TY - JOUR
T1 - Caregiver outcomes of the REACH-HF multicenter randomized controlled trial of homebased rehabilitation for heart failure with reduced ejection fraction
AU - Taylor, Rod S
AU - Wingham, Jennifer
AU - Frost, Julia
AU - Britten, Nicky
AU - Greaves, Colin
AU - Abraham, Charles
AU - Warren, Fiona C
AU - Jolly, Kate
AU - Miles , Jackie
AU - Paul, Kevin
AU - Doherty, Patrick Joseph
AU - Singh, Sally
AU - Davies, Russell
AU - Noonan, Miriam
AU - Dalal, Hasnain M
PY - 2019/4/23
Y1 - 2019/4/23
N2 - 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 (REACHHF)
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 adults with reduced ejection fraction (HFrEF) and
left ventricular ejection fraction <45% within the past five years, caregivers were
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 to 16.8, p=0.016). No significant
between group differences were seen in other caregiver outcomes. Qualitative
interviews revealed that the intervention was associated with some perceived gains in
the caregiving role.
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.
AB - 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 (REACHHF)
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 adults with reduced ejection fraction (HFrEF) and
left ventricular ejection fraction <45% within the past five years, caregivers were
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 to 16.8, p=0.016). No significant
between group differences were seen in other caregiver outcomes. Qualitative
interviews revealed that the intervention was associated with some perceived gains in
the caregiving role.
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.
M3 - Article
SN - 1474-5151
JO - European Journal of Cardiovascular Nursing
JF - European Journal of Cardiovascular Nursing
ER -