Evidence map›Paper›PMID 26754447›Full record

Trial reportTrials2016

Cardiovascular Health in Anxiety or Mood Problems Study (CHAMPS): study protocol for a randomized controlled trial.

Phillip J Tully, Deborah A Turnbull, John D Horowitz, John F Beltrame, Terina Selkow, Bernhard T Baune, Elizabeth Markwick, Shannon Sauer-Zavala, Harald Baumeister, Suzanne Cosh and 1 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 3 pooled it
1.3field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 3 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Psychological interventions for coronary heart disease.The Cochrane database of systematic reviews · 2017
    Pooled it
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Anxiety and Cardiovascular Disease Risk: a Review.Current cardiology reports · 2016
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 3 countries.

Phillip J TullyDepartment of Rehabilitation Psychology and Psychotherapy, Institute of Psychology, University of Freiburg, Engelbergerstr. 41, Freiburg, 79085, Germany. phillip.tully@adelaide.edu.au.
Deborah A TurnbullSchool of Psychology, The University of Adelaide, Adelaide, Australia. deborah.turnbull@adelaide.edu.au.
John D HorowitzDepartment of Cardiology, Basil Hetzel Institute, The Queen Elizabeth Hospital and The University of Adelaide, Adelaide, Australia. john.horowitz@adelaide.edu.au.
John F BeltrameDepartment of Cardiology, Basil Hetzel Institute, The Queen Elizabeth Hospital and The University of Adelaide, Adelaide, Australia. john.beltrame@adelaide.edu.au.
Terina SelkowDepartment of Cardiology, Basil Hetzel Institute, The Queen Elizabeth Hospital and The University of Adelaide, Adelaide, Australia. Terina.Selkow@health.sa.gov.au.
Bernhard T BauneDiscipline of Psychiatry, The University of Adelaide, Adelaide, Australia. bernhard.baune@adelaide.edu.au.
Elizabeth MarkwickDepartment of Psychiatry, The Queen Elizabeth Hospital, Woodville West, Australia. Elizabeth.Markwick@health.sa.gov.au.
Shannon Sauer-ZavalaCenter for Anxiety & Related Disorders, Department of Psychology, Boston University, Boston, USA. shannonezavala@gmail.com.
Harald BaumeisterDepartment of Rehabilitation Psychology and Psychotherapy, Institute of Psychology, University of Freiburg, Engelbergerstr. 41, Freiburg, 79085, Germany. harald.baumeister@psychologie.uni-freiburg.de.
Suzanne CoshSchool of Psychology, The University of Adelaide, Adelaide, Australia. Suzie.cosh@adelaide.edu.au.
Gary A WittertFreemasons Foundation Centre for Men's Health, Discipline of Medicine, School of Medicine, The University of Adelaide, Adelaide, Australia. gary.wittert@adelaide.edu.au.
University of Adelaide · AUQueen Elizabeth Hospital · AUUniversity of Freiburg · DEBoston University · USFreemasons Foundation Centre for Men's Health · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrevious psychological and pharmacological interventions have primarily focused on depression disorders in populations with cardiovascular diseases (CVDs) and the efficacy of anxiety disorder interventions is only more recently being explored. Transdiagnostic interventions address common emotional processes and the full range of anxiety and depression disorders often observed in populations with CVDs. The aim of CHAMPS is to evaluate the feasibility of a unified protocol (UP) for the transdiagnostic treatment of emotional disorders intervention in patients recently hospitalized for CVDs. The current study reports the protocol of a feasibility randomized controlled trial to inform a future trial. METHODS/

designThis is a feasibility randomized, controlled trial with a single-center design. A total of 50 participants will be block-randomized to either a UP intervention or enhanced usual care. Both groups will receive standard CVD care. The UP intervention consists of 1) enhancing motivation, readiness for change, and treatment engagement; (2) psychoeducation about emotions; (3) increasing present focused emotion awareness; (4) increasing cognitive flexibility; (5) identifying and preventing patterns of emotion avoidance and maladaptive emotion-driven behaviors (EDBs, including tobacco smoking, and alcohol use); (6) increasing tolerance of emotion-related physical sensations; (7) interoceptive and situation-based emotion-focused exposure; and (8) relapse prevention strategies. Treatment duration is 12 to 18 weeks. Relevant outcomes include the standard deviation of self-rated anxiety, depression and quality of life symptoms. Other outcomes include intervention acceptability, satisfaction with care, rates of EDBs, patient adherence, physical activity, cardiac and psychiatric readmissions. Parallel to the main trial, a nonrandomized comparator cohort will be recruited comprising 150 persons scoring below the predetermined depression and anxiety severity thresholds. DISCUSSION: CHAMPS is designed to evaluate the UP for the transdiagnostic treatment of emotional disorders targeting emotional disorder processes in a CVD population. The design will provide preliminary evidence of feasibility, attrition, and satisfaction with treatment to design a definitive trial. If the trial is feasible, it opens up the possibility for interventions to target broader emotional processes in the precarious population with CVD and emotional distress.

trial registrationACTRN12615000555550 , registered on 29/05/2015.

Indexed as

Clinical ProtocolsAnxiety DisordersCardiovascular DiseasesData Interpretation, StatisticalDepressive DisorderEmotionsFeasibility StudiesHumansProspective StudiesResearch DesignStandard of Care

Identifiers

PMID26754447
PMCPMC4707770
OpenAlexW2222754802

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.