Coronary Artery Disease Clinical Trial
Official title:
Brief Behavioral Health Intervention Program for Patients With Stable Coronary Artery Disease
The purpose of this study is to examine the effectiveness of a lifestyle intervention for patients living with stable coronary artery disease (CAD). One group will receive the the intervention, and the other will receive treatment as usual (TAU). The investigators hypothesize that, compared to the TAU group, participants receiving the intervention will 1) experience greater confidence in managing their cardiac disease, as indicated by perceived self-efficacy and illness perceptions; 2) experience greater psychological adjustment as indicated by depressive, anxious, and demoralization symptoms; 3) experience greater engagement in health behaviors including healthy eating and physical activity.
Participants will be randomly assigned to one of two research groups: the intervention group
(IG) and the treatment as usual (TAU) group. The IG will receive the Cardiac Lifestyle
Intervention for Maintaining healthy Behaviors ("CLIMB"). CLIMB is a 3-session (2-week)
intervention. One session includes health behavior feedback, and patient selection of
relevant lifestyle modules based on values clarification. In the remaining two sessions,
participants will complete two of five elective lifestyle modules: Healthy Eating, Physical
Activity, Reducing Stress and Worry, Mood Management, and Smoking Cessation Education.
Intervention components include information provision, goal setting, problem solving, and
elements of cognitive behavioral therapy.
Participants in the IG will complete a Baseline assessment, three intervention sessions, a
30-day follow-up, and a 3-month follow-up. Baseline and Session 1 will take place on the same
day. Sessions 1, 2, and 3 will be spaced approximately one week apart from one another (1
week in-between Sessions 1 and 2, and 1 week in-between Sessions 2 and 3). The 30-day
follow-up will occur approximately 30-days after Session 3. The 3-month follow-up will occur
approximately 3 months after Session 3. Assessment measures will be filled out at Baseline,
at Post-treatment (end of Session 3), at 30-day follow-up, and at 3-month follow-up. The TAU
group will fill out assessment measures at comparable time points, with the exception that
there will be no 3-month follow-up. After completing their 30-day follow-up measures, TAU
members may elect to receive the CLIMB intervention.
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