dc.contributor.author | Wingham, J | |
dc.contributor.author | Frost, J | |
dc.contributor.author | Britten, N | |
dc.contributor.author | Greaves, C | |
dc.contributor.author | Abraham, C | |
dc.contributor.author | Warren, F | |
dc.contributor.author | Jolly, K | |
dc.contributor.author | Miles, J | |
dc.contributor.author | Paul, K | |
dc.contributor.author | Doherty, P | |
dc.contributor.author | Singh, S | |
dc.contributor.author | Davies, R | |
dc.contributor.author | Noonan, M | |
dc.contributor.author | Dalal, H | |
dc.contributor.author | Taylor, R | |
dc.date.accessioned | 2019-06-03T11:17:32Z | |
dc.date.issued | 2019-05-22 | |
dc.description.abstract | Background: Caregivers frequently provide support to people living with long-term conditions. However, there is
paucity of evidence of interventions that support caregivers in their role. Rehabilitation EnAblement in Chronic Heart
Failure (REACH-HF) is a novel home-based, health-professional-facilitated, self-management programme for patients
with heart failure (HF) and their caregivers.
Methods: Based on the random allocation of individual adult patients with reduced ejection fraction (HFrEF) and left
ventricular ejection fraction <45% within the past five years, the caregiver of patients was allocated to receive the
REACH-HF intervention over 12 weeks (REACH-HF group) or not (control group). Caregiver outcomes were generic
health-related quality of life (EQ-5D-5L), Family Caregiver Quality of Life Scale questionnaire (FamQol), Caregiver Burden
Questionnaire HF (CBQ-HF), Caregiver Contribution to Self-care of HF Index questionnaire (CC-SCHFI) and Hospital
Anxiety and Depression Scale (HADS). Outcomes were compared between groups at 4, 6 and 12 months follow-up.
Twenty caregivers receiving REACH-HF were purposively selected for qualitative interviews at 4 and 12 months.
Results: Compared with controls (44 caregivers), the REACH-HF group (53 caregivers) had a higher mean CC-SCHFI
confidence score at 12 months (57.5 vs 62.8, adjusted mean difference: 9.3, 95% confidence interval: 1.8–16.8, p =
0.016). No significant between group differences were seen in other caregiver outcomes. Qualitative interviews showed
that most caregivers who received the REACH-HF intervention made positive changes to how they supported the HF
patient they were caring for, and perceived that they had increased their confidence in the caregiver role over time.
Conclusion: Provision of the REACH-HF intervention for caregivers of HF patients improved their confidence of selfmanagement and was perceived for some to be helpful in supporting their caregiver role. | en_GB |
dc.description.sponsorship | National Institute for Health Research (NIHR) | en_GB |
dc.identifier.citation | Published online 22 May 2019 | en_GB |
dc.identifier.doi | 10.1177/1474515119850011 | |
dc.identifier.grantnumber | RP-PG-1210-12004) | en_GB |
dc.identifier.uri | http://hdl.handle.net/10871/37354 | |
dc.language.iso | en | en_GB |
dc.publisher | SAGE Publications | en_GB |
dc.subject | Heart failure | en_GB |
dc.subject | caregiver | en_GB |
dc.subject | cardiac rehabilitation self-management | en_GB |
dc.subject | home-based programme | en_GB |
dc.title | Caregiver outcomes of the REACH-HF multicentre randomized controlled trial of home-based rehabilitation for heart failure with reduced ejection fraction | en_GB |
dc.type | Article | en_GB |
dc.date.available | 2019-06-03T11:17:32Z | |
dc.identifier.issn | 1474-5151 | |
dc.description | This is the final version. Available from the publisher via the DOI in this record. | en_GB |
dc.identifier.journal | European Journal of Cardiovascular Nursing | en_GB |
dc.rights.uri | http://creativecommons.org/licenses/by-nc/4.0/ | en_GB |
dcterms.dateAccepted | 2019-05-18 | |
rioxxterms.version | VoR | en_GB |
rioxxterms.licenseref.startdate | 2019-05-18 | |
rioxxterms.type | Journal Article/Review | en_GB |
refterms.dateFCD | 2019-06-03T11:14:49Z | |
refterms.versionFCD | VoR | |
refterms.dateFOA | 2019-06-03T11:17:35Z | |
refterms.panel | A | en_GB |