{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T14:00:00Z","timestamp":1782396000370,"version":"3.54.5"},"reference-count":45,"publisher":"MDPI AG","issue":"13","license":[{"start":{"date-parts":[[2025,6,22]],"date-time":"2025-06-22T00:00:00Z","timestamp":1750550400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Resuscitation Council UK"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: Out-of-hospital cardiac arrest (OHCA) survivors and their relatives may face challenges following hospital discharge, relating to mood, cognition, and returning to normal day-to-day activities. Identified research gaps include a lack of knowledge around what type of intervention is needed to best navigate recovery. In this study, we investigate the feasibility and patient acceptability of a new virtual psychoeducational group intervention for OHCA survivors and their relatives and compare it to a control group receiving a digital information booklet. Methods: V-CARE is a comparative, single-blind randomized pilot trial including participants at selected sites of the STEPCARE trial, in the United Kingdom and Sweden. Inclusion criteria are a modified Rankin Scale (mRS) \u2264 3 at 30-day follow-up; no diagnosis of dementia; and not experiencing an acute psychiatric episode. One caregiver per patient is invited to participate optionally. The intervention group in V-CARE receives four semi-structured, one-hour-long, psychoeducational sessions delivered remotely via video call by a trained clinician once a week, 2\u20133 months after hospital discharge. The sessions cover understanding cardiac arrest; coping with fatigue and memory problems; managing low mood and anxiety; and returning to daily life. The control group receives an information booklet focused on fatigue, memory\/cognitive problems, mental health, and practical coping strategies. Results: Primary: feasibility (number of patients consented) and acceptability (retention rate); secondary: satisfaction with care (Client Satisfaction Questionnaire 8 item), self-management skills (Self-Management Assessment Scale) and, where available, health-related outcomes assessed in the STEPCARE Extended Follow-up sub-study including cognition, fatigue, mood, quality of life, and return to work. Conclusions: If preliminary insights from the V-CARE trial suggest the intervention to be feasible and acceptable, the results will be used to design a larger trial aimed at informing future interventions to support OHCA recovery.<\/jats:p>","DOI":"10.3390\/jcm14134429","type":"journal-article","created":{"date-parts":[[2025,6,23]],"date-time":"2025-06-23T07:42:34Z","timestamp":1750664554000},"page":"4429","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["V-CARE (Virtual Care After REsuscitation): Protocol for a Randomized Feasibility Study of a Virtual Psychoeducational Intervention After Cardiac Arrest\u2014A STEPCARE Sub-Study"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3656-5965","authenticated-orcid":false,"given":"Marco","family":"Mion","sequence":"first","affiliation":[{"name":"Essex Cardiothoracic Centre, Mid and South Essex NHS Foundation Trust, Basildon SS16 5NL, UK"},{"name":"Anglia Ruskin School of Medicine and MTRC, Chelmsford CM1 1SQ, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gisela","family":"Lilja","sequence":"additional","affiliation":[{"name":"Neurology, Department of Clinical Sciences Lund, Lund University, SE-221 00 Lund, Sweden"},{"name":"Department of Neurology, Sk\u00e5ne University Hospital, SE-221 85 Lund, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6377-5848","authenticated-orcid":false,"given":"Mattias","family":"Bohm","sequence":"additional","affiliation":[{"name":"Neurology, Department of Clinical Sciences Lund, Lund University, SE-221 00 Lund, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erik Blennow","family":"Nordstr\u00f6m","sequence":"additional","affiliation":[{"name":"Neurology, Department of Clinical Sciences Lund, Lund University, SE-221 00 Lund, Sweden"},{"name":"Department of Rehabilitation Medicine, Sk\u00e5ne University Hospital, SE-221 85 Lund, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dorit","family":"T\u00f6niste","sequence":"additional","affiliation":[{"name":"Neurology, Department of Clinical Sciences Lund, Lund University, SE-221 00 Lund, Sweden"},{"name":"Department of Neurology, Sk\u00e5ne University Hospital, SE-221 85 Lund, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katarina","family":"Heimburg","sequence":"additional","affiliation":[{"name":"Neurology, Department of Clinical Sciences Lund, Lund University, SE-221 00 Lund, Sweden"},{"name":"Department of Cardiology, Sk\u00e5ne University Hospital, SE-221 85 Lund, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3348-6599","authenticated-orcid":false,"given":"Paul","family":"Swindell","sequence":"additional","affiliation":[{"name":"Sudden Cardiac Arrest UK, Benfleet SS7 5HA, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Josef","family":"Dankiewicz","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences Lund, Section of Cardiology, Sk\u00e5ne University Hospital, SE-221 85 Lund, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Markus B.","family":"Skrifvars","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Intensive Care, Helsinki University Hospital and University of Helsinki, 00029 Helsinki, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6013-126X","authenticated-orcid":false,"given":"Niklas","family":"Nielsen","sequence":"additional","affiliation":[{"name":"Anesthesiology and Intensive Care, Department of Clinical Sciences, Helsingborg Hospital Lund, Lund University, SE-221 00 Lund, Sweden"},{"name":"Anesthesia and Intensive Care, Department of Clinical Sciences Lund, Lund University, SE-221 00 Lund, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janus C.","family":"Jakobsen","sequence":"additional","affiliation":[{"name":"Copenhagen Trial Unit, Centre for Clinical Intervention Research, The Capital Region, Copenhagen University Hospital\u2014Rigshospitalet, 2100 Copenhagen, Denmark"},{"name":"Department of Regional Health Research, The Faculty of Health Sciences, University of Southern Denmark, 5230 Odense, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4557-3393","authenticated-orcid":false,"given":"Judith","family":"White","sequence":"additional","affiliation":[{"name":"CEDAR (Centre for Healthcare Evaluation, Device Assessment, and Research), Cardiff and Vale University Health Board, Cardiff CF14 4XN, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matt P.","family":"Wise","sequence":"additional","affiliation":[{"name":"General Adult Intensive Care Unit Critical Care Directorate, University Hospital of Wales, Heath Park, Cardiff CF14 4XW, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikos","family":"Gorgoraptis","sequence":"additional","affiliation":[{"name":"Barts Health NHS Trust, London E1 1BB, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meadbh","family":"Keenan","sequence":"additional","affiliation":[{"name":"Barts Heart and Thorax Centre, St. Bartholomew\u2019s Hospital, London EC1A 7BE, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philip","family":"Hopkins","sequence":"additional","affiliation":[{"name":"Department of Critical Care, King\u2019s College Hospital NHS Foundation Trust, London SE5 9RS, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nilesh","family":"Pareek","sequence":"additional","affiliation":[{"name":"Department of Cardiology, King\u2019s College Hospital, NHS Foundation Trust, London SE5 9RS, UK"},{"name":"School of Cardiovascular Metabolic Medicine & Sciences, BHF Centre of Excellence, King\u2019s College London, London SE1 7EH, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Maccaroni","sequence":"additional","affiliation":[{"name":"Essex Cardiothoracic Centre, Mid and South Essex NHS Foundation Trust, Basildon SS16 5NL, UK"},{"name":"Anglia Ruskin School of Medicine and MTRC, Chelmsford CM1 1SQ, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8695-7994","authenticated-orcid":false,"given":"Thomas R.","family":"Keeble","sequence":"additional","affiliation":[{"name":"Essex Cardiothoracic Centre, Mid and South Essex NHS Foundation Trust, Basildon SS16 5NL, UK"},{"name":"Anglia Ruskin School of Medicine and MTRC, Chelmsford CM1 1SQ, 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