Management of Depression and Anxiety in HF

ABSTRACT

ConditionHeart Failure;Depression;Anxiety

InterventionOther web-based COMPASS intervention

Primary outcome:Explore community heart failure nurses' perception of assessing, managing and treating depression and anxiety in HF and the use of web-based interventions.;Explore community heart failure patients' perception of assessing, managing and treating depression and anxiety in HF and the use of web-based interventions.;Explore nurses' perception of using web-based COMPASS intervention for depression and anxiety management in HF;Explore patients' perception of using web-based COMPASS intervention for depression and anxiety management in HF

Criteria
Inclusion Criteria

- Inclusion criteria for Community-based HF patients

1. Community-based HF patients with clinically established HF diagnosis (confirmed
HF diagnosis) in Lambeth and Southwark Boroughs who have mild to moderate
symptoms of depression with/without anxiety confirmed by PHQ-9 (5-14) and GAD-7;

2. Patients with NYHA class I-III;

3. Capacity to provide informed consent; and

4. Proficiency in English language so can fully respond to verbal and written
material.

Inclusion criteria for Community HF nurses

1. All community-based HF-nurses employed in Lambeth and Southwark Boroughs who are
registered with Nursing Midwifery Council (NMC) will be invited to participate in the
study;

2. Capacity to provide informed consent;

3. Community HF-nurses who are actively providing care to community-based HF patients;
and

4. have access to internet connected computer or device and technology for Microsoft (MS)
Teams.

Exclusion Criteria

- Exclusion criteria for community-based HF patients

1. Community-based HF patients under 18 years of age;

2. Participants who are deemed not to have the capacity to consent;

3. Patients with cognitive impairment or dementia confirmed by medical records; and

4. Community-based HF patients with NYHA class IV.

5. Patients with severe depression and/or having suicidal ideation.

Exclusion criteria for Community HF nurses

1. Nurses working with inpatients or in the OPD departments; and

2. Nurses who are not employed as community HF nurses.

3. Any community HF nurse who do not have access to internet or online technology.