Journal article

Home-based rehabilitation for heart failure with reduced ejection fraction: mixed methods process evaluation of the REACH-HF multicentre randomised controlled trial

Julia Frost, Jennifer Wingham, Nicky Britten, Colin Greaves, Charles Abraham, Fiona C Warren, Kate Jolly, Patrick Joseph Doherty, Jackie Miles, Sally J Singh, Kevin Paul, Rod Taylor, Hasnain Dalal

BMJ Open | BMJ PUBLISHING GROUP | Published : 2019

Abstract

OBJECTIVE: To identify and explore change processes explaining the effects of the Rehabilitation Enablement in Chronic Heart Failure (REACH-HF) intervention taking account of reach, amount of intervention received, delivery fidelity and patient and caregiver perspectives. DESIGN: Mixed methods process evaluation parallel to a randomised controlled trial using data from the intervention group (REACH-HF plus usual care). SETTING: Four centres in the UK (Birmingham, Cornwall, Gwent and York). PARTICIPANTS: People with heart failure with reduced ejection fraction (HFrEF) and their caregivers. METHODS: The REACH-HF intervention consisted of a self-help manual for patients with HFrEF and caregiver..

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Grants

Awarded by National Institute for Health Research (NIHR)


Funding Acknowledgements

REACH-HF was funded by a Programme Grant for Applied Research (RP-PG-1210-12004) awarded by the National Institute for Health Research (NIHR). Nicky Britten and Charles Abraham are part-funded by the National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care South West Peninsula. Kate Jolly is part-funded by the National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care (CLAHRC) West Midlands.