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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
- Publication Year :
- 2019
- Publisher :
- Oxford University Press (OUP), 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. Methods: Based on the random allocation of individual adult patients with reduced ejection fraction (HFrEF) and left ventricular ejection fraction 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.
- Subjects :
- Adult
Male
medicine.medical_specialty
Home Nursing
medicine.medical_treatment
Psychological intervention
home-based programme
law.invention
Randomized controlled trial
law
Surveys and Questionnaires
Humans
Medicine
caregiver
Aged
Aged, 80 and over
Heart Failure
Advanced and Specialized Nursing
Self-management
Ejection fraction
Rehabilitation
business.industry
Original Articles
Middle Aged
medicine.disease
Medical–Surgical Nursing
cardiac rehabilitation self-management
Caregivers
Home based rehabilitation
Heart failure
Chronic Disease
Quality of Life
Physical therapy
Female
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- ISSN :
- 18731953 and 14745151
- Volume :
- 18
- Database :
- OpenAIRE
- Journal :
- European Journal of Cardiovascular Nursing
- Accession number :
- edsair.doi.dedup.....519a8dda24bb9a403b2554f6ceda05fc