{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T07:40:21Z","timestamp":1767166821037,"version":"build-2238731810"},"reference-count":39,"publisher":"BMJ","issue":"6","license":[{"start":{"date-parts":[[2020,6,18]],"date-time":"2020-06-18T00:00:00Z","timestamp":1592438400000},"content-version":"unspecified","delay-in-days":17,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000855","name":"University of Birmingham","doi-asserted-by":"publisher","award":["PhD studentship for Paulina Daw"],"award-info":[{"award-number":["PhD studentship for Paulina Daw"]}],"id":[{"id":"10.13039\/501100000855","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100007602","name":"Programme Grants for Applied Research","doi-asserted-by":"publisher","award":["RP-PG-1210-12004"],"award-info":[{"award-number":["RP-PG-1210-12004"]}],"id":[{"id":"10.13039\/501100007602","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Cardiac rehabilitation (CR) improves health-related quality of life and reduces hospital admissions. However, patients with heart failure (HF) often fail to attend centre-based CR programmes. Novel ways of delivering healthcare, such as home-based CR programmes, may improve uptake of CR. Rehabilitation EnAblement in CHronic Heart Failure (REACH-HF) is a new, effective and cost-effective home-based CR programme for people with HF. The aim of this prospective mixed-method implementation evaluation study is to assess the implementation of the REACH-HF CR programme in the UK National Health Service (NHS). The specific objectives are to (1) explore NHS staff perceptions of the barriers and facilitators to the implementation of REACH-HF, (2) assess the quality of delivery of the programme in real-life clinical settings, (3) consider the nature of any adaptation(s) made and how they might impact on intervention effectiveness and (4) compare real-world patient outcomes to those seen in a prior clinical trial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and analysis<\/jats:title>\n                    <jats:p>REACH-HF will be rolled out in four NHS CR centres across the UK. Three healthcare professionals from each site will be trained to deliver the 12-week programme. In-depth qualitative interviews and focus groups will be conducted with approximately 24 NHS professionals involved in delivering or commissioning the programme. Consultations for 48 patients (12 per site) will be audio recorded and scored using an intervention fidelity checklist. Outcomes routinely recorded in the National Audit of Cardiac Rehabilitation will be analysed and compared with outcomes from a recent randomised controlled trial: the Minnesota Living with HF Questionnaire and exercise capacity (Incremental Shuttle Walk Test). Qualitative research findings will be mapped onto the Normalisation Process Theory framework and presented in the form of a narrative synthesis. Results of the study will inform national roll-out of REACH-HF.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ethics and dissemination<\/jats:title>\n                    <jats:p>The study (IRAS 261723) has received ethics approval from the South Central (Hampshire B) Research Ethics Committee (19\/SC\/0304). Written informed consent will be obtained from all health professionals and patients participating in the study. The research team will ensure that the study is conducted in accordance with the Declaration of Helsinki, the Data Protection Act 2018, General Data Protection Regulations and in accordance with the Research Governance Framework for Health and Social Care (2005). Findings will be published in scientific peer-reviewed journals and presented at local, national and international meetings to publicise and explain the research methods and findings to key audiences to facilitate the further uptake of the REACH-HF intervention.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2019-036137","type":"journal-article","created":{"date-parts":[[2020,6,22]],"date-time":"2020-06-22T03:02:52Z","timestamp":1592794972000},"page":"e036137","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Getting evidence into clinical practice: protocol for evaluation of the implementation of a home-based cardiac rehabilitation programme for patients with heart failure"],"prefix":"10.1136","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0942-3953","authenticated-orcid":false,"given":"Paulina","family":"Daw","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7848-2159","authenticated-orcid":false,"given":"Samantha B","family":"van Beurden","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4425-2691","authenticated-orcid":false,"given":"Colin","family":"Greaves","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8422-9512","authenticated-orcid":false,"given":"Jet J C S","family":"Veldhuijzen van Zanten","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2257-6508","authenticated-orcid":false,"given":"Alexander","family":"Harrison","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7316-7544","authenticated-orcid":false,"given":"Hasnain","family":"Dalal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0283-3095","authenticated-orcid":false,"given":"Sinead T J","family":"McDonagh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1887-0237","authenticated-orcid":false,"given":"Patrick J","family":"Doherty","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3043-6011","authenticated-orcid":false,"given":"Rod S","family":"Taylor","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2020,6,21]]},"reference":[{"key":"2021031100000462000_10.6.e036137.1","unstructured":"The British heart Foundation. facts and figures, 2019. Available: https:\/\/www.bhf.org.uk\/what-we-do\/news-from-the-bhf\/contact-the-press-office\/facts-and-figures [Accessed Nov 2019]."},{"key":"2021031100000462000_10.6.e036137.2","unstructured":"The National health service (NHS). cardiovascular disease (CVD), 2019. Available: https:\/\/www.england.nhs.uk\/ourwork\/clinical-policy\/cvd\/ [Accessed Nov 2019]."},{"key":"2021031100000462000_10.6.e036137.3","first-page":"cd003331","article-title":"Exercise-based cardiac rehabilitation for adults with heart failure","volume":"1","author":"Long","year":"2019","journal-title":"Cochrane Database Syst Rev"},{"key":"2021031100000462000_10.6.e036137.4","doi-asserted-by":"publisher","DOI":"10.1177\/1742395315574765"},{"key":"2021031100000462000_10.6.e036137.5","first-page":"cd011273","article-title":"Cardiac rehabilitation for people with heart disease: an overview of Cochrane systematic reviews","volume":"12","author":"Anderson","year":"2014","journal-title":"Cochrane Database Syst Rev"},{"key":"2021031100000462000_10.6.e036137.6","unstructured":"National Institute for Health and Care Excellence . Chronic heart failure in adults: diagnosis and management (NICE guideline 106), 2018. Available: https:\/\/www.nice.org.uk\/guidance\/ng106 [Accessed Nov 2019]."},{"key":"2021031100000462000_10.6.e036137.7","unstructured":"National Audit of Cardiac Rehabilitation . National audit of cardiac rehabilitation (NACR) quality and outcomes report, 2018. Available: https:\/\/www.bhf.org.uk\/informationsupport\/publications\/statistics\/national-audit-of-cardiac-rehabilitation-quality-and-outcomes-report-2018 [Accessed Nov 2019]."},{"key":"2021031100000462000_10.6.e036137.8","unstructured":"National Institute for Health and Care Excellence (NICE) . Chronic heart failure in adults: management (NICE clinical guideline CG108), 2010. Available: https:\/\/www.nice.org.uk\/guidance\/cg108 [Accessed Nov 2019]."},{"key":"2021031100000462000_10.6.e036137.9","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1186\/s40814-016-0075-x","article-title":"Optimising self-care support for people with heart failure and their caregivers: development of the rehabilitation enablement in chronic heart failure (REACH-HF) intervention using intervention mapping","volume":"2","author":"Greaves","year":"2016","journal-title":"Pilot Feasibility Stud"},{"key":"2021031100000462000_10.6.e036137.10","unstructured":"Bartholomew Eldredge LK , Markham CM , Ruiter RAC , et al . Planning health promotion programs: an intervention mapping approach. Hoboken: John Wiley & Sons, 2016."},{"key":"2021031100000462000_10.6.e036137.11","doi-asserted-by":"crossref","first-page":"262","DOI":"10.1177\/2047487318806358","article-title":"The effects and costs of home-based rehabilitation for heart failure with reduced ejection fraction: the REACH-HF multicentre randomized controlled trial","volume":"26","author":"Dalal","year":"2019","journal-title":"Eur J Prev Cardiol"},{"key":"2021031100000462000_10.6.e036137.12","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-019649"},{"key":"2021031100000462000_10.6.e036137.13","unstructured":"Castle-Clarke S , Edwards N , Buckingham H . Falling short: why the NHS is still struggling to make the most of new innovations. Nuffieldtrust Briefing, 2017. Available: https:\/\/www.nuffieldtrust.org.uk\/research\/falling-short-why-the-nhs-is-still-struggling-to-make-the-most-of-new-innovations [Accessed Nov 2019]."},{"key":"2021031100000462000_10.6.e036137.14","unstructured":"Cooksey DA . Review of UK health research funding. London: HM Treasury, 2006. Available: https:\/\/assets.publishing.service.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/228984\/0118404881.pdf [Accessed Nov 2019]."},{"key":"2021031100000462000_10.6.e036137.15","unstructured":"Horton T , Illingworth J , Warburton W . The spread challenge: how to support the successful uptake of innovations and improvements in health care. London: health Foundation, 2018. Available: https:\/\/www.health.org.uk\/publications\/the-spread-challenge [Accessed Nov 2019]."},{"key":"2021031100000462000_10.6.e036137.16","unstructured":"De Silva D . What\u2019s getting in the way? Barriers to Improvement in the NHS. The Health Foundation: evidence scan, 2015. Available: https:\/\/www.health.org.uk\/publications\/what%E2%80%99s-getting-in-the-way-barriers-to-improvement-in-the-nhs [Accessed Nov 2019]."},{"key":"2021031100000462000_10.6.e036137.17","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2214.2009.01027.x"},{"key":"2021031100000462000_10.6.e036137.18","unstructured":"Fixsen DL , Naoom SF , Blase KA , et al . Implementation research: a synthesis of the literature. Tampa, FL: University of South Florida, Louis de la Parte Florida Mental Health Institute, 2005."},{"key":"2021031100000462000_10.6.e036137.19","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1186\/s13012-018-0815-9","article-title":"A systematic review of adaptations of evidence-based public health interventions globally","volume":"13","author":"Escoffery","year":"2018","journal-title":"Implement Sci"},{"key":"2021031100000462000_10.6.e036137.20","doi-asserted-by":"crossref","first-page":"164","DOI":"10.1002\/nur.20373","article-title":"Implementation fidelity in community-based interventions","volume":"33","author":"Breitenstein","year":"2010","journal-title":"Res Nurs Health"},{"key":"2021031100000462000_10.6.e036137.21","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-0009.2007.00478.x"},{"key":"2021031100000462000_10.6.e036137.22","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3310\/hta8060","article-title":"Effectiveness and efficiency of guideline dissemination and implementation strategies","volume":"8","author":"Grimshaw","year":"2004","journal-title":"Health Technol Assess"},{"key":"2021031100000462000_10.6.e036137.23","doi-asserted-by":"publisher","DOI":"10.1111\/j.0887-378X.2004.00325.x"},{"key":"2021031100000462000_10.6.e036137.24","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1080\/17489539.2017.1394807","article-title":"Beyond RCTs: innovations in research design and methods to advance implementation science","volume":"11","author":"Schliep","year":"2017","journal-title":"Evid Based Commun Assess Interv"},{"key":"2021031100000462000_10.6.e036137.25","doi-asserted-by":"crossref","DOI":"10.1186\/s12955-016-0425-7","article-title":"The Minnesota living with heart failure questionnaire: comparison of different factor structures","volume":"14","author":"Bilbao","year":"2016","journal-title":"Health Qual Life Outcomes"},{"key":"2021031100000462000_10.6.e036137.26","doi-asserted-by":"publisher","DOI":"10.1136\/thx.47.12.1019"},{"key":"2021031100000462000_10.6.e036137.27","doi-asserted-by":"publisher","DOI":"10.1093\/fampra\/13.6.522"},{"key":"2021031100000462000_10.6.e036137.28","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2015-009994"},{"key":"2021031100000462000_10.6.e036137.29","doi-asserted-by":"crossref","first-page":"1252","DOI":"10.1177\/2047487319833507","article-title":"The cost effectiveness of REACH-HF and home-based cardiac rehabilitation compared with the usual medical care for heart failure with reduced ejection fraction: a decision model-based analysis","volume":"26","author":"Taylor","year":"2019","journal-title":"Eur J Prev Cardiol"},{"key":"2021031100000462000_10.6.e036137.30","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2018-026039"},{"key":"2021031100000462000_10.6.e036137.31","unstructured":"Dreyfus HL . The Dreyfus model of skill acquisition. In: Burke J , ed. Competency based education and training. London: Falmer Press, 1989."},{"key":"2021031100000462000_10.6.e036137.32","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1016\/j.physio.2015.08.004","article-title":"The 10m incremental shuttle walk test is a highly reliable field exercise test for patients referred to cardiac rehabilitation: a retest reliability study","volume":"102","author":"Hanson","year":"2016","journal-title":"Physiotherapy"},{"key":"2021031100000462000_10.6.e036137.33","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1177\/1474515117721129","article-title":"Is the 10 M incremental shuttle walk test a useful test of exercise capacity for patients referred to cardiac rehabilitation?","volume":"17","author":"Hanson","year":"2018","journal-title":"Eur J Cardiovasc Nurs"},{"key":"2021031100000462000_10.6.e036137.34","unstructured":"Richards L . Handling qualitative data: a practical guide. Los Angeles: SAGE, 2014."},{"key":"2021031100000462000_10.6.e036137.35","unstructured":"Ritchie J , Spencer L . Qualitative data analysis for applied policy research by Jane Ritchie and Liz Spencer. In: Bryman A , Burgess RG , eds. Analysing qualitative data. London: Routledge, 1994: 173\u201394."},{"key":"2021031100000462000_10.6.e036137.36","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-018-0758-1"},{"key":"2021031100000462000_10.6.e036137.37","first-page":"69","article-title":"Statistics corner: a guide to appropriate use of correlation coefficient in medical research","volume":"24","author":"Mukaka","year":"2012","journal-title":"Malawi Med J"},{"key":"2021031100000462000_10.6.e036137.38","unstructured":"Gwet KL . Handbook of inter-rater reliability: the definitive guide to measuring the extent of agreement among Raters. Gaithersburg: Advanced Analytics, 2010."},{"key":"2021031100000462000_10.6.e036137.39","unstructured":"Implementation of an evidence-based home cardiac rehabilitation programme for heart failure patients and their caregivers in Scotland (SCOT:REACH-HF). Available: https:\/\/www.gla.ac.uk\/researchinstitutes\/healthwellbeing\/research\/mrccsosocialandpublichealthsciencesunit\/programmes\/complexity\/complexinterventions\/scotreach\/ [Accessed Apr2020]."}],"updated-by":[{"DOI":"10.1136\/bmjopen-2019-036137corr1","type":"correction","label":"Correction","source":"publisher","updated":{"date-parts":[[2021,3,12]],"date-time":"2021-03-12T00:00:00Z","timestamp":1615507200000}}],"container-title":["BMJ Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjopen-2019-036137","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,3,11]],"date-time":"2021-03-11T03:01:25Z","timestamp":1615431685000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmjopen.bmj.com\/lookup\/doi\/10.1136\/bmjopen-2019-036137"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,6]]},"references-count":39,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2020,6,21]]},"published-print":{"date-parts":[[2020,6]]}},"alternative-id":["10.1136\/bmjopen-2019-036137"],"URL":"https:\/\/doi.org\/10.1136\/bmjopen-2019-036137","relation":{},"ISSN":["2044-6055","2044-6055"],"issn-type":[{"value":"2044-6055","type":"print"},{"value":"2044-6055","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,6]]}}}