RecruitingNot ApplicableNCT07390331

A Patient Activation Approach to Implementing Depression Treatment in Cardiac Patients

A Theory-Informed, Brief Patient Activation and Motivational Interviewing Approach to Implementing Depression Treatment in Cardiac Patients: A Quality Improvement Initiative

Sponsor

Columbia University

Enrollment

200 participants

Start Date

Mar 3, 2026

Study Type

INTERVENTIONAL

Conditions

Depression and CVD

Summary

This study, which is being conducted as part of a Quality Improvement (QI) Initiative at Columbia University Irving Medical Center, will test whether delivering the iHeart DepCare tool increases real world reach and adoption of depression treatment among CHD patients. As part of the QI Initiative, Clinic Navigators will administer and record (in EPIC) depression screening in advance of primary care and cardiology appointments. Eligible patients with elevated depressive symptoms will be randomized to receive usual care vs. the iHeart DepCare tool in conjunction with brief motivational, technical and navigation support per patient preference. Aim 1: To test the effect of iHeart DepCare on depression treatment optimization (primary outcome) among coronary heart disease patients with elevated depressive symptoms. Aim 2: To explore the effect of iHeart DepCare on implementation outcomes, including provider referrals, among coronary heart disease patients with elevated depressive symptoms.

Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This trial is testing a patient activation approach to help people with heart disease get better treatment for depression. Patients will be coached to more actively engage with their doctors about depression during their regular cardiology or primary care visits. The goal is to see if this approach leads to more people actually receiving depression treatment. **You may be eligible if...** - You are over 18 years old - You have coronary heart disease (such as a history of heart attack or angina) - You score 8 or higher on a standard depression screening questionnaire (PHQ-8 or PHQ-9), suggesting at least moderate depression - You have an upcoming appointment with a cardiologist or primary care doctor at NewYork-Presbyterian/Columbia **You may NOT be eligible if...** - You do not speak English or Spanish - You have a serious mental illness such as bipolar disorder, schizophrenia, or a history of suicide attempts - You have dementia - You have had a mental health visit in the last 3 months Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

BEHAVIORALiHeart Depcare tool

The iHeart DepCare tool is an electronic patient activation and psychoeducation tool (available in English and Spanish) designed to bridge depression screening with treatment. The tool includes: 1) a description of depressive symptoms; 2) a checklist of behavioral risk factors; 3) an animation of a CVD patient going through the process of symptom recognition, help seeking, and treatment completion following a CVD event; 4) psychoeducation videos; 5) depression treatment selection support (adapted to include behavioral risk factor preferences); and 6) additional cardiac resources the patient can reference. Patients may receive brief motivational interviewing as well as technical/navigational support per patient preference to reinforce learning. Patient treatment preferences are sent via EPIC to the mental health and treating providers.

Locations(1)

Columbia University Irving Medical Center

New York, New York, United States

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NCT07390331