Status:
COMPLETED
CR: Developing an Intervention to Improve Acceptance of Referral in HF
Lead Sponsor:
University of Leicester
Collaborating Sponsors:
British Heart Foundation
Conditions:
Heart Failure
Frailty
Eligibility:
All Genders
18+ years
Brief Summary
Background: There are proven benefits to people with chronic heart failure (CHF) participating in a cardiac rehabilitation (CR) programme, however uptake remains disappointingly low. Admission to hosp...
Detailed Description
Trial Design: Mixed method approach to development of an intervention: observational cohort study, semi-structured interviews, focus groups, staff survey, theory informed intervention development usin...
Eligibility Criteria
Inclusion
- Observational study:
- Clinical diagnosis of chronic heart failure confirmed by cardiac imaging.
- Current admission for which the primary reason was decompensated heart failure requiring IV diuretics
- Referred to the acute trusts heart failure nursing service
- Able to give informed consent
- Able to communicate in spoken English
Exclusion
- Contraindications to participating in cardiac rehabilitation as detailed in ESC consensus statement e.g. uncontrolled hypertension severe aortic stenosis, unstable angina
- Moderate to severe cognitive impairment
- Patients with severe dependence prior to index admission (inability to carry out ADL)
- Admitted from a nursing home
- Resident 'out of area'
- Significant co-morbidities that would limit participation in a cardiac rehabilitation programme e.g. neurodegenerative conditions
- Previous recruitment onto this study
- Semi-structured interviews: Purposive sampling
- Inclusion criteria:
- Patients with chronic heart failure who fulfil the criteria for referral to the cardiac rehabilitation service will be eligible to participate in the interviews if they are:
- Age 18 years or over
- Have a clinical diagnosis of CHF confirmed by cardiac imaging.
- Referred to the acute trusts heart failure nursing service and/or cardiac rehabilitation team
- Able to give informed consent
- Able to communicate in spoken English
- Exclusion criteria:
- Contraindications to participating in cardiac rehabilitation as detailed in ESC consensus statement (See Appendix D) e.g. uncontrolled hypertension, severe aortic stenosis, unstable angina
- Moderate to severe cognitive impairment
- Nursing home resident
- Significant co-morbidities that would limit participation in a cardiac rehabilitation programme e.g. neurodegenerative conditions
- Previous recruitment onto this study
- Focus groups: convenience sampling
- Inclusion criteria:
- Staff from study site who are involved in the provision of cardiac rehabilitation to people with heart failure will be eligible to participate in the focus group.
- Survey: convenience sampling
- Inclusion criteria:
- Health care professionals who refer to or deliver cardiac rehabilitation.
Key Trial Info
Start Date :
February 5 2020
Trial Type :
OBSERVATIONAL
Allocation :
ACTUAL
End Date :
November 1 2022
Estimated Enrollment :
68 Patients enrolled
Trial Details
Trial ID
NCT04276675
Start Date
February 5 2020
End Date
November 1 2022
Last Update
September 15 2023
Active Locations (1)
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1
Glenfield Hospital
Leicester, Leicestershire, United Kingdom, LE3 9QP