Process evaluation of a randomised pilot trial of home-based rehabilitation compared to usual care in patients with heart failure with preserved ejection fraction and their caregivers
dc.contributor.author | Smith, K | |
dc.contributor.author | Lang, C | |
dc.contributor.author | Wingham, J | |
dc.contributor.author | Frost, J | |
dc.contributor.author | Greaves, C | |
dc.contributor.author | Abraham, C | |
dc.contributor.author | Warren, FC | |
dc.contributor.author | Coyle, J | |
dc.contributor.author | Jolly, K | |
dc.contributor.author | Miles, J | |
dc.contributor.author | Paul, K | |
dc.contributor.author | Doherty, PJ | |
dc.contributor.author | Davies, R | |
dc.contributor.author | Dalal, H | |
dc.contributor.author | Taylor, RS | |
dc.date.accessioned | 2023-10-10T10:43:14Z | |
dc.date.issued | 2021-01-06 | |
dc.date.updated | 2023-10-10T08:57:53Z | |
dc.description.abstract | BACKGROUND: Whilst almost 50% of heart failure (HF) patients have preserved ejection fraction (HFpEF), evidence-based treatment options for this patient group remain limited. However, there is growing evidence of the potential value of exercise-based cardiac rehabilitation. This study reports the process evaluation of the Rehabilitation Enablement in Chronic Heart Failure (REACH-HF) intervention for HFpEF patients and their caregivers conducted as part of the REACH-HFpEF pilot trial. METHODS: Process evaluation sub-study parallels to a single-centre (Tayside, Scotland) randomised controlled pilot trial with qualitative assessment of both intervention fidelity delivery and HFpEF patients' and caregivers' experiences. The REACH-HF intervention consisted of self-help manual for patients and caregivers, facilitated over 12 weeks by trained healthcare professionals. Interviews were conducted following completion of intervention in a purposeful sample of 15 HFpEF patients and seven caregivers. RESULTS: Qualitative information from the facilitator interactions and interviews identified three key themes for patients and caregivers: (1) understanding their condition, (2) emotional consequences of HF, and (3) responses to the REACH-HF intervention. Fidelity analysis found the interventions to be delivered adequately with scope for improvement in caregiver engagement. The differing professional backgrounds of REACH-HF facilitators in this study demonstrate the possibility of delivery of the intervention by healthcare staff with expertise in HF, cardiac rehabilitation, or both. CONCLUSIONS: The REACH-HF home-based facilitated intervention for HFpEF appears to be a feasible and a well-accepted model for the delivery of rehabilitation, with the potential to address key unmet needs of patients and their caregivers who are often excluded from HF and current cardiac rehabilitation programmes. Results of this study will inform a recently funded full multicentre randomised clinical trial. TRIAL REGISTRATION: ISRCTN78539530 (date of registration 7 July 2015). | en_GB |
dc.description.sponsorship | National Institute for Health Research (NIHR) | en_GB |
dc.format.extent | 11- | |
dc.format.medium | Electronic | |
dc.identifier.citation | Vol. 7, article 11 | en_GB |
dc.identifier.doi | https://doi.org/10.1186/s40814-020-00747-2 | |
dc.identifier.grantnumber | RP-PG-1210-12004 | en_GB |
dc.identifier.uri | http://hdl.handle.net/10871/134192 | |
dc.identifier | ORCID: 0000-0002-3503-5911 (Frost, Julia) | |
dc.identifier | ScopusID: 8856263500 (Frost, Julia) | |
dc.identifier | ORCID: 0000-0002-3833-0182 (Warren, Fiona C) | |
dc.identifier | ORCID: 0000-0002-7316-7544 (Dalal, Hasnain) | |
dc.language.iso | en | en_GB |
dc.publisher | BMC | en_GB |
dc.relation.url | https://www.ncbi.nlm.nih.gov/pubmed/33407893 | en_GB |
dc.rights | © The Author(s) 2021. Open Access. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. | en_GB |
dc.subject | Cardiac rehabilitation | en_GB |
dc.subject | Caregivers | en_GB |
dc.subject | Heart failure | en_GB |
dc.subject | Home-based | en_GB |
dc.subject | Preserved ejection fraction | en_GB |
dc.subject | Process evaluation | en_GB |
dc.title | Process evaluation of a randomised pilot trial of home-based rehabilitation compared to usual care in patients with heart failure with preserved ejection fraction and their caregivers | en_GB |
dc.type | Article | en_GB |
dc.date.available | 2023-10-10T10:43:14Z | |
dc.identifier.issn | 2055-5784 | |
exeter.article-number | 11 | |
exeter.place-of-publication | England | |
dc.description | This is the final version. Available on open access from BMC via the DOI in this record | en_GB |
dc.description | Availability of data and materials: Transcripts will not be shared in their entirety to protect the anonymity of participants and healthcare staff delivering the intervention. However, requests for extracts of data will be considered on reasonable individual basis from the corresponding author. | en_GB |
dc.identifier.eissn | 2055-5784 | |
dc.identifier.journal | Pilot and Feasibility Studies | en_GB |
dc.relation.ispartof | Pilot Feasibility Stud, 7(1) | |
dc.rights.uri | https://creativecommons.org/licenses/by/4.0/ | en_GB |
dcterms.dateAccepted | 2020-12-15 | |
dc.rights.license | CC BY | |
rioxxterms.version | VoR | en_GB |
rioxxterms.licenseref.startdate | 2021-01-06 | |
rioxxterms.type | Journal Article/Review | en_GB |
refterms.dateFCD | 2023-10-10T10:41:26Z | |
refterms.versionFCD | VoR | |
refterms.dateFOA | 2023-10-10T10:43:20Z | |
refterms.panel | A | en_GB |
refterms.dateFirstOnline | 2021-01-06 |
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licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain
permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the
data made available in this article, unless otherwise stated in a credit line to the data.