Caregiver outcomes of the REACH-HF multicentre randomized controlled trial of home-based rehabilitation for heart failure with reduced ejection fraction.
In: European Journal of Cardiovascular Nursing, Jg. 18 (2019-10-01), Heft 7, S. 611-620
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Zugriff:
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 self-management and was perceived for some to be helpful in supporting their caregiver role. [ABSTRACT FROM AUTHOR]
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Titel: |
Caregiver outcomes of the REACH-HF multicentre randomized controlled trial of home-based rehabilitation for heart failure with reduced ejection fraction.
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Autor/in / Beteiligte Person: | Wingham, Jennifer ; Frost, Julia ; Britten, Nicky ; Greaves, Colin ; Abraham, Charles ; Warren, Fiona C ; Jolly, Kate ; Miles, Jackie ; Paul, Kevin ; Doherty, Patrick J ; Singh, Sally ; Davies, Russell ; Noonan, Miriam ; Dalal, Hasnain ; Taylor, Rod S |
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Zeitschrift: | European Journal of Cardiovascular Nursing, Jg. 18 (2019-10-01), Heft 7, S. 611-620 |
Veröffentlichung: | 2019 |
Medientyp: | academicJournal |
ISSN: | 1474-5151 (print) |
DOI: | 10.1177/1474515119850011 |
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