Ubolrat Piamjariyakul1, Noreen C Thompson2, Christy Russell3, Carol E Smith4. 1. West Virginia University School of Nursing, 1 Medical Center Dr., PO Box 9600, Morgantown, WV 26506-9600. Electronic address: Ubolrat.piamjariyakul@hsc.wvu.edu. 2. University of Kansas Hospital Department of Nursing, 4000 Cambridge St., Mail Stop 2018, Kansas City, KS 66160. 3. Center for Advanced Heart Failure and Transplantation, University of Kansas Hospital, 3901 Rainbow Blvd., Mail Stop 4023, Kansas City, KS 66160. 4. University of Kansas School of Nursing, University of Kansas School of Preventive Medicine, 3901 Rainbow Blvd., Mail Stop 4043, Kansas City, KS 66160.
Abstract
BACKGROUND:African Americans with heart failure (HF) have the highest rates of depression among all ethnicities in the USA. OBJECTIVES: To compare the effects by race on depressive symptoms and topics discussed in the first clinic appointment after HF hospitalization. METHODS: This study is a secondary analysis of data from a randomized clinical trial testing a patient group discussion of HF self-management with 93 Caucasians and 77 African Americans. RESULTS: Reduction in depressive symptoms was significantly greater among African American patients within the intervention group (F = 3.99, p = .047) than controls. There were significant differences by race in four topics (dietitian referral, appointment date, help preparing discussion questions, and advice on worsening HF symptoms) concerning patient-physician discussions. CONCLUSION: The intervention showed greater effect in reducing depressive symptoms among African Americans than Caucasians. Preparing patients for discussions at physician appointments on diet, depressive symptoms, and HF symptoms is recommended.
RCT Entities:
BACKGROUND: African Americans with heart failure (HF) have the highest rates of depression among all ethnicities in the USA. OBJECTIVES: To compare the effects by race on depressive symptoms and topics discussed in the first clinic appointment after HF hospitalization. METHODS: This study is a secondary analysis of data from a randomized clinical trial testing a patient group discussion of HF self-management with 93 Caucasians and 77 African Americans. RESULTS: Reduction in depressive symptoms was significantly greater among African American patients within the intervention group (F = 3.99, p = .047) than controls. There were significant differences by race in four topics (dietitian referral, appointment date, help preparing discussion questions, and advice on worsening HF symptoms) concerning patient-physician discussions. CONCLUSION: The intervention showed greater effect in reducing depressive symptoms among African Americans than Caucasians. Preparing patients for discussions at physician appointments on diet, depressive symptoms, and HF symptoms is recommended.
Authors: Kasey Bowden; Sharon A Fitzgerald; Ubolrat Piamjariyakul; Marilyn Werkowitch; Noreen C Thompson; John Keighley; Carol E Smith Journal: Perspect Psychiatr Care Date: 2010-11-03 Impact factor: 2.186
Authors: Patricia A Lee King; Julie A Cederbaum; Seth Kurzban; Timothy Norton; Steven C Palmer; James C Coyne Journal: Fam Pract Date: 2015-01-01 Impact factor: 2.267