BACKGROUND/RATIONALE:
Chronic heart failure (CHF) is the number one discharge diagnosis among Veterans. Partners (spouses/significant others) are integral to self-management but are seldom targeted in self-management interventions. Engaging couples and other patient-caregiver dyads may be effective in improving patient outcomes provided this does not lead to additional burden.

OBJECTIVE(S):
To develop and test a couples' based coping and self-management intervention for Veterans with CHF and their spousal caregivers.

METHODS:
The research proposed in the CDA involves developing a treatment manual after obtaining input from providers, Veterans with CHF, and their partners; pilot test the acceptability and feasibility on a sample of 15 Veterans with heart failure and their partners; refine the intervention based on the results of the pilot study; and lay the foundation for an RCT to determine its efficacy in improving quality of life, couples' coping, and self-management among Veterans with heart failure and their partners.

FINDINGS/RESULTS:
Not yet available.

IMPACT:
CHF is a deadly and expensive disease. Self-management is at the core of improving outcomes but adherence to self-management recommendations remains poor. The CDA research addresses the HSR&D Priority area of "long term care and caregiving." Beyond the specific focus of the CDA, the CDA has successfully allowed the PI to expand and develop the program of research to address the needs of chronic illnesses including heart failure, depression, diabetes, and complex chronic conditions.

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External Links for this Project

NIH Reporter

Grant Number: IK2HX000776-01A1
Link: https://reporter.nih.gov/project-details/8278413

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PUBLICATIONS:

Journal Articles

1. O'Hare AM, Szarka J, McFarland LV, Vig EK, Sudore RL, Crowley S, Reinke LF, Trivedi R, Taylor JS. "Maybe They Don't Even Know That I Exist": Challenges Faced by Family Members and Friends of Patients with Advanced Kidney Disease. Clinical journal of the American Society of Nephrology : CJASN. 2017 Jun 7; 12(6):930-938. [view]
2. Trivedi R, Slightam C, Fan VS, Rosland AM, Nelson K, Timko C, Asch SM, Zeliadt SB, Heidenreich P, Hebert PL, Piette JD. A Couples' Based Self-Management Program for Heart Failure: Results of a Feasibility Study. Frontiers in public health. 2016 Aug 29; 4:171. [view]
3. Piette JD, Striplin D, Marinec N, Chen J, Trivedi RB, Aron DC, Fisher L, Aikens JE. A Mobile Health Intervention Supporting Heart Failure Patients and Their Informal Caregivers: A Randomized Comparative Effectiveness Trial. Journal of medical Internet research. 2015 Jun 10; 17(6):e142. [view]
4. Zeliadt SB, Hannon PA, Trivedi RB, Bonner LM, Vu TT, Simons C, Kimmie CA, Hu EY, Zipperer C, Lin DW. A preliminary exploration of the feasibility of offering men information about potential prostate cancer treatment options before they know their biopsy results. BMC medical informatics and decision making. 2013 Feb 6; 13(1):19. [view]
5. Trivedi R, Hirayama SK, Risbud R, Suresh M, Humber MB, Butler K, Razze A, Timko C, Nelson K, Zulman DM, Asch SM, Humphreys K, Piette JD. Adapting a Telephone-Based, Dyadic Self-management Program to Be Delivered Over the Web: Methodology and Usability Testing. JMIR formative research. 2023 Jun 16; 7:e43903. [view]
6. Trivedi R, Gerrity M, Rumsfeld JS, Spertus JA, Sun H, McDonell M, Doak M, Lucas L, Fihn SD. Angina symptom burden associated with depression status among veterans with ischemic heart disease. Annals of behavioral medicine : a publication of the Society of Behavioral Medicine. 2015 Feb 1; 49(1):58-65. [view]
7. Cooper DC, Trivedi RB, Nelson KM, Reiber GE, Eugenio EC, Beaver KA, Fan VS. Antidepressant adherence and risk of coronary artery disease hospitalizations in older and younger adults with depression. Journal of the American Geriatrics Society. 2014 Jul 1; 62(7):1238-45. [view]
8. Cooper DC, Helfrich CD, Thielke SM, Trivedi RB, Nelson KM, Reiber GE, Eugenio EC, Beaver K, Nugent-Carney J, Fan VS. Association Between Mental Health Staffing Level and Primary Care-Mental Health Integration Level on Provision of Depression Care in Veteran's Affairs Medical Facilities. Administration and policy in mental health. 2018 Jan 1; 45(1):131-141. [view]
9. Nieuwsma JA, Trivedi RB, McDuffie J, Kronish I, Benjamin D, Williams JW. Brief psychotherapy for depression: a systematic review and meta-analysis. International journal of psychiatry in medicine. 2013 Jul 12; 43(2):129-51. [view]
10. Trivedi R, Beaver K, Bouldin ED, Eugenio E, Zeliadt SB, Nelson K, Rosland AM, Szarka JG, Piette JD. Characteristics and well-being of informal caregivers: Results from a nationally-representative US survey. Chronic Illness. 2014 Sep 1; 10(3):167-79. [view]
11. Piette JD, Aikens JE, Trivedi R, Parrish D, Standiford C, Marinec NS, Striplin D, Bernstein SJ. Depression self-management assistance using automated telephonic assessments and social support. The American journal of managed care. 2013 Nov 1; 19(11):892-900. [view]
12. Aikens JE, Zivin K, Trivedi R, Piette JD. Diabetes self-management support using mHealth and enhanced informal caregiving. Journal of diabetes and its complications. 2014 Mar 1; 28(2):171-6. [view]
13. Aikens JE, Trivedi R, Aron DC, Piette JD. Integrating support persons into diabetes telemonitoring to improve self-management and medication adherence. Journal of general internal medicine. 2015 Mar 1; 30(3):319-26. [view]
14. Hooker SA, Schmiege SJ, Trivedi RB, Amoyal NR, Bekelman DB. Mutuality and heart failure self-care in patients and their informal caregivers. European Journal of Cardiovascular Nursing : Journal of The Working Group On Cardiovascular Nursing of The European Society of Cardiology. 2018 Feb 1; 17(2):102-113. [view]
15. Trivedi RB, Humphreys K. Participant exclusion criteria in treatment research on neurological disorders: Are unrepresentative study samples problematic? Contemporary clinical trials. 2015 Sep 1; 44:20-25. [view]
16. Cooper DC, Trivedi RB, Nelson KM, Reiber GE, Beaver K, Eugenio E, Fan V. Post-traumatic Stress Disorder, Race/Ethnicity, and Coronary Artery Disease Among Older Patients with Depression. Journal of racial and ethnic health disparities. 2014 Sep 1; 1(3):163-170. [view]
17. Aikens JE, Trivedi R, Heapy A, Pfeiffer PN, Piette JD. Potential Impact of Incorporating a Patient-Selected Support Person into mHealth for Depression. Journal of general internal medicine. 2015 Jun 1; 30(6):797-803. [view]
18. Trivedi RB, Post EP, Sun H, Pomerantz A, Saxon AJ, Piette JD, Maynard C, Arnow B, Curtis I, Fihn SD, Nelson K. Prevalence, Comorbidity, and Prognosis of Mental Health Among US Veterans. American journal of public health. 2015 Dec 1; 105(12):2564-9. [view]
19. O'Hare AM, Szarka J, McFarland LV, Taylor JS, Sudore RL, Trivedi R, Reinke LF, Vig EK. Provider Perspectives on Advance Care Planning for Patients with Kidney Disease: Whose Job Is It Anyway? Clinical journal of the American Society of Nephrology : CJASN. 2016 May 6; 11(5):855-66. [view]
20. Quiñones AR, Thielke SM, Beaver KA, Trivedi RB, Williams EC, Fan VS. Racial and ethnic differences in receipt of antidepressants and psychotherapy by veterans with chronic depression. Psychiatric services (Washington, D.C.). 2014 Feb 1; 65(2):193-200. [view]
21. Cooper DC, Trivedi RB, Nelson KM, Reiber GE, Zonderman AB, Evans MK, Waldstein SR. Sex Differences in Associations of Depressive Symptoms with Cardiovascular Risk Factors and Metabolic Syndrome among African Americans. Cardiovascular psychiatry and neurology. 2013 Sep 16; 2013(2013):979185. [view]
22. Trivedi RB, Piette JD. Shedding light on the association between social support and adherence in hypertension: a comment on Magrin et Al. Annals of behavioral medicine : a publication of the Society of Behavioral Medicine. 2015 Jun 1; 49(3):297-8. [view]

Journal Other

1. Cooper DC, Trivedi RB, Nelson KM, Reiber GE, Eugenio EC, Beaver KA, Fan VS. Response to Thomas E. Finucane, MD. [Editorial]. Journal of the American Geriatrics Society. 2015 Jan 1; 63(1):203-4. [view]

VA Cyberseminars

1. Pfeiffer P, Trivedi RB. Patient Aligned Care Teams (PACT) Demonstration Labs. Part 1. Assessing Reactions to PACT Implementation: The Team and Individual Role Perceptions Survey (TIRPS). Part 2. Burnout and Working to Top of Competency in VA Primary Care. [Cyberseminar]. 2014 May 21. [view]

Conference Presentations

1. Trivedi RB. A guide to navigating career success for the early career health psychologist. Paper presented at: American Psychological Association Annual Convention; 2013 Jul 31; Honolulu, HI. [view]
2. Cooper DC, Trivedi R, Nelson K, Reiber G, Eugenio EC, Beaver KA, Fan VS. Antidepressant Adherence and Risk of Coronary Artery Disease Hospitalizations Among Older and Younger Adults with Depression. Presented at: American Psychosomatic Society Annual Scientific Meeting; 2014 Mar 12; San Francisco, CA. [view]
3. Trivedi RB, Kivlahan DR, McCarthy JF, Post EP, Saxon AJ, Pomerantz A, Sun H, Piette JD, Fihn SD, Nelson KM. Burden of mental illness among VA primary care patients. Poster session presented at: Society of General Internal Medicine Annual Meeting; 2013 Apr 24; Denver, CO. [view]
4. Asch SM, Trivedi RB. Enhancing the VA Career Development Award Program. Presented at: VA HSR&D Career Development Annual Meeting; 2014 Feb 12; Arlington, VA. [view]
5. Yank V, Koenig CJ, Gale R, Nevedal A, Okwara L, Trivedi RB, Rosen CS, Sayer NA, Asch SM. Implementation Evaluation of a National Online Course for Family Caregivers of Veterans: Targets for Optimizing Web-Based Program Dissemination. Paper presented at: VA HSR&D / QUERI National Meeting; 2015 Jul 7; Philadelphia, PA. [view]
6. Rosland A, Heisler MM, Trivedi RB, Gaudioso S, Fennelly J, Piette JD. Improving Diabetes Management by Engaging Family Supporters in the Patient-Centered Medical Home: A Pilot Intervention Study. Poster session presented at: AcademyHealth Annual Research Meeting; 2015 Jun 15; Minneapolis, MN. [view]
7. Rosland A, Heisler MM, Trivedi RB, Gaudioso S, Fennelly J, Piette JD. Improving Diabetes Management by Engaging Family Supporters in the Patient-Centered Medical Home: A Pilot Intervention Study. Poster session presented at: Society of General Internal Medicine Annual Meeting; 2015 Apr 23; Toronto, Canada. [view]
8. Rosland A, Heisler MM, Trivedi R, Gaudioso S, Fennelly J, Piette JD. Improving Diabetes Management by Engaging Family Supporters in the Patient-Centered Medical Home: A Pilot Intervention. Paper presented at: VA HSR&D / QUERI National Meeting; 2015 Jul 9; Philadelphia, PA. [view]
9. Trivedi RB, Kivlahan DR, McCarthy JF, Post EP, Saxon AJ, Pomerantz A, Sun H, Piette JD, Fihn SD, Nelson KM. Prevalence of mental Illness among VA primary care patients and relationship to clinical outcomes. Poster session presented at: AcademyHealth Annual Research Meeting; 2013 Jun 23; Baltimore, MD. [view]
10. Trivedi R, Sylling P, Wong ES, Liu C, Hebert PL, Kivlahan D, Post EP, Pomerantz AS, Fihn SD, Nelson KM. Relationship of Mental Illness and Ambulatory Care Sensitive Condition (ACSC)-Related Hospitalizations among Veterans seen in VA Primary Care. Poster session presented at: Society of General Internal Medicine Annual Meeting; 2014 Apr 23; San Diego, CA. [view]
11. Trivedi RB, Sylling PW, Wong ES, Liu C, Hebert PL, Kivlahan DR, Post EP, Pomerantz AS, Fihn SD, Nelson KM. Relationship of Mental Illness and Ambulatory Care Sensitive Condition (ACSC)-Related Hospitalizations among Veterans seen in VHA Primary Care. Poster session presented at: AcademyHealth Annual Research Meeting; 2014 Jun 9; San Diego, CA. [view]
12. Maciejewski ML, Prenovost S, Vijan S, Zulman D, Chang E, Trivedi R, Nelson K, Warin N, Fihn S, Rosland AM. Subgroups of Patients at High-Risk for Hospitalization: An Empirical Approach. Poster session presented at: AcademyHealth Annual Research Meeting; 2016 Jun 27; Boston, MA. [view]
13. Prenovost K, Maciejewski M, Sandeep V, Zulman D, Chang E, Trivedi R, Nelson K, Wawrin N, Fihn S, Rosland AM. Subgroups of Patients at High-Risk for Hospitalization: An Empirical Approach. Poster session presented at: AcademyHealth Annual Research Meeting; 2016 Jun 26; Boston, MA. [view]
14. Trivedi RB, Beaver K, Zeliadt SB, Nelson KM, Eugenio E, Rosland AM, Grimesey J, Bouldin E, Piette JD. Who are informal caregivers? Results from a nationally-representative study. Poster session presented at: Society of Behavioral Medicine Annual Meeting and Scientific Sessions; 2013 Mar 20; San Francisco, CA. [view]

DRA: Aging, Older Veterans' Health and Care, Cardiovascular Disease
DRE: Technology Development and Assessment
Keywords: none
MeSH Terms: none