{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,12]],"date-time":"2026-04-12T00:21:13Z","timestamp":1775953273907,"version":"3.50.1"},"reference-count":24,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2019,5,22]],"date-time":"2019-05-22T00:00:00Z","timestamp":1558483200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100000272","name":"national institute for health research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]},{"name":"NIHR Collaboration for Leadership and Health Research"},{"name":"NIHR CLAHRC for the south west peninsula"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Cardiovascular Nursing"],"published-print":{"date-parts":[[2019,10]]},"abstract":"<jats:sec><jats:title>Background:<\/jats:title><jats:p> 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. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods:<\/jats:title><jats:p> Based on the random allocation of individual adult patients with reduced ejection fraction (HFrEF) and left ventricular ejection fraction &lt;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. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p> 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\u201316.8, 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. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion:<\/jats:title><jats:p> 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. <\/jats:p><\/jats:sec>","DOI":"10.1177\/1474515119850011","type":"journal-article","created":{"date-parts":[[2019,5,23]],"date-time":"2019-05-23T06:40:16Z","timestamp":1558593616000},"page":"611-620","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":49,"title":["Caregiver outcomes of the REACH-HF multicentre randomized controlled trial of home-based rehabilitation for heart failure with reduced ejection fraction"],"prefix":"10.1093","volume":"18","author":[{"given":"Jennifer","family":"Wingham","sequence":"first","affiliation":[{"name":"Primary Care Research Group, University of Exeter Medical School, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julia","family":"Frost","sequence":"additional","affiliation":[{"name":"Institute of Health Research, University of Exeter Medical School, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicky","family":"Britten","sequence":"additional","affiliation":[{"name":"Institute of Health Research, University of Exeter Medical School, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Colin","family":"Greaves","sequence":"additional","affiliation":[{"name":"Institute of Applied Health Research, University of Birmingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charles","family":"Abraham","sequence":"additional","affiliation":[{"name":"Institute of Health Research, University of Exeter Medical School, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fiona C","family":"Warren","sequence":"additional","affiliation":[{"name":"Institute of Health Research, University of Exeter Medical School, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kate","family":"Jolly","sequence":"additional","affiliation":[{"name":"Institute of Applied Health Research, University of Birmingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jackie","family":"Miles","sequence":"additional","affiliation":[{"name":"Anuerin Bevan University Health Board, Research and Development, Abergavenny, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin","family":"Paul","sequence":"additional","affiliation":[{"name":"REACH-HF Patient and Public Involvement Group, c\/o Royal Cornwall Hospitals NHS Trust, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick J","family":"Doherty","sequence":"additional","affiliation":[{"name":"National Audit of Cardiac Rehabilitation, University of York, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sally","family":"Singh","sequence":"additional","affiliation":[{"name":"University Hospitals of Leicester NHS Trust, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Russell","family":"Davies","sequence":"additional","affiliation":[{"name":"Sandwell &amp; West Birmingham Hospitals NHS Trust, Birmingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miriam","family":"Noonan","sequence":"additional","affiliation":[{"name":"Institute of Health Research, University of Exeter Medical School, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hasnain","family":"Dalal","sequence":"additional","affiliation":[{"name":"Institute of Health Research, University of Exeter Medical School, UK"},{"name":"Royal Cornwall Hospitals NHS Trust, Truro, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rod S","family":"Taylor","sequence":"additional","affiliation":[{"name":"Institute of Health Research, University of Exeter Medical School, UK"},{"name":"Institute of Health and Well Being, University of Glasgow, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2019,5,22]]},"reference":[{"key":"bibr1-1474515119850011","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(17)32520-5"},{"key":"bibr2-1474515119850011","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.i1651"},{"key":"bibr3-1474515119850011","doi-asserted-by":"publisher","DOI":"10.1177\/1474515113518434"},{"key":"bibr4-1474515119850011","doi-asserted-by":"publisher","DOI":"10.1177\/1742395315574765"},{"key":"bibr5-1474515119850011","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2016-014126"},{"key":"bibr6-1474515119850011","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2017.10.007"},{"key":"bibr7-1474515119850011","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2016.00171"},{"key":"bibr8-1474515119850011","doi-asserted-by":"publisher","DOI":"10.1111\/jan.13192"},{"key":"bibr9-1474515119850011","doi-asserted-by":"publisher","DOI":"10.1186\/s12872-017-0594-2"},{"key":"bibr10-1474515119850011","volume":"6","author":"Anderson L","year":"2017","journal-title":"Cochrane Database Syst Rev"},{"key":"bibr11-1474515119850011","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2017.8039"},{"key":"bibr12-1474515119850011","doi-asserted-by":"crossref","first-page":"e009994","DOI":"10.1136\/bmjopen-2015-009994","volume":"5","author":"Taylor RS","year":"2015","journal-title":"BMJ Open"},{"key":"bibr13-1474515119850011","doi-asserted-by":"publisher","DOI":"10.1177\/1742395313502993"},{"key":"bibr14-1474515119850011","doi-asserted-by":"publisher","DOI":"10.1186\/s40814-016-0075-x"},{"key":"bibr15-1474515119850011","doi-asserted-by":"publisher","DOI":"10.1177\/2047487318806358"},{"key":"bibr16-1474515119850011","doi-asserted-by":"publisher","DOI":"10.1177\/2047487319833507"},{"key":"bibr17-1474515119850011","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.1983.tb09716.x"},{"key":"bibr18-1474515119850011","doi-asserted-by":"publisher","DOI":"10.1016\/0168-8510(90)90421-9"},{"key":"bibr19-1474515119850011","doi-asserted-by":"publisher","DOI":"10.1097\/JCN.0b013e3181e4a313"},{"key":"bibr20-1474515119850011","doi-asserted-by":"publisher","DOI":"10.1186\/1477-7525-11-84"},{"key":"bibr21-1474515119850011","doi-asserted-by":"publisher","DOI":"10.1097\/JCN.0b013e318256385e"},{"key":"bibr22-1474515119850011","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"bibr23-1474515119850011","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCHEARTFAILURE.111.963132"},{"key":"bibr24-1474515119850011","doi-asserted-by":"publisher","DOI":"10.1186\/1477-7525-6-46"}],"container-title":["European Journal of Cardiovascular Nursing"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1474515119850011","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1474515119850011","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1474515119850011","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,1,13]],"date-time":"2021-01-13T09:34:38Z","timestamp":1610530478000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/eurjcn\/article\/18\/7\/611-620\/5925382"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,5,22]]},"references-count":24,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2019,7,25]]},"published-print":{"date-parts":[[2019,10]]}},"alternative-id":["10.1177\/1474515119850011"],"URL":"https:\/\/doi.org\/10.1177\/1474515119850011","relation":{},"ISSN":["1474-5151","1873-1953"],"issn-type":[{"value":"1474-5151","type":"print"},{"value":"1873-1953","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,5,22]]}}}