A randomised controlled trial of a facilitated home-based rehabilitation intervention in patients with heart failure with preserved ejection fraction and their caregivers: REACH-HFpEF pilot study

Dalal, Hasnain M; Lang, Chim C.; Smith, Karen; Wingham, Jenny; Eyre, Victoria; Greaves, Colin; Warren, Fiona C; Green, Colin; Jolly, Kate; Davis, Russell; Doherty, Patrick; Austin, Jackie; Britten, Nicholas; Abraham, Charles; Lingen, Robin Van; Singh, Sally; Paúl, Kevin; Hillsdon, Melvyn; Sadler, Susannah; Hayward, Christopher; Taylor, Rod S

doi:10.3399/bjgp18x697013

Cited by 3 publications

(2 citation statements)

References 20 publications

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“…The REACH-HF intervention achieved clinically meaningful change in the quality of life and is estimated to be cost-effective in increasing the number of quality-adjusted life years, QALY [ 21 ]. However, the efficacy of the REACH-HF intervention in increasing physical activity in HF was not supported [ 22 ]. The REACH-HF intervention was developed using the Intervention Mapping Framework [ 23 ].…”

Section: Introductionmentioning

confidence: 99%

Perceived barriers and enablers influencing physical activity in heart failure: A qualitative one-to-one interview study

Amirova

Lucas²,

Cowie³

et al. 2022

PLoS ONE

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In heart failure (HF), increased physical activity is associated with improved quality of life, reduced hospitalisation, and increased longevity and is an important aim of treatment. However, physical activity levels in individuals living with HF are typically extremely low. This qualitative study with one-to-one interviews systematically explores perceived clinical, environmental, and psychosocial barriers and enablers in older adults (≥70 years old) living with HF. Semi-structured interviews (N = 16) based on the Theoretical Domains Framework elicited 39 belief statements describing the barriers and enablers to physical activity. Theoretical domains containing these beliefs and corresponding constructs that were both pervasive and common were deemed most relevant. These were: concerns about physical activity (Beliefs about Consequences), self-efficacy (Beliefs about Capabilities), social support (Social Influences), major health event (Environmental Context and Resources), goal behavioural (Goal), action planning (Behavioural Regulation). This work extends the limited research on the modifiable barriers and enablers for physical activity participation by individuals living with HF. The research findings provide insights for cardiologists, HF-specialist nurses, and physiotherapists to help co-design and deliver a physical activity intervention more likely to be effective for individuals living with HF.

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Section: Introductionmentioning

confidence: 99%

Perceived barriers and enablers influencing physical activity in heart failure: A qualitative one-to-one interview study

Amirova

Lucas²,

Cowie³

et al. 2022

PLoS ONE

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“…However, as far as we know, there are few studies investigating the effectiveness of home-based care in patients with CVD [20][21][22]. Although there are publications, they focus on clinically homogeneous groups (e.g., heart failure or stroke) [17,23,24].…”

Section: Introductionmentioning

confidence: 99%

Variables Determining Higher Home Care Effectiveness in Patients with Chronic Cardiovascular Disease

Szlenk-Czyczerska

Guzek²,

Bielska

et al. 2022

IJERPH

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The aim of this cross-sectional study was to analyze the variables that influence the effectiveness of home care in patients with chronic cardiovascular disease and their informal caregivers. The study was conducted in 193 patients and their 161 informal caregivers. The study used the WHOQOL-BREF Quality of Life Questionnaire, the health behavior inventory questionnaire (HBI), the Camberwell assessment of need short appraisal schedule (CANSAS) and the hospital anxiety and depression scale–modified (HADS–M) version. Spearman’s rank correlation coefficient test and logistic regression were used for analyses. Analysis of patients revealed an association between home care effectiveness and the following variables (OR per unit): age (OR = 0.98, 95% CI: 0.95–0.99), educational level (OR = 1.45, 95% CI: 1.05–2.02), financial status (OR = 0.43, 95% CI: 0.21–0.83), medication irregularity (OR = 0.25, 95% CI: 0.07–0.72), presence of comorbidities (OR = 6.18, 95% CI: 1.83–23.78), health care services provided by a nurse (OR = 1.25, 95% CI: 1.03–1.64), and number of visits to a cardiology clinic (OR = 1.25, 95% CI: 1.02–1.59). There was no association between care effectiveness and sex (p = 0.28), place of residence (p = 0.757), duration of cardiovascular disease (p = 0.718), number of home visits (p = 0.154), nursing interventions (p = 0.16), and adherence to lifestyle change recommendations (p = 0.539) or proper dietary habits (p = 0.355). A greater chance of improved health care effectiveness was found in patients whose caregivers reported higher social (OR = 1.24, 95% CI: 1.09–1.44), psychological (OR = 1.68, 95% CI: 1.25–2.37), and physical (OR = 1.24, 95% CI: 1.05–1.49) quality of life. Patients with cardiovascular disease who were characterized by lower educational attainment, poorer financial status, fewer visits to cardiology clinics, lower utilization of medical services, poorer self-perception of mental and physical well-being, recent onset of disease symptoms, and irregular use of medications, were much more likely to have poorer health care effectiveness. Patients with cardiovascular disease and their caregivers can be well supported at home as long as the care model is tailored to the specific needs. This includes family care coordination in the health care team, home care, and general practice support.

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Perceived barriers and enablers influencing physical activity in heart failure: a qualitative one-to-one interview study

Amirova

Lucas²,

Cowie³

et al. 2021

Preprint

View full text Add to dashboard Cite

In heart failure (HF), increased physical activity is associated with improved quality of life, reduced hospitalisation, and increased longevity and is an important aim of treatment. However, physical activity levels in individuals living with HF are typically extremely low. This qualitative study with one-to-one interviews systematically explores perceived clinical, environmental, and psychosocial barriers and enablers in older adults (>70 years old) living with HF. Semi-structured interviews (N = 16) based on the Theoretical Domains Framework elicited 78 belief statements describing the barriers and enablers to physical activity. Theoretical domains containing these beliefs and corresponding constructs that were both pervasive and common were deemed most relevant. These were: concerns about physical activity (Beliefs about Consequences), self-efficacy (Beliefs about Capabilities), social support (Social Influences), major health event (Environmental Context and Resources), goal behavioural (Goal), action planning (Behavioural Regulation). This work extends the limited research on the modifiable barriers and enablers for physical activity participation by individuals living with HF. The research findings provide insights for cardiologists, HF-specialist nurses, and physiotherapists to help co-design and deliver a physical activity intervention more likely to be effective for individuals living with HF.

show abstract

A randomised controlled trial of a facilitated home-based rehabilitation intervention in patients with heart failure with preserved ejection fraction and their caregivers: REACH-HFpEF pilot study

Cited by 3 publications

References 20 publications

Perceived barriers and enablers influencing physical activity in heart failure: A qualitative one-to-one interview study

Perceived barriers and enablers influencing physical activity in heart failure: A qualitative one-to-one interview study

Variables Determining Higher Home Care Effectiveness in Patients with Chronic Cardiovascular Disease

Perceived barriers and enablers influencing physical activity in heart failure: a qualitative one-to-one interview study

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