Rationale and design of WEBCARE: A randomized controlled web-based behavioral intervention trial in cardioverter-defibrillator patients to reduce anxiety and device concerns and enhance quality of life

摘要

BackgroundThe implantable cardioverter defibrillator (ICD) is generally well accepted, but 25-33% of patients experience clinical levels of anxiety, depression, and impaired quality of life (QoL) following implantation. Few trials in ICD patients have investigated whether behavioral intervention may mitigate the development of these adjustment problems. We present the rationale and study design of the >WEB-based distress management program for implantable >CARdioverter d>Efibrillator patients (WEBCARE) trial.