title: Efficacy and feasibility of a tele-health intervention for acute coronary syndrome patients with depression: results of the "MoodCare" randomized controlled trial.
abstract: BACKGROUND
  Depression is common after a cardiac event, yet there remain few approaches to management that are both effective and scalable.
  
  
  OBJECTIVE
  We aimed to evaluate the 6-month efficacy and feasibility of a tele-health program (MoodCare) that integrates depression management into a cardiovascular disease risk reduction program for acute coronary syndrome patients with low mood.
  
  
  METHODS
  A two-arm, parallel, randomized design was used comprising 121 patients admitted to one of six hospitals for acute coronary syndrome.
  
  
  RESULTS
  Significant treatment effects were observed for Patient Health Questionnaire 9 (PHQ9) depression (mean difference [change] = -1.8; p = 0.025; effect size: d = 0.36) for the overall sample, when compared with usual medical care. Results were more pronounced effects for those with a history of depression (mean difference [change] = -2.7; p = 0.043; effect size: d = 0.65).
  
  
  CONCLUSIONS
  MoodCare was effective for improving depression in acute coronary syndrome patients, producing effect sizes exceeding those of some face-to-face psychotherapeutic interventions and pharmacotherapy. (
  
  
  BACKGROUND
  ACTRN1260900038623.).
authors.affiliation: School of Medicine, Deakin University, PO Box 281, Geelong, VIC, 3220, Australia, AONEIL@barwonhealth.org.au.
authors.forename: Adrienne
authors.initials: A
authors.lastname: O'Neil
authors.forename: Barr
authors.initials: B
authors.lastname: Taylor
authors.forename: Kristy
authors.initials: K
authors.lastname: Sanderson
authors.forename: Sheila
authors.initials: S
authors.lastname: Cyril
authors.forename: Bianca
authors.initials: B
authors.lastname: Chan
authors.forename: Anna L
authors.initials: AL
authors.lastname: Hawkes
authors.forename: David L
authors.initials: DL
authors.lastname: Hare
authors.forename: Michael
authors.initials: M
authors.lastname: Jelinek
authors.forename: Kamalesh
authors.initials: K
authors.lastname: Venugopal
authors.forename: John J
authors.initials: JJ
authors.lastname: Atherton
authors.forename: John
authors.initials: J
authors.lastname: Amerena
authors.forename: Leeanne
authors.initials: L
authors.lastname: Grigg
authors.forename: Darren L
authors.initials: DL
authors.lastname: Walters
authors.forename: Brian
authors.initials: B
authors.lastname: Oldenburg
mesh_terms: D054058:Acute Coronary Syndrome / Q000150:complications / Q000523:psychology*; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003863:Depression / Q000209:etiology / Q000628:therapy*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D040242:Risk Reduction Behavior; D017216:Telemedicine / Q000379:methods*; D016896:Treatment Outcome