Evidence map›Paper›PMID 31117815›Full record

Trial reportEuropean journal of cardiovascular nursing2019

Caregiver outcomes of the REACH-HF multicentre randomized controlled trial of home-based rehabilitation for heart failure with reduced ejection fraction.

Jennifer Wingham, Julia Frost, Nicky Britten, Colin Greaves, Charles Abraham, Fiona C Warren, Kate Jolly, Jackie Miles, Kevin Paul, Patrick J Doherty and 5 more

Open access · hybridAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in European journal of cardiovascular nursing, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 4 pooled it
5.2field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 4 syntheses or guidelines pooled it, 54 citations in OpenAlex.

  1. Pooled it
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  16. The year in cardiology: heart failure.European heart journal · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 8 institutions in 1 country.

Jennifer WinghamPrimary Care Research Group, University of Exeter Medical School, UK.
Julia FrostInstitute of Health Research, University of Exeter Medical School, UK.
Nicky BrittenInstitute of Health Research, University of Exeter Medical School, UK.
Colin GreavesInstitute of Applied Health Research, University of Birmingham, UK.
Charles AbrahamInstitute of Health Research, University of Exeter Medical School, UK.
Fiona C WarrenInstitute of Health Research, University of Exeter Medical School, UK.
Kate JollyInstitute of Applied Health Research, University of Birmingham, UK.
Jackie MilesAnuerin Bevan University Health Board, Research and Development, Abergavenny, UK.
Kevin PaulREACH-HF Patient and Public Involvement Group, c/o Royal Cornwall Hospitals NHS Trust, UK.
Patrick J DohertyNational Audit of Cardiac Rehabilitation, University of York, UK.
Sally SinghUniversity Hospitals of Leicester NHS Trust, UK.
Russell DaviesSandwell & West Birmingham Hospitals NHS Trust, Birmingham, UK.
Miriam NoonanInstitute of Health Research, University of Exeter Medical School, UK.
Hasnain DalalInstitute of Health Research, University of Exeter Medical School, UK.
Rod S TaylorInstitute of Health Research, University of Exeter Medical School, UK.
University of Exeter · GBUniversity of Birmingham · GBAneurin Bevan University Health Board · GBRoyal Cornwall Hospital · GBRoyal Cornwall Hospital Trust · GBSandwell & West Birmingham Hospitals NHS Trust · GBUniversity Hospitals of Leicester NHS Trust · GBUniversity of York · GB

Funding

Department of Health RP-PG-1210-12004
6 · The paper itself

Abstract

backgroundCaregivers 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.

methodsBased on the random allocation of individual adult patients with reduced ejection fraction (HFrEF) and left ventricular ejection fraction <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.

resultsCompared 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,

conclusionProvision 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.

Indexed as

AdultAgedAged, 80 and overCaregiversChronic DiseaseFemaleHeart FailureHome NursingHumansMaleMiddle AgedQuality of LifeSurveys and Questionnairescardiac rehabilitation self-managementcaregiverHeart failurehome-based programme

Identifiers

PMID31117815
PMCPMC6764010
OpenAlexW2946416384

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.