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Intervention that leverages technology reduces depression in Indianapolis-area patients

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Intervention that leverages technology reduces depression in Indianapolis-area patients


Danielle Grounds, clinical research vascular sonographer in the IU School of Medicine, obtains ultrasound images for the measurement of brachial flow-mediated dilation, a barometer of cardiovascular disease risk. Credit: Indiana University–Purdue University Indianapolis School of Science

The rapid expansion and normalization of e-health and telehealth brought about by the COVID-19 pandemic is not only here to stay, but research conducted by Jesse Stewart, professor of psychology at the School of Science at Indiana University Indianapolis, on the link between depression and cardiovascular disease indicates it’s effective, too.

Stewart and a team of 14 found the modernized collaborative care intervention they designed had a significant impact on patients. The research, which featured methods of internet and telephonic cognitive-behavioral therapy, was initially intended to discover if treating depression could reduce one’s risk of developing cardiovascular disease. The research was reported in the journal Brain, Behavior, and Immunity.

Working with their clinical partner Eskenazi Health, Stewart and his team treated 216 primary care patients within a 5-year span. Patients were randomly assigned to one of two groups, eIMPACT intervention or usual primary care. Of those in the eIMPACT intervention group, 43% exhibited at least a 50% reduction in depressive symptoms, compared to only 17% in the usual care group.

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“We had the intention of making the intervention more innovative,” Stewart said. “But coming out on the back end, serendipity. We developed, potentially, the next iteration of a collaborative care framework for mental and physical health conditions, and that’s not what we initially set out to do.”

Given the study took place between 2015 and 2020, before the pandemic’s normalization of e- and telehealth, there was some reluctancy around how this modernized approach would work. After the findings, Stewart’s confident harnessing technology for mental health care is a viable path moving forward.

“When we first started this study, people had reservations about whether technologies, like internet psychotherapy, were feasible or acceptable in a safety net health care setting,” he said. “Our study shows it’s not only feasible and acceptable, but it’s effective.”

As for the primary focus of the study, successful treatment of depression alone did not lower cardiovascular disease risk biomarkers, demonstrating alternative approaches are needed.

“We need to treat depression for its own sake, but we also need to fully understand and target the pathways from depression to the development of cardiovascular disease,” Stewart said. “Our eIMPACT trial showed depression treatment alone is not sufficient to bring their risk of cardiovascular disease back down to the general population. So, we need to do more.”

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More information:
Jesse C. Stewart et al, Effect of modernized collaborative care for depression on depressive symptoms and cardiovascular disease risk biomarkers: eIMPACT randomized controlled trial, Brain, Behavior, and Immunity (2023). DOI: 10.1016/j.bbi.2023.05.007

Provided by
Indiana University–Purdue University Indianapolis School of Science

Citation:
Intervention that leverages technology reduces depression in Indianapolis-area patients (2023, August 3)
retrieved 3 August 2023
from https://medicalxpress.com/news/2023-08-intervention-leverages-technology-depression-indianapolis-area.html

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Indianapolis, IN

Indiana Grown: 8th Day Distillery

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Indiana Grown: 8th Day Distillery


INDIANAPOLIS (WISH) — Each and every Saturday, WISH-TV highlights a local company together with our partners at Indiana Grown.

This week, Jaime and Matt Lamping with 8th Day Distillery in Indianapolis joined News 8 at Daybreak.

The Lampings share with News 8 what started their passion for the distillery, and elaborate on how Indiana’s state laws at the time impacted their plans.

They also share more about their Bottle Shop & Cocktail Bar, which recently celebrated its sixth anniversary. They discuss their various workshops and show off new releases ready to hit your shelves this year.

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Watch the full interview above to learn more.



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Report: Pirates Promote Top Pitching Prospect to Indianapolis

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Report: Pirates Promote Top Pitching Prospect to Indianapolis


PITTSBURGH — The Pittsburgh Pirates are reportedly promoting one of their top pitching prospects in their minor league system, getting him closer to the MLB.

Alex Stumpf of MLB.com reported that the Pirates will promote right-handed pitcher Bubba Chandler from Double-A Altoona Curve to Triple-A Indianapolis Indians.

Chandler played for North Oconee High School in Bogart, Ga., 60 miles east of Atlanta. He starred in multiple sports, including basketball, golf, football and baseball. He originally committed to Georgia to play baseball, but then decommitted and committed to Clemson to play both football and baseball.

He had a fantastic senior season for North Oconee, going 8-1 with just a 1.25 ERA, plus 96 strikeouts in 44.2 innings pitched, while hitting .411 with eight home runs, 12 doubles and 35 RBI.

The Pirates would select Chandler with the No, 72 overall pick in the Third Round of the 2021 MLB Draft and signed him for $3 millon signing bonus, an over slot signing.

He pitched and also played shortstop for the Rookie-Level Florida Complex Pirates in 2021 and 2022 and then earned promotion to the Bradenton Marauders in the Single-A Florida State League.

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Chandler chose to focus on pitching heading into the 2023 season, which would show his best talents. He started 24 games for the Greensboro Grasshoppers in High-A, with a 9-4 record, 4.75 ERA in 106.0 innings pitched, making 120 strikeouts to 51 walks and holding hitters to a .265 batting average.

He made it up to Altoona for just one game in 2023, allowing just one hit in five innings of work and getting the win.

Chandler has played all of 2024 in Double-A, starting 16 of 19 games, a 6-7 record, one save, one shutout. He also had a 3.70 ERA in 80.1 innings pitched, allowing 55 hits, 33 earned runs and 26 walks, while making 94 strikeouts and holding hitters to a .192 batting average, along with having a 1.01 WHIP.

His last start came Friday night against the Richmond Flying Squirrels, allowing just two hits and one run in 6.0 innings pitched, while making six strikeouts on 80 pitches.

Chandler has also pitched great since the start of June, with a 2.61 ERA and 10.6 K/9.

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MLB Pipeline ranks Chandler as the No. 49 prospect in their top 100 across baseball, the No. 9 right-handed pitcher and No. 12 pitcher. They also rate him as the highest Pirates prospect.

Make sure to visit Pirates OnSI for the latest news, updates, interviews and insight on the Pittsburgh Pirates.





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Indianapolis, IN

National discount retailer to make it's way to downtown Indianapolis

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National discount retailer to make it's way to downtown Indianapolis


INDIANAPOLIS — The downtown Indy building Claypool Court is getting a new retailer.

Officials hope major names like Burlington will bring more Hoosiers and visitors to Mile Square.

WRTV

“There’s definitely a lot of higher-end restaurants right around this area, so I think bringing in some retail stores isn’t a bad idea,” Wesley Slaughter, who lives downtown, said.

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The store will sit at Washington and Illinois Streets, an area Slaughter says will be a good fit because it’s a heavily trafficked intersection.

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“I could see it being beneficial to get more people in the area because otherwise you have to drive outside of 465 just to hit one of those stores,” Slaughter said.

TJ Maxx has been a big part of the downtown retail scene for many years, but now there is some competition with the Burlington that’s going to be a couple of doors down.

WATCH RELATED COVERAGE | Downtown Indy’s Future Plans announced

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Downtown Indy’s future plans announced

“We’re excited anytime that there’s a new addition to the retail landscape here in downtown Indianapolis,” Taylor Schaffer, with Downtown Indy Inc., said.

Schaffer says this is just part of a pipeline of new projects and development coming to the area.

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The space Burlington will take over is the lower level of Claypool Court. It used to be home to the Rhythm! Discovery Center.

The store is set to open this fall.





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