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Table 5 Participant-reported mental and physical health outcomes at 5-month and 8-month follow-up

From: Assessing the effectiveness of Enhanced Psychological Care for patients with depressive symptoms attending cardiac rehabilitation compared with treatment as usual (CADENCE): a pilot cluster randomised controlled trial

Outcome variable

5 months

8 months

 

UC, N = 14

EPC, N = 13

Mean difference or ORa (95% CI)

UC, N = 8

EPC, N = 9

Mean difference or ORa (95% CI)

BDI-II; mean (SD), n

7.4 (3.7), 14

10.2 (8.4), 12

1.7 (− 3.8, 7.3)

7.0 (3.5), 8

12.6 (6.6), 9

4.4 (− 1.4, 10.2)

50% reduction in BDI-II from baseline; n/N (%)

7/14 (50)

5/12 (42)

0.71 (0.16, 3.25)

4/8 (50)

2/9 (22)

0.29 (0.04, 2.09)

Remission (< 14 BDI-II) from baselineb; n/N (%)

6/7 (86)

3/7 (43)

0.13 (0, 1.37)

4/4 (100)

2/5 (40)

0 (0, 1.10)

BDI-II MCID (17.5% reduction post baseline); n/N (%)

11/14 (79)

10/12 (83)

1.36 (0.22, 8.31)

5/8 (63)

6/9 (67)

1.20 (0.18, 7.99)

BDII-II CSRC from baselinec; n/N (%)

3/7 (43)

2/7 (29)

0.53 (0.07, 4.33)

2/4 (50)

1/5 (20)

0.25 (0, 3.56)

BAI; mean (SD), n

9.2 (4.0), 14

14.7 (8.3), 13

4.6 (− 0.8, 10.0)

6.4 (4.6), 8

12.7 (7.1), 9

5.0 (− 1.2, 11.1)

EQ-5D-5 L; mean (SD), n

0.875 (0.115), 13

0.885 (0.065), 13

0.045 (− 0.023, 0.113)

0.876 (0.092), 8

0.827 (0.116), 9

− 0.041 (− 0.145, 0.064)

EQ-5D VAS, mean (SD), n

72 (21), 14

72 (21), 12

5 (− 13, 22)

64 (18), 7

64 (12), 8

1 (− 17, 19)

HeartQoL; mean (SD)

31.5 (4.9), 14

22.9 (10.3), 13

− 8.2 (− 14.9, − 1.4)

28.3 (6.7), 8

28.6 (7.6), 9

0.1 (− 7.9, 8.0)

  1. BAI Beck Anxiety Inventory, BDI-II Beck Depression Inventory, CI confidence interval, CSRC clinically significant and reliable change, EPC Enhanced Psychological Care, EQ-5D L EuroQoL Index, MCID minimally clinical important difference, OR odds ratio, SD standard deviation, UC usual care, VAS Visual Analogue Scale
  2. aBetween-group comparison. The mean difference is adjusted for baseline score. No adjustments for clustering were made
  3. bAt baseline, 7/14 UC participants and 10/15 EPC participants had a BDI-II score ≥ 14; participants with scores ≤ 13 at baseline excluded
  4. cClinically significant and reliable change can only be calculated for participants with a baseline BDI-II score of ≥ 14