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ABSTRACT: Background
Coping Effectively with Heart Failure (COPE-HF) is an ongoing randomized clinical trial funded by the National Institutes of Health to evaluate if a coping skills training (CST) intervention will result in improved health status and quality of life as well as reduced mortality and hospitalizations compared with a heart failure education (HFE) intervention.Methods and results
Two hundred heart failure (HF) patients recruited from the Duke University Medical Center and the University of North Carolina Hospital system will be randomized to a CST intervention (16 weekly 30-minute telephone counseling sessions including motivational interviewing and individually tailored cognitive behavioral therapy) or to an HFE intervention (16 weekly 30-minute telephone sessions including education and symptom monitoring). Primary outcomes will include postintervention effects on HF biomarkers (B-type natriuretic peptide, ejection fraction) and quality of life, as well as long-term clinical outcomes (hospitalizations and death). Secondary analyses will include an evaluation of treatment effects across subpopulations, and potential mechanisms by which CST may improve clinical outcomes.Conclusions
COPE-HF is a proof-of-concept study that should provide important insights into the health benefits of a CST intervention designed to enhance HF self-management, improve health behaviors, and reduce psychologic distress.
SUBMITTER: Sherwood A
PROVIDER: S-EPMC3073538 | biostudies-literature | 2011 Mar
REPOSITORIES: biostudies-literature
Sherwood Andrew A O'Connor Christopher M CM Routledge Faye S FS Hinderliter Alan L AL Watkins Lana L LL Babyak Michael A MA Koch Gary G GG Adams Kirkwood F KF Dupree Carla Sueta CS Chang Patricia P PP Hoffman Benson M BM Johnson Julie J Bowers Margaret M Johnson Kristy S KS Blumenthal James A JA
Journal of cardiac failure 20110121 3
<h4>Background</h4>Coping Effectively with Heart Failure (COPE-HF) is an ongoing randomized clinical trial funded by the National Institutes of Health to evaluate if a coping skills training (CST) intervention will result in improved health status and quality of life as well as reduced mortality and hospitalizations compared with a heart failure education (HFE) intervention.<h4>Methods and results</h4>Two hundred heart failure (HF) patients recruited from the Duke University Medical Center and t ...[more]