Management of Depression and Anxiety in HF

Inclusion criteria

• Inclusion criteria for Community-based HF patients:

• Community-based HF patients with clinically established HF diagnosis (confirmed HF diagnosis) in Lambeth and Southwark Boroughs who have mild to moderate symptoms of depression with/without anxiety confirmed by PHQ-9 (5-14) and GAD-7;
• Patients with NYHA class I-III;
• Capacity to provide informed consent; and
• Proficiency in English language so can fully respond to verbal and written material.

Inclusion criteria

for Community HF nurses:

• All community-based HF-nurses employed in Lambeth and Southwark Boroughs who are registered with Nursing Midwifery Council (NMC) will be invited to participate in the study;
• Capacity to provide informed consent;
• Community HF-nurses who are actively providing care to community-based HF patients; and
• have access to internet connected computer or device and technology for Microsoft (MS) Teams.

Exclusion criteria

• Exclusion criteria for community-based HF patients:

• Community-based HF patients under 18 years of age;
• Participants who are deemed not to have the capacity to consent;
• Patients with cognitive impairment or dementia confirmed by medical records; and
• Community-based HF patients with NYHA class IV.
• Patients with severe depression and/or having suicidal ideation.

Exclusion criteria

for Community HF nurses:

• Nurses working with inpatients or in the OPD departments; and
• Nurses who are not employed as community HF nurses.
• Any community HF nurse who do not have access to internet or online technology.