Background: African Americans with heart failure (HF) have the highest rates of depression among all ethnicities in the USA.
Objectives: To compare the effects by race on depressive symptoms and topics discussed in the first clinic appointment after HF hospitalization.
Methods: This study is a secondary analysis of data from a randomized clinical trial testing a patient group discussion of HF self-management with 93 Caucasians and 77 African Americans.
Results: Reduction in depressive symptoms was significantly greater among African American patients within the intervention group (F = 3.99, p = .047) than controls. There were significant differences by race in four topics (dietitian referral, appointment date, help preparing discussion questions, and advice on worsening HF symptoms) concerning patient-physician discussions.
Conclusion: The intervention showed greater effect in reducing depressive symptoms among African Americans than Caucasians. Preparing patients for discussions at physician appointments on diet, depressive symptoms, and HF symptoms is recommended.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5924480 | PMC |
| http://dx.doi.org/10.1016/j.hrtlng.2018.02.005 | DOI Listing |
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