NCT00895700

Brief Summary

The implantable cardioverter defibrillator (ICD) is generally well-accepted by patients, but a subgroup experiences increased anxiety and poor quality of life. A web-based behavioral intervention may comprise a novel approach to reduce anxiety and enhance well-being in ICD patients, which may be equally effective and have advantages over more traditional forms of therapy, due to its low-threshold accessibility via the internet. The purpose of this study is to determine whether patients receiving a behavioral intervention via the internet experience less anxiety and device concerns and improved quality of life compared to patients receiving usual care.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
350

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Mar 2010

Longer than P75 for not_applicable

Geographic Reach
1 country

6 active sites

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

May 7, 2009

Completed
1 day until next milestone

First Posted

Study publicly available on registry

May 8, 2009

Completed
10 months until next milestone

Study Start

First participant enrolled

March 1, 2010

Completed
2.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 1, 2013

Completed
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

February 1, 2014

Completed
Last Updated

June 19, 2012

Status Verified

June 1, 2012

Enrollment Period

2.9 years

First QC Date

May 7, 2009

Last Update Submit

June 18, 2012

Conditions

Keywords

AnxietyICD concernsQuality of life

Outcome Measures

Primary Outcomes (4)

  • Anxiety

    Baseline

  • Anxiety

    14 weeks

  • Anxiet

    26 weeks

  • Anxiety

    52 weeks

Secondary Outcomes (3)

  • Cortisol awakening response

    Baseline

  • Cortisol awakening response

    14 weeks

  • Cortisol awakening response

    52 weeks

Study Arms (2)

Web-based behavioral intervention

EXPERIMENTAL
Behavioral: web-based multifactorial intervention

Usual care

NO INTERVENTION
Behavioral: web-based multifactorial intervention

Interventions

12-week multi-factorial web-based behavioral intervention comprised of psycho-education, cognitive behavioral therapy (CBT) and relaxation therapy

Also known as: Psycho-education, Cognitive behavioral therapy, Relaxation therapy
Usual careWeb-based behavioral intervention

Eligibility Criteria

Age18 Years - 75 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • patients implanted with a cardioverter-defibrillator (ICD)
  • between 18-75 years of age
  • speaking and understanding Dutch
  • with access to the internet and ability to use the internet
  • providing written informed consent

You may not qualify if:

  • a life expectancy less than 1 year
  • a history of psychiatric illness other than affective/anxiety disorders
  • on the waiting list for heart transplantation
  • with insufficient knowledge of the Dutch language

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (6)

Canisius-Wilhelmina Hospital

Nijmegen, Gelderland, 6500 GS, Netherlands

RECRUITING

Amphia Hospital

Breda, North Brabant, 4800 RL, Netherlands

RECRUITING

Catharina Hospital

Eindhoven, North Brabant, 5602 ZA, Netherlands

RECRUITING

Onze Lieve Vrouwe Gasthuis (OLVG)

Amsterdam, North Holland, 1091 AC, Netherlands

RECRUITING

Erasmus Medical Center

Rotterdam, South Holland, 3000 CB, Netherlands

RECRUITING

Vlietland Ziekenhuis

Schiedam, Netherlands

NOT YET RECRUITING

Related Publications (5)

  • Habibovic M, Broers E, Heumen D, Widdershoven J, Pedersen SS, Denollet J. Optimism as predictor of patient-reported outcomes in patients with an implantable cardioverter defibrillator (data from the WEBCARE study). Gen Hosp Psychiatry. 2018 Jan-Feb;50:90-95. doi: 10.1016/j.genhosppsych.2017.10.005. Epub 2017 Nov 8.

  • Habibovic M, Denollet J, Cuijpers P, van der Voort PH, Herrman JP, Bouwels L, Valk SD, Alings M, Theuns DA, Pedersen SS. Web-based distress management for implantable cardioverter defibrillator patients: A randomized controlled trial. Health Psychol. 2017 Apr;36(4):392-401. doi: 10.1037/hea0000451. Epub 2017 Feb 13.

  • Habibovic M, Denollet J, Cuijpers P, Spek VR, van den Broek KC, Warmerdam L, van der Voort PH, Herrman JP, Bouwels L, Valk SS, Alings M, Theuns DA, Pedersen SS. E-health to manage distress in patients with an implantable cardioverter-defibrillator: primary results of the WEBCARE trial. Psychosom Med. 2014 Oct;76(8):593-602. doi: 10.1097/PSY.0000000000000096.

  • Habibovic M, Cuijpers P, Alings M, van der Voort P, Theuns D, Bouwels L, Herrman JP, Valk S, Pedersen S. Attrition and adherence in a WEB-Based Distress Management Program for Implantable Cardioverter defibrillator Patients (WEBCARE): randomized controlled trial. J Med Internet Res. 2014 Feb 28;16(2):e52. doi: 10.2196/jmir.2809.

  • Pedersen SS, Spek V, Theuns DA, Alings M, van der Voort P, Jordaens L, Cuijpers P, Denollet J, van den Broek KC. Rationale and design of WEBCARE: a randomized, controlled, web-based behavioral intervention trial in cardioverter-defibrillator patients to reduce anxiety and device concerns and enhance quality of life. Trials. 2009 Dec 23;10:120. doi: 10.1186/1745-6215-10-120.

MeSH Terms

Conditions

Heart DiseasesAnxiety Disorders

Interventions

Cognitive Behavioral TherapyRelaxation Therapy

Condition Hierarchy (Ancestors)

Cardiovascular DiseasesMental Disorders

Intervention Hierarchy (Ancestors)

Behavior TherapyPsychotherapyBehavioral Disciplines and ActivitiesMind-Body TherapiesComplementary TherapiesTherapeutics

Study Officials

  • Susanne S Pedersen, PhD

    Tilburg University, The Netherlands

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Susanne S Pedersen, PhD

CONTACT

Mirela Habibovic, MSc

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor of cardiac psychology

Study Record Dates

First Submitted

May 7, 2009

First Posted

May 8, 2009

Study Start

March 1, 2010

Primary Completion

February 1, 2013

Study Completion

February 1, 2014

Last Updated

June 19, 2012

Record last verified: 2012-06

Locations