Table 3 Overview of treatment components
Treatment components | Team-care | Usual care |
|---|---|---|
Patient | ||
Informed of risk factor status |  +  |  +  |
Informed of randomization status |  +  |  +  |
Regularly contacted by nurse care manager over 12 months |  +  |  |
Receives personalized text messages to support healthy behavior |  +  |  |
Gets access to website offering educational materials and supervised chatroom |  +  |  |
Nurse care manager | ||
Phones patients at regular intervals over 12Â months to provide support for managing distress and CHD risk | Â | Â |
   (a) basic education re: CHD and treatment goals; |  +  |  |
   (b) psychoeducation re: distress and mental health; |  +  |  |
   (c) links to web resources and review lessons; |  +  |  |
   (d) motivational interviewing and problem-solving techniques as needed |  +  |  |
   (e) encourages and reviews health behaviors (smoking cessation, diet exercise, sleep, relaxation, medication adherence, etc.).; |  +  |  |
   (f) confirms use of guideline-recommended treatments to target |  +  |  |
   (g) promotes adherence/adjustment of pharmacotherapy in concert with patient’s treating physician; |  +  |  |
   (h) promotes self-monitoring of BP, diet, doctor visits & reviews results; |  +  |  |
   (i) monitors for treatment response, relays information to treating physician; |  +  |  |
   (j) screens for suicidal ideation and cardiac instability |  +  |  |
   (k) suggests referrals to cardiology, psychotherapy, self-help as appropriate |  +  |  |
Sends individualized text message reminders between calls |  +  |  |
Moderates web chatroom |  +  |  |
Meets with TCT in weekly videoconferences to discuss patient progress and treatment recommendations |  +  |  |
Relates TCT recommendations to treating physicians for consideration |  +  |  |
Treating physicians | ||
Informed of their patients’ baseline risk factor status and treatment assignment |  +  |  +  |
Provide care for their patients’ distress and CHD risk |  +  |  +  |
Can initiate, adjust, or discontinue pharmacotherapy |  +  |  +  |
Receive regular progress reports from the care manager |  +  |  |
Receive TCT recommendation for treatment adjustment |  +  |  |
Offered assistance with patient referral to specialist care or self-help groups etc |  +  |  |
Informed if medical or mental condition significantly worsens (e.g., chest pain, suicidality) |  +  | ( +)* |