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Caregiver outcomes of the REACH-HF multicentre randomized controlled trial of home-based rehabilitation for heart failure with reduced ejection fraction.
- Source :
-
European journal of cardiovascular nursing [Eur J Cardiovasc Nurs] 2019 Oct; Vol. 18 (7), pp. 611-620. Date of Electronic Publication: 2019 May 22. - Publication Year :
- 2019
-
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.<br />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.<br />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.<br />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.
- Subjects :
- Adult
Aged
Aged, 80 and over
Chronic Disease nursing
Chronic Disease rehabilitation
Female
Humans
Male
Middle Aged
Surveys and Questionnaires
Caregivers psychology
Caregivers statistics & numerical data
Heart Failure nursing
Heart Failure rehabilitation
Home Nursing psychology
Home Nursing statistics & numerical data
Quality of Life psychology
Subjects
Details
- Language :
- English
- ISSN :
- 1873-1953
- Volume :
- 18
- Issue :
- 7
- Database :
- MEDLINE
- Journal :
- European journal of cardiovascular nursing
- Publication Type :
- Academic Journal
- Accession number :
- 31117815
- Full Text :
- https://doi.org/10.1177/1474515119850011