No Placebo Group
Every participant receives an active treatment — no one gets a placebo.
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At a Glance
Age
18 and older
Sex
Any
Study type
Interventional
Purpose
Health Services Research
Participants needed
200 (estimated)
Sponsor
Columbia University · Other
Who this trial is looking for
This trial is looking for adults with depression and heart disease. Participants will receive care that includes a special tool to help with treatment and support.
Are You a Good Fit for This Trial?
You may be able to join if
I am over 18 years old.
I have elevated depressive symptoms.
I have a history of coronary heart disease.
I have an appointment with a primary care provider or cardiologist at NYP/Columbia.
I have a primary care provider at NYP/Columbia.
You may not be able to join if
I do not speak English or Spanish.
I have a history of severe mental illness.
I have dementia.
I have had an integrated mental health visit in the last 3 months.
I am enrolled in the post-implementation period of the related study.
Summarized in plain language from this trial's official eligibility criteria.
The full criteria are further down this page — only the research team can
confirm whether you qualify.
Think this trial could be right for you?
Answer three quick questions written from this study's own rules to see if you may qualify. No account needed to find out.
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 car…
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.
Trial Locations
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City
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Status
Eligibility Criteria
Inclusion Criteria:
* Over 18 years of age
* PHQ9 or PHQ8 score \>=8
* History of coronary heart disease per EHR search for ICD-9 codes of 410-414 and ICD-10 codes: I20, I21, I22, I23, I24, I25.
* Appointment with a primary care provider (PCP) or cardiologist in an integrated care setting in NYP/Co…
Inclusion Criteria:
* Over 18 years of age
* PHQ9 or PHQ8 score \>=8
* History of coronary heart disease per EHR search for ICD-9 codes of 410-414 and ICD-10 codes: I20, I21, I22, I23, I24, I25.
* Appointment with a primary care provider (PCP) or cardiologist in an integrated care setting in NYP/Columbia (e.g., does not include procedure or lab-only visits)
* Has a PCP at NYP/Columbia active on the NYP/Columbia EHR
Exclusion Criteria:
* Not English or Spanish speaking
* History of severe mental illness (bipolar disorder, schizophrenia, chronic/recurrent depression, history of suicide attempt or self-inflicted injuries)
* Dementia
* Had an integrated mental health visit in the last 3 months as indicated in the EHR
* Enrollment in the post-implementation period of IRB# AAAR9175
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