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. 2013 Nov 27;14:180. doi: 10.1186/1471-2296-14-180

Table 2.

Data collection

BASELINE
Patients: Self-administered questionnaires (by mail)
 
  Depression
Patient Health Questionnaire 9-item Subscale Depression (PHQ-9) [26-28]/Hospital Anxiety and Depression Scale [29,30] – Subscale Depression (HADS-D)/PROMIS Depression Scale [31,32]
  Anxiety
Patient Health Questionnaire 7-item Subscale Generalized Anxiety Disorder Assessment (GAD-7) [33-35]/Hospital Anxiety and Depression Scale [29,30] – subscale anxiety (HADS-A)/PROMIS Anxiety Scale [31,32]
  Treatment of Anxiety and Depression
Medication intake/Utilization of psychotherapy or other therapies (e.g. music therapy, occupational therapy, relaxation training)
  Social support
Lubben Social Network Scale (LSNS) [36]/ENRICHED Social Support Instrument (ESSI) [37]
  Stress
Patient Health Questionnaire - Subscale Stress (PHQ-D) [26,38]
  Compliance
Morisky Medication Adherence Scale (MMAS-8) [39-41]
  Quality of life
EQ-5D-5 L [42]
  Self-efficacy
General Self-efficacy Scale [43]
  Lifestyle
Salt restriction: Do you pay attention to your diet?/Fluid intake: How much do you drink daily?/Weight control: How often do you weigh yourself?/Vaccination: Did you receive a flu shot within the last year? Have you been vaccinated against pneumonia?/Alcohol intake: At occasions you drink alcohol, how much alcohol do you consume on average?/Smoking status and cigarette consumption: If you smoke occasionally or regularly: How much do you consume on average?
  Physical Activity/Capacity
How often do you engage in physical activity? Based on Verghese [44]/Self-rated physical capacity according to NYHA class
  Socio-economic status
Household income per capita
  Sociodemographic data
Gender/Age/Height/Weight/Type of insurance/Marital status/Status of living/ Nursing care/Employment status/ Education [45]/Migration status/ Citizenship
  Contact to the GP
Last contact/Frequency of contacts within the last 6 month/Years of being patient of the actual GP
GPs: Telephone-interview with insight in the medical record
 
  Validation of heart-failure diagnosis
Does the patient have heart failure?/Severity level according to New York Heart Association (NYHA) class/Ejection fraction
  Size of practice
Number of GPs in the practice/ Practice type (single practice/practice sharing/group practice)/Number of patients insured by the statutory health insurance per quarter/ Percentage of private patients
  Familiarity with the patient
Are you the regular GP of the patient?/How well do you know the patient? (Scale 1 to 10)
  Comorbidity
Charlson Comorbidity Index [46]/Which additional diseases does the patient have?
  Depression/Anxiety
Does the patient have any symptomatology of depression/anxiety? If yes, please specify/Had the patient any symptomatology of depression/anxiety in the past?
  Measures taken if depression/anxiety is recognized
What treatment have you prompted?
  Treatment of heart failure
What difficulties have you encountered when treating the heart failure in this patient? Have there been any reasons to deviate from the recommended pharmacological treatment?
  Sociodemographic data of the GP
Age/Gender/Years of practice/Speciality/Additional trainings
12-MONTH FOLLOW-UP
Patients: Self-administered questionnaire (by mail)
 
All measures according to baseline; additional data:
  Hospital admission within the last 12 month
Number of Hospital Admissions/Date of admission/Length of stay/Admission diagnosis/Emergency vs. pre-scheduled hospitalization
  Change of GP
Did you change your GP within the last 12 month? If yes: How many months ago did you change your GP?
GP: Information from medical records (provided by phone)
 
  Survival
Mortality within the last 12 month/Date of death/Course of death
  Hospital Admission Number of Hospital Admissions/Date of Admission/Length of stay/Admission diagnosis/Emergency vs. pre-scheduled hospitalization/