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  1. Article ; Online: Patient perspective: Lessons doctors can learn from coaches and athletes to improve patient outcomes using digital technologies.

    Dohse, Heidi

    Cardiovascular digital health journal

    2021  Volume 2, Issue 5, Page(s) 285–290

    Language English
    Publishing date 2021-09-20
    Publishing country United States
    Document type Journal Article
    ISSN 2666-6936
    ISSN (online) 2666-6936
    DOI 10.1016/j.cvdhj.2021.09.003
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Patient perspective: Wearable and digital health tools to support managing our health during the COVID-19 pandemic and beyond.

    Dohse, Heidi

    Cardiovascular digital health journal

    2021  Volume 2, Issue 1, Page(s) 88–90

    Language English
    Publishing date 2021-01-09
    Publishing country United States
    Document type Journal Article
    ISSN 2666-6936
    ISSN (online) 2666-6936
    DOI 10.1016/j.cvdhj.2020.12.002
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Investigating gender-based differential item functioning on the Kansas City Cardiomyopathy Questionnaire (KCCQ) using qualitative content analysis.

    Coles, Theresa M / Lucas, Nicole / McFatrich, Molly / Henke, Debra / Ridgeway, Jennifer L / Behnken, Emma M / Weinfurt, Kevin / Reeve, Bryce B / Corneli, Amy / Dunlay, Shannon M / Spertus, John A / Lin, Li / Piña, Ileana L / Bocell, Fraser D / Tarver, Michelle E / Dohse, Heidi / Saha, Anindita / Caldwell, Brittany

    Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation

    2022  Volume 32, Issue 3, Page(s) 841–852

    Abstract: Purpose: The purpose of this study is to evaluate potential gender-based differences in interpreting the Kansas City Cardiomyopathy Questionnaire (KCCQ-23) and to explore if there are aspects of health-related quality of life (HRQOL) not captured by the ...

    Abstract Purpose: The purpose of this study is to evaluate potential gender-based differences in interpreting the Kansas City Cardiomyopathy Questionnaire (KCCQ-23) and to explore if there are aspects of health-related quality of life (HRQOL) not captured by the KCCQ-23 that are important to assess in men and/or women with heart failure (HF).
    Methods: Patients ≥ 22 years of age with clinician-diagnosed HF and left ventricular ejection fraction ≤ 40% were recruited from two academic medical centers to participate in semi-structured concept elicitation and cognitive debriefing interviews. Enrollment was stratified by patient-identified gender (half women/half men). All interviews were conducted over the phone/web and audio recorded. Interviews were transcribed and descriptive qualitative content analysis was used to summarize findings overall and by gender.
    Results: Twenty-five adults (56% women) diagnosed with HF participated. The average age was 67 years (range: 25-88). Women attributed a wider variety of symptoms to HF than men. Some participants had difficulty differentiating whether their experiences were due to HF, side effects of their medications, or age. We found very little evidence that participants interpreted KCCQ-23 items differently based on gender.
    Conclusions: Overall, our findings indicate that interpretation of the KCCQ-23 items were similar in men and women. However, some modifications to items may improve clarity of interpretation for a wide range of patients.
    MeSH term(s) Male ; Adult ; Humans ; Female ; Aged ; Quality of Life/psychology ; Health Status ; Stroke Volume ; Kansas ; Ventricular Function, Left ; Heart Failure/therapy ; Cardiomyopathies ; Surveys and Questionnaires
    Language English
    Publishing date 2022-11-02
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 1161148-0
    ISSN 1573-2649 ; 0962-9343
    ISSN (online) 1573-2649
    ISSN 0962-9343
    DOI 10.1007/s11136-022-03276-y
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: An online intervention for increasing physical activity in individuals with mood disorders at risk for cardiovascular disease: Design considerations.

    Sylvia, Louisa G / Faulkner, Madelaine / Rakhilin, Marina / Amado, Selen / Gold, Alexandra K / Albury, Evan A / Dinerman, Jacob G / Dohse, Heidi / Tovey, Roberta / Turner, Jon A / Schopfer, David W / Pletcher, Mark J / Nierenberg, Andrew A

    Journal of affective disorders

    2021  Volume 291, Page(s) 102–109

    Abstract: Background: Physical activity can mitigate the risk of cardiovascular diseases, but the presence of mood disorders makes it challenging to follow or develop a regular exercise habit. We conducted an online comparative effectiveness study (Healthy Hearts ...

    Abstract Background: Physical activity can mitigate the risk of cardiovascular diseases, but the presence of mood disorders makes it challenging to follow or develop a regular exercise habit. We conducted an online comparative effectiveness study (Healthy Hearts Healthy Minds) to evaluate whether an online psychosocial intervention adjunctive to an activity monitor (Fitbit) can improve adherence to physical activity among individuals with mood disorders who have or are at-risk for cardiovascular disease (CVD).
    Methods: In this paper, we explore design considerations (including both procedural challenges and achievements) of relevance to our study.
    Results: Challenges of this study included navigating a complex IRB review process, integrating two study platforms, automating study procedures, and optimizing participant engagement. Achievements of this study included building trust with collaborators, leveraging existing online communities, generating daily data reports, and conducting patient-centered research.
    Limitations: These design considerations are based on a single online comparative effectiveness study, and other online intervention studies may be presented with other unique challenges that are specific to their study format or aims. Consistent with some of the generalizability challenges facing other online studies, participants in this study were overall highly educated (most had at least a college degree).
    Conclusions: We successfully conducted a large-scale virtual online intervention to increase physical activity of participants with comorbid mood and cardiovascular disorders by overcoming substantial operational and technical challenges. We hope that this exploration of design considerations in the context of our online study can inform upcoming online intervention studies.
    MeSH term(s) Cardiovascular Diseases/epidemiology ; Cardiovascular Diseases/prevention & control ; Exercise ; Humans ; Internet-Based Intervention ; Mood Disorders/epidemiology ; Mood Disorders/therapy
    Language English
    Publishing date 2021-05-02
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 135449-8
    ISSN 1573-2517 ; 0165-0327
    ISSN (online) 1573-2517
    ISSN 0165-0327
    DOI 10.1016/j.jad.2021.04.094
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Healthy hearts healthy minds: A randomized trial of online interventions to improve physical activity.

    Sylvia, Louisa G / Gold, Alexandra K / Rakhilin, Marina / Amado, Selen / Modrow, Madelaine Faulkner / Albury, Evan A / George, Nevita / Peters, Amy T / Selvaggi, Caitlin A / Horick, Nora / Rabideau, Dustin J / Dohse, Heidi / Tovey, Roberta E / Turner, Jon A / Schopfer, David W / Pletcher, Mark J / Katz, Doug / Deckersbach, Thilo / Nierenberg, Andrew A

    Journal of psychosomatic research

    2022  Volume 164, Page(s) 111110

    Abstract: Introduction: Depressed individuals are more likely to die from cardiovascular disease (CVD) than those without depression. People with CVD have higher rates of depression than those without and have higher mortality rates if they have comorbid ... ...

    Abstract Introduction: Depressed individuals are more likely to die from cardiovascular disease (CVD) than those without depression. People with CVD have higher rates of depression than those without and have higher mortality rates if they have comorbid depression. While physical activity (PA) improves both, few people engage in enough. We compared self-guided internet-based cognitive behavior therapy (CBT) + Fitbit or mindfulness-based cognitive therapy (MBCT) + Fitbit, with Fitbit only to increase daily steps for participants with depression who have low PA.
    Methods: Adult participants (N = 340) were recruited from two online patient-powered research networks and randomized to one of three study interventions for 8 weeks with an additional 8 weeks of follow-up. Using linear mixed effects models, we evaluated the effect of the intervention on average daily steps (NCT03373110).
    Results: Average daily steps increased 2.8 steps per day in MBCT+Fitbit, 2.9 steps/day in CBT + Fitbit, but decreased 8.2 steps/day in Fitbit Only. These changes were not statistically different between the MBCT+Fitbit and CBT + Fitbit groups, but were different from Fitbit Only across the initial 8-week period. Group differences were not maintained across follow-up. Exploratory analyses identified comorbid anxiety disorders, self-reported PA, and employment status as moderators.
    Discussion: Changes in daily steps over both 8- and 16-week periods-regardless of intervention group-were minimal. The results emphasize the limits of using self-guided web-based psychotherapy with an activity tracker to increase PA in participants with a history of depression and low PA.
    MeSH term(s) Adult ; Humans ; Internet-Based Intervention ; Exercise ; Anxiety ; Mindfulness ; Cardiovascular Diseases/epidemiology ; Cardiovascular Diseases/therapy
    Language English
    Publishing date 2022-12-01
    Publishing country England
    Document type Randomized Controlled Trial ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 80166-5
    ISSN 1879-1360 ; 0022-3999
    ISSN (online) 1879-1360
    ISSN 0022-3999
    DOI 10.1016/j.jpsychores.2022.111110
    Database MEDical Literature Analysis and Retrieval System OnLINE

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