The UPBEAT depression and coronary heart disease programme: Using the UK medical research council framework to design a nurse-led complex intervention for use in primary care

Elizabeth A. Barley*, Mark Haddad, Rosemary Simmonds, Zoe Fortune, Paul Walters, Joanna Murray, Diana Rose, André Tylee

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

12 Citations (Scopus)

Abstract

Background: Depression is common in coronary heart disease (CHD) and increases the incidence of coronary symptoms and death in CHD patients. Interventions feasible for use in primary care are needed to improve both mood and cardiac outcomes. The UPBEAT-UK programme of research has been funded by the NHS National Institute for Health Research (NIHR) to explore the relationship between CHD and depression and to develop a new intervention for use in primary care.

Methods. Using the Medical Research Council (MRC) guidelines for developing and evaluating complex interventions, we conducted a systematic review and qualitative research to develop a primary care-based nurse-led intervention to improve mood and cardiac outcomes in patients with CHD and depression. Iterative literature review was used to synthesise our empirical work and to identify evidence and theory to inform the intervention.

Results: We developed a primary care-based nurse-led personalised care intervention which utilises elements of case management to promote self management. Following biopsychosocial assessment, a personalised care plan is devised. Nurses trained in behaviour change techniques facilitate patients to address the problems important to them. Identification and utilisation of existing resources is promoted. Nurse time is conserved through telephone follow up. 

Conclusions: Application of the MRC framework for complex interventions has allowed us to develop an evidence based intervention informed by patient and clinician preferences and established theory. The feasibility and acceptability of this intervention is now being tested further in an exploratory trial.

Original languageEnglish
Article number119
JournalBMC Family Practice
Volume13
DOIs
Publication statusPublished - 12 Dec 2012

Keywords

  • Complex intervention
  • Coronary heart disease
  • Depression
  • Personalised care
  • Primary care

ASJC Scopus subject areas

  • Family Practice

Fingerprint

Dive into the research topics of 'The UPBEAT depression and coronary heart disease programme: Using the UK medical research council framework to design a nurse-led complex intervention for use in primary care'. Together they form a unique fingerprint.

Cite this