Evidence map›Paper›PMID 28062537›Full record

Trial reportCirculation. Heart failure2017

Effects of Coping Skills Training on Quality of Life, Disease Biomarkers, and Clinical Outcomes in Patients With Heart Failure: A Randomized Clinical Trial.

Andrew Sherwood, James A Blumenthal, Gary G Koch, Benson M Hoffman, Lana L Watkins, Patrick J Smith, Christopher M O'Connor, Kirkwood F Adams, Joseph G Rogers, Carla Sueta and 4 more

Registry-linked trialOpen access · bronzeAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Circulation. Heart failure, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00873418 (Coping Skills Training in Heart Failure), which is not on this map. Cited by 24 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 5 pooled it
3.2field-weighted citation impact, top 7% 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.

NCT00873418 nacompletednot on this map

Coping Skills Training in Heart Failure: Outcomes and Mechanisms

TypeinterventionalSponsorDuke UniversityRan2009 to 2016Enrolled190ConditionsHeart FailureArmsCoping skills training
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 5 syntheses or guidelines pooled it, 52 citations in OpenAlex.

  1. Pooled it
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  4. Stress management interventions for adults with heart failure: Systematic review and meta-analysis.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2021
    Pooled it
  5. Pooled it
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  19. The modifying effects of social support on psychological outcomes in patients with heart failure.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2019
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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

14 authors at 1 institution in 1 country.

Andrew SherwoodFrom the Duke University Medical Center, Durham, NC (A.S., J.A.B., B.M.H., L.L.W., P.J.S., C.M.O., J.G.R., K.S.J., J.S.); and University of North Carolina, Chapel Hill (G.G.K., K.F.A., C.S., P.P.C., A.L.H.). sherw002@mc.duke.edu.
James A BlumenthalFrom the Duke University Medical Center, Durham, NC (A.S., J.A.B., B.M.H., L.L.W., P.J.S., C.M.O., J.G.R., K.S.J., J.S.); and University of North Carolina, Chapel Hill (G.G.K., K.F.A., C.S., P.P.C., A.L.H.).
Gary G KochFrom the Duke University Medical Center, Durham, NC (A.S., J.A.B., B.M.H., L.L.W., P.J.S., C.M.O., J.G.R., K.S.J., J.S.); and University of North Carolina, Chapel Hill (G.G.K., K.F.A., C.S., P.P.C., A.L.H.).
Benson M HoffmanFrom the Duke University Medical Center, Durham, NC (A.S., J.A.B., B.M.H., L.L.W., P.J.S., C.M.O., J.G.R., K.S.J., J.S.); and University of North Carolina, Chapel Hill (G.G.K., K.F.A., C.S., P.P.C., A.L.H.).
Lana L WatkinsFrom the Duke University Medical Center, Durham, NC (A.S., J.A.B., B.M.H., L.L.W., P.J.S., C.M.O., J.G.R., K.S.J., J.S.); and University of North Carolina, Chapel Hill (G.G.K., K.F.A., C.S., P.P.C., A.L.H.).
Patrick J SmithFrom the Duke University Medical Center, Durham, NC (A.S., J.A.B., B.M.H., L.L.W., P.J.S., C.M.O., J.G.R., K.S.J., J.S.); and University of North Carolina, Chapel Hill (G.G.K., K.F.A., C.S., P.P.C., A.L.H.).
Christopher M O'ConnorFrom the Duke University Medical Center, Durham, NC (A.S., J.A.B., B.M.H., L.L.W., P.J.S., C.M.O., J.G.R., K.S.J., J.S.); and University of North Carolina, Chapel Hill (G.G.K., K.F.A., C.S., P.P.C., A.L.H.).
Kirkwood F AdamsFrom the Duke University Medical Center, Durham, NC (A.S., J.A.B., B.M.H., L.L.W., P.J.S., C.M.O., J.G.R., K.S.J., J.S.); and University of North Carolina, Chapel Hill (G.G.K., K.F.A., C.S., P.P.C., A.L.H.).
Joseph G RogersFrom the Duke University Medical Center, Durham, NC (A.S., J.A.B., B.M.H., L.L.W., P.J.S., C.M.O., J.G.R., K.S.J., J.S.); and University of North Carolina, Chapel Hill (G.G.K., K.F.A., C.S., P.P.C., A.L.H.).
Carla SuetaFrom the Duke University Medical Center, Durham, NC (A.S., J.A.B., B.M.H., L.L.W., P.J.S., C.M.O., J.G.R., K.S.J., J.S.); and University of North Carolina, Chapel Hill (G.G.K., K.F.A., C.S., P.P.C., A.L.H.).
Patricia P ChangFrom the Duke University Medical Center, Durham, NC (A.S., J.A.B., B.M.H., L.L.W., P.J.S., C.M.O., J.G.R., K.S.J., J.S.); and University of North Carolina, Chapel Hill (G.G.K., K.F.A., C.S., P.P.C., A.L.H.).
Kristy S JohnsonFrom the Duke University Medical Center, Durham, NC (A.S., J.A.B., B.M.H., L.L.W., P.J.S., C.M.O., J.G.R., K.S.J., J.S.); and University of North Carolina, Chapel Hill (G.G.K., K.F.A., C.S., P.P.C., A.L.H.).
Jeanne SchwartzFrom the Duke University Medical Center, Durham, NC (A.S., J.A.B., B.M.H., L.L.W., P.J.S., C.M.O., J.G.R., K.S.J., J.S.); and University of North Carolina, Chapel Hill (G.G.K., K.F.A., C.S., P.P.C., A.L.H.).
Alan L HinderliterFrom the Duke University Medical Center, Durham, NC (A.S., J.A.B., B.M.H., L.L.W., P.J.S., C.M.O., J.G.R., K.S.J., J.S.); and University of North Carolina, Chapel Hill (G.G.K., K.F.A., C.S., P.P.C., A.L.H.).
University of North Carolina at Chapel Hill · US

Funding

Coping Skills Training in Heart Failure: Outcomes and MechanismsR01HL091920 · NHLBI · DUKE UNIVERSITY · PI SHERWOOD, ANDREW · 2009 to 2013
$3.7M
NHLBI NIH HHS R01 HL091920
6 · The paper itself

Abstract

backgroundHeart failure (HF) is a chronic disease that compromises patients' quality of life (QoL). Interventions designed to reduce distress and improve disease self-management are needed. We evaluated the efficacy of a telephone-based coping skills training (CST) intervention. METHODS AND

resultsThis randomized clinical trial involved 180 HF outpatients with reduced ejection fraction. Participants ranged in age from 29 to 87 years (mean=58 years); 27% were women, and 47% were nonwhite. Participants were randomized to either a CST intervention or heart failure education, both delivered over 16 weeks. The primary outcomes were (1) postintervention effects on QoL and HF disease biomarkers (both with α=0.01), and (2) a composite measure of time to death or first hospitalization (with α=0.03) over a median follow-up period of 3 years. CST resulted in greater improvements in QoL compared with heart failure education (P<0.01), including the Kansas City Cardiomyopathy Questionnaire (P=0.009), depressive symptoms (P=0.027), and the 6-minute walk test (P=0.012). However, it did not differentially improve HF disease biomarkers or reduce risk of all-cause hospitalizations or death (hazard ratio=0.84 [95% confidence interval, 0.59-1.12]). Interestingly, exploratory analyses showed that participants randomized to CST experienced a reduction in the composite end point of worsening HF hospitalization or death during the 3-year follow-up period (hazard ratio=0.65 [95% confidence interval, 0.44-0.98]; P=0.040).

conclusionsCST improved QoL in patients with HF. Monitoring and improving QoL is emerging as an important aspect of the clinical management of HF that can reduce disease burden and may help improve clinical outcomes in this vulnerable patient population. CLINICAL

trial registrationURL: https://www.clinicaltrials.gov. Unique identifier: NCT00873418.

Indexed as

Quality of LifeAdaptation, PsychologicalAdultAgedAged, 80 and overBiomarkersChronic DiseaseFemaleHeart FailureHumansMaleMiddle AgedTreatment OutcomeBiomarkersadultchronic diseasedepressionhospitalizationquality of life

Identifiers

PMID28062537
PMCPMC5233412
OpenAlexW2588041400

What OpenQuestion holds

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Registered trials

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.