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 caregiver’s

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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 caregiver’s. / Smith, Karen M; Lang, Chim C; Wingham, Jennifer; Frost, Julia; Greaves, Colin; Abraham, Charles; Warren, Fiona C; Coyle, Joanne; Jolly, Kate; Miles , Jackie; Paul, Kevin; Doherty, Patrick Joseph; Davies, Russell; Dalal, Hasnain M; taylor, Rod S.

In: Pilot and Feasibility Studies, Vol. 7, No. 1, 11 , 12.2021.

Research output: Contribution to journalArticlepeer-review

Harvard

APA

Smith, K. M., Lang, C. C., Wingham, J., Frost, J., Greaves, C., Abraham, C., Warren, F. C., Coyle, J., Jolly, K., Miles , J., Paul, K., Doherty, P. J., Davies, R., Dalal, H. M., & taylor, R. S. (2021). 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 caregiver’s. Pilot and Feasibility Studies, 7(1), [11 ]. https://doi.org/10.1186/s40814-020-00747-2

Vancouver

Author

Smith, Karen M ; Lang, Chim C ; Wingham, Jennifer ; Frost, Julia ; Greaves, Colin ; Abraham, Charles ; Warren, Fiona C ; Coyle, Joanne ; Jolly, Kate ; Miles , Jackie ; Paul, Kevin ; Doherty, Patrick Joseph ; Davies, Russell ; Dalal, Hasnain M ; taylor, Rod S. / 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 caregiver’s. In: Pilot and Feasibility Studies. 2021 ; Vol. 7, No. 1.

Bibtex

@article{7a5b3d675f564fc2bde65e36660165b0,
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 caregiver{\textquoteright}s",
abstract = "Background: Whilst heart failure (HF) with preserved ejection fraction (HFpEF) affects almost 50 percent of the HF population, evidence-based treatment options 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 parallel to a single centre (Tayside, Scotland) randomised controlled pilot trial with qualitative assessment of both intervention fidelity delivery and HFpEF patients{\textquoteright} and caregivers{\textquoteright} 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 7 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) patients{\textquoteright} and caregivers{\textquoteright} responses to the REACH-HF intervention. The differing professional backgrounds demonstrate the possibility of delivering REACH-HF by either existing HF or cardiac rehabilitation services of a combination of the two.Conclusions: The REACH-HF home-based facilitated intervention for HFpEF appears feasible and well accepted model for delivery of a cardiac rehabilitation intervention, with the potential to address key unmet needs of patients and their caregivers who are often excluded from service provision and current CR programmes. Results of this study will inform a recently funded full multicentre randomised clinical trial.Trial registration: ISRCTN78539530 (date registration 7th July 2015) http://www.isrctn.com/ISRCTN78539530",
keywords = "Cardiac rehabilitation, Heart failure, Preserved ejection fraction, Home-based, Process evaluation, Caregivers",
author = "Smith, {Karen M} and Lang, {Chim C} and Jennifer Wingham and Julia Frost and Colin Greaves and Charles Abraham and Warren, {Fiona C} and Joanne Coyle and Kate Jolly and Jackie Miles and Kevin Paul and Doherty, {Patrick Joseph} and Russell Davies and Dalal, {Hasnain M} and taylor, {Rod S}",
year = "2021",
month = jan,
day = "6",
doi = "10.1186/s40814-020-00747-2",
language = "English",
volume = "7",
journal = "Pilot and Feasibility Studies",
issn = "2055-5784",
publisher = "Springer Verlag",
number = "1",

}

RIS

TY - JOUR

T1 - 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 caregiver’s

AU - Smith, Karen M

AU - Lang, Chim C

AU - Wingham, Jennifer

AU - Frost, Julia

AU - Greaves, Colin

AU - Abraham, Charles

AU - Warren, Fiona C

AU - Coyle, Joanne

AU - Jolly, Kate

AU - Miles , Jackie

AU - Paul, Kevin

AU - Doherty, Patrick Joseph

AU - Davies, Russell

AU - Dalal, Hasnain M

AU - taylor, Rod S

PY - 2021/1/6

Y1 - 2021/1/6

N2 - Background: Whilst heart failure (HF) with preserved ejection fraction (HFpEF) affects almost 50 percent of the HF population, evidence-based treatment options 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 parallel 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 7 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) patients’ and caregivers’ responses to the REACH-HF intervention. The differing professional backgrounds demonstrate the possibility of delivering REACH-HF by either existing HF or cardiac rehabilitation services of a combination of the two.Conclusions: The REACH-HF home-based facilitated intervention for HFpEF appears feasible and well accepted model for delivery of a cardiac rehabilitation intervention, with the potential to address key unmet needs of patients and their caregivers who are often excluded from service provision and current CR programmes. Results of this study will inform a recently funded full multicentre randomised clinical trial.Trial registration: ISRCTN78539530 (date registration 7th July 2015) http://www.isrctn.com/ISRCTN78539530

AB - Background: Whilst heart failure (HF) with preserved ejection fraction (HFpEF) affects almost 50 percent of the HF population, evidence-based treatment options 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 parallel 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 7 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) patients’ and caregivers’ responses to the REACH-HF intervention. The differing professional backgrounds demonstrate the possibility of delivering REACH-HF by either existing HF or cardiac rehabilitation services of a combination of the two.Conclusions: The REACH-HF home-based facilitated intervention for HFpEF appears feasible and well accepted model for delivery of a cardiac rehabilitation intervention, with the potential to address key unmet needs of patients and their caregivers who are often excluded from service provision and current CR programmes. Results of this study will inform a recently funded full multicentre randomised clinical trial.Trial registration: ISRCTN78539530 (date registration 7th July 2015) http://www.isrctn.com/ISRCTN78539530

KW - Cardiac rehabilitation

KW - Heart failure

KW - Preserved ejection fraction

KW - Home-based

KW - Process evaluation

KW - Caregivers

U2 - 10.1186/s40814-020-00747-2

DO - 10.1186/s40814-020-00747-2

M3 - Article

VL - 7

JO - Pilot and Feasibility Studies

JF - Pilot and Feasibility Studies

SN - 2055-5784

IS - 1

M1 - 11

ER -