Enhancing Recovery in Coronary Heart Disease (ENRICHD) Patients
This study is no longer recruiting patients.
Purpose
To evaluate the effect of psychosocial intervention on mortality and reinfarction in coronary heart disease patients at high
psychosocial risk.
Condition
|
Treatment or Intervention |
Phase |
Cardiovascular Diseases Coronary Disease Depression Heart Diseases Myocardial Infarction Myocardial Ischemia
|
Behavior: social support
|
Phase III
|
MedlinePlus related topics: Circulatory Disorders; Coronary Disease; Depression; Heart Attack; Heart Diseases; Heart Diseases--Prevention
Study Type: Interventional
Study Design: Prevention
Further Study Details:
Study start: September 1995;
Study completion: September 2004
BACKGROUND: As medical treatments for coronary heart disease have become more sophisticated, they have also become more costly.
Evidence concerning the effects of medical and rehabilitative therapies on post-myocardial infarction patients' quality of
life, including return to work and to normal levels of functioning, has been mixed. At the same time. recent data suggest
that psychosocial factors, such as social isolation and depression, are important predictors of morbidity and mortality in
coronary heart disease patients. These studies suggest that interventions which provide psychological support to myocardial
infarction patients may enhance both the psychosocial and physical recovery of these patients. To the extent that supportive
interventions can be shown to impact favorably on survival and health-related quality of life in myocardial infarction patients,
the human and financial costs associated with coronary heart disease can be reduced. The initiative originated in the Working
Group on Psychosocial Interventions which met in June 1992.
The initiative was given concept clearance by the October 1993 National Heart, Lung, and Blood Advisory Council. The Request
for Proposals was released in September 1994.
DESIGN NARRATIVE: The study design compared a psychosocial intervention group, in which patients were provided with social
and psychological treatment designed to decrease social isolation and depression, with a standard medical care group. The
combined endpoint was death and reinfarction, measured for up to 4.5 years following hospital discharge. Secondary endpoints
included assessment of health quality of life (HQL).
The protocol was approved in May 1996. Recruitment began in October 1996 and ended on October 31, 1999 with 2,481 patients
enrolled.
Eligibility
Ages Eligible for Study:
18 Years
-
75 Years,
Genders Eligible for Study:
Both
Men and women coronary heart disease/myocardial infarction patients, hospitalized for enzyme-documented MI and who are depressed
and/or have low social support. Patients must be enrolled with 28 days of the index MI.
Location
Information
Study chairs or principal investigators
Diane Catellier, University of North Carolina
More Information
Publications
[No authors listed] Enhancing recovery in coronary heart disease patients (ENRICHD): study design and methods. The ENRICHD
investigators. Am Heart J. 2000 Jan;139(1 Pt 1):1-9.
Blumenthal JA, O'Connor C, Hinderliter A, Fath K, Hegde SB, Miller G, Puma J, Sessions W, Sheps D, Zakhary B, Williams RB.
Psychosocial factors and coronary disease. A national multicenter clinical trial (ENRICHD) with a North Carolina focus. N
C Med J. 1997 Nov-Dec;58(6):440-4. Review.
[No authors listed] Enhancing recovery in coronary heart disease (ENRICHD): baseline characteristics. Am J Cardiol. 2001
Aug 1;88(3):316-22. No abstract available.
Mendes de Leon CF, Dilillo V, Czajkowski S, Norten J, Schaefer J, Catellier D, Blumenthal JA. Psychosocial characteristics
after acute myocardial infarction: the ENRICHD pilot study. Enhancing Recovery in Coronary Heart Disease. J Cardiopulm Rehabil.
2001 Nov-Dec;21(6):353-62.
[No authors listed] Enhancing Recovery in Coronary Heart Disease (ENRICHD) study intervention: rationale and design. Psychosom
Med. 2001 Sep-Oct;63(5):747-55.
Freedland KE, Skala JA, Carney RM, Raczynski JM, Taylor CB, Mendes De Leon CF, Ironson G, Youngblood ME, Rama Krishnan KR,
Veith RC. The Depression Interview and Structured Hamilton (DISH): Rationale, Development, Characteristics, and Clinical
Validity. Psychosom Med. 2002 Nov-Dec;64(6):897-905.
Watkins LL, Schneiderman N, Blumenthal JA, Sheps DS, Catellier D, Taylor CB, Freedland KE; ENRICHD Investigators. Cognitive
and somatic symptoms of depression are associated with medical comorbidity in patients after acute myocardial infarction.
Am Heart J. 2003 Jul;146(1):48-54.
Writing Committee For The ENRICHD Investigators. Effects of Treating Depression and Low Perceived Social Support on Clinical
Events After Myocardial Infarction: The Enhancing Recovery in Coronary Heart Disease Patients (ENRICHD) Randomized Trial.
JAMA. 2003 Jun 18;289(23):3106-16.
Carney RM, Blumenthal JA, Catellier D, Freedland KE, Berkman LF, Watkins LL, Czajkowski SM, Hayano J, Jaffe AS. Depression
as a risk factor for mortality after acute myocardial infarction. Am J Cardiol. 2003 Dec 1;92(11):1277-81.
Barefoot JC, Burg MM, Carney RM, Cornell CE, Czajkowski SM, Freedland KE, Hosking JD, Khatri P, Pitula CR, Sheps D. Aspects
of social support associated with depression at hospitalization and follow-up assessment among cardiac patients. J Cardiopulm
Rehabil. 2003 Nov-Dec;23(6):404-12.
Mitchell PH, Powell L, Blumenthal J, Norten J, Ironson G, Pitula CR, Froelicher ES, Czajkowski S, Youngblood M, Huber M, Berkman
LF. A short social support measure for patients recovering from myocardial infarction: the ENRICHD Social Support Inventory.
J Cardiopulm Rehabil. 2003 Nov-Dec;23(6):398-403. No abstract available.
Froelicher ES, Miller NH, Buzaitis A, Pfenninger P, Misuraco A, Jordan S, Ginter S, Robinson E, Sherwood J, Wadley V. The
Enhancing Recovery in Coronary Heart Disease Trial (ENRICHD): strategies and techniques for enhancing retention of patients
with acute myocardial infarction and depression or social isolation. J Cardiopulm Rehabil. 2003 Jul-Aug;23(4):269-80.
Blumenthal JA, Babyak MA, Carney RM, Huber M, Saab PG, Burg MM, Sheps D, Powell L, Taylor CB, Kaufmann PG. Exercise, Depression,
and Mortality after Myocardial Infarction in the ENRICHD Trial. Med Sci Sports Exerc. 2004 May;36(5):746-755.
Levorato MC, Cacciari C. Children's comprehension and production of idioms: the role of context and familiarity. J Child
Lang. 1992 Jun;19(2):415-33.
Study ID Numbers:
101
Record last reviewed:
July 2004
Record first received:
October 27, 1999
ClinicalTrials.gov Identifier:
NCT00000557Health Authority: United States: Federal Government
ClinicalTrials.gov processed this record on 2004-10-29