In category: Previous work

The findings of this trial were published online in the European Journal of Preventive Cardiology on 11th October 2018.The key finding was that heart failure patients quality of life was significantly improved compared to patients not undergoing rehabilitation. The cost of the intervention was £418 per patient (within the current price that the NHS pays […]

The REACH-HFpEF pilot study findings support the feasibility and acceptability of the home-based REACH-HF rehabilitation intervention in patients with HFpEF and their caregivers and indicate that it is feasible to recruit and retain participants in a randomised trial with follow-up. Potential favourable impacts of the REACH-HF intervention on caregiver mental health and measures of burden […]

Background The REACH-HF feasibility study was a multicentre single-arm feasibility study with parallel process evaluation to assess the feasibility and acceptability of the REACH-HF manual for systolic HF patients, their caregivers and facilitators delivering the intervention. The feasibility study was conducted in preparation for a fully powered randomised controlled trial assessing the clinical effectiveness and […]

This paper details the process by which the REACH-HF intervention (including the Heart Failure Manual, Family and Friends Resource, Progress Tracker, exercise programme and facilitator training course) was developed. Greaves CJ, Wingham J, Deighan C, Doherty P, Elliott J, Armitage W, Clark M, Austin J, Abraham C, Frost J, Singh S, Jolly K, Paul K, […]

This paper discusses the thematic analysis of interviews with 22 caregivers of people with heart failure. The research found that caregivers may have many unmet practical and emotional needs. Based on this evidence a caregiver needs assessment model, suitable for use by health and social care professionals was developed. Wingham J, Frost J, Britten N: […]

This was a qualitative study, using interviews and a focus group to identify the needs of 26 caregivers supporting a person with heart failure. The findings were used to inform the development of the home-based, facilitated REACH-HF intervention, including the Heart Failure Manual and ‘Family and Friends Resource’. Wingham J, Frost J, Britten N, Jolly […]

This programme consisted of four conceptually linked work packages building on existing evidence for self-managing heart failure. Work Package 1 This work package used systematic intervention development methods to develop a home based self-help manual for people with systolic heart failure and their caregivers (‘the HF Manual’). It was divided into two sections: Work Package […]

This work consisted of a survey of current provision of cardiac rehabilitation, a qualitative synthesis of the experiences, attitudes, beliefs and expectations of self-management of heart failure and a systematic review and meta-analysis of cardiac rehabilitation (CR) in people with HFpEF. National Survey Full data were available for 84% (232/277) CR centres across England, Wales […]