual and Physical Abuse
Psychiatry

Gratitude-focused writing may improve mental wellness during periods of chronic stress

May 24, 2022
Quick Take: Intimate Partner Homicide of Adolescents
Chronic Disease

Meditation may provide medical benefit for various health outcomes

May 17, 2022
Next Post
Solitary kidney not associated with contrast-induced nephropathy

HCV-infected kidney donors could save lives

Late gestation antidepressant use linked to postpartum hemorrhage

Sexual minorities more likely to become pregnant as teenagers

Active surveillance in favorable-risk prostate cancer associated with low long-term mortality

Single PSA screening increases prostate cancer detection but does not change mortality

License Our Award-Winning Physician-Written Medical News and Visual Abstracts

2 Minute Medicine is the leading authoritative medical news licensing service, and the only with reports written by practicing doctors.

LICENSE CONTENT

2MM+ Premium Access

No ads & unlimited access to all current reports, over 9000 searchable archived reports, visual abstracts, Weekly Rewinds, and the online edition of The Classics Series™ textbook.

Subscription Options
2 Minute Medicine

2 Minute Medicine® is an award winning, physician-run, expert medical media company. Our content is curated, written and edited by practicing health professionals who have clinical and scientific expertise in their field of reporting. Our editorial management team is comprised of highly-trained MD physicians. Join numerous brands, companies, and hospitals who trust our licensed content.

Recent Reports

  • Vitamin and mineral supplementation associated with minimal to no benefit in the primary preventing of cardiovascular disease and cancer – US Preventative Services Task Force
  • RSVpreF vaccine prevents symptomatic respiratory syncytial virus infection
  • Incidence of Kawasaki disease found to be lower during the COVID-19 pandemic in the United States
License Content
Terms of Use | Disclaimer
Cookie Policy
Privacy Statement (EU)
Disclaimer

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.

  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.