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July 18, 2026European Journal of Cardiovascular Nursing

Individualized supportive care reduces emotional distress vs usual care over one year in HF patients.

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Why the study?

Does an individualized supportive care multidisciplinary management program improve health-related quality of life and anxiety/depression in patients with heart failure?

Population

202 patients with heart failure, mean age 71.8, 32% women.

Comparison

Individualized supportive care multidisciplinary… vs Usual care

Design

RCT

Follow-up

1 year

Key result

An individualized supportive care program significantly reduced emotional distress at 3, 6, and 12 months (p<0.001) in patients with heart failure compared to usual care.

Authors

MKM KyriakouVBV BarberisLPL Paikousis

Discussion

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Overview

Supports integration of individualized supportive care into heart failure management; extends evidence for psychosocial interventions in cardiac disease.

Key Points

  • To evaluate the effectiveness of an individualized supportive care program on health-related quality of life and mental health in patients with heart failure.
  • Multicenter randomized controlled trial over one year with two groups: intervention and control.
  • Patients evaluated at five time points using the Minnesota Living with Heart Failure questionnaire and HADS questionnaire.
  • Statistical analyses included Welch's t-test and Linear Mixed Models Effects to compare results between groups.
  • At one month, the intervention group showed significant improvement in emotional and physical health (p=0.004 for emotional, p=0.022 for physical).
  • At three months, six months, and one year, the intervention group had significantly lower emotional distress compared to the control (p<0.001).

Study Design

Type

RCT (n=202)

Multicenter

Yes

Structured PICO

Does an individualized supportive care multidisciplinary management program improve health-related quality of life and anxiety/depression in patients with heart failure?

P
Population
202 patients with heart failure (mean age 71.8 years, 32% female) followed for 1 year to evaluate a supportive care multidisciplinary management program.
I
Intervention
Individualized supportive care multidisciplinary management program (nurse-led multidisciplinary team)
C
Comparator
Usual care
O
Outcome
Health related quality of life (Minnesota Living with Heart Failure questionnaire - MLHFQ) and anxiety and depression (HADS questionnaire) over 1 yearpatient reported

Main Result

p-value: p=<0.001

A nurse-led multidisciplinary supportive care program significantly improves health-related quality of life and reduces emotional distress in patients with heart failure.

Cite This Study

Kyriakou et al. (2026) conducted an RCT in heart failure (n=202). individualized SUPPORTive care multidisciplinary management program vs. usual care was evaluated on health related quality of life (MLHFQ) and anxiety and depression (HADS) (p=<0.001). An individualized supportive care program significantly reduced emotional distress at 3, 6, and 12 months (p<0.001) in patients with heart failure compared to usual care.

synapsesocial.com/papers/6a5b39118167787360d24ebahttps://doi.org/10.1093/eurjcn/zvag155.036
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