title: Needs of caregivers in heart failure management: A qualitative study.
abstract: OBJECTIVE
  To identify the needs of caregivers supporting a person with heart failure and to inform the development of a caregiver resource to be used as part of a home-based self-management programme.
  
  
  METHODS
  A qualitative study informed by thematic analysis involving 26 caregivers in individual interviews or a focus group.
  
  
  RESULTS
  Three distinct aspects of caregiver support in heart failure management were identified. Firstly, caregivers identified needs about supporting management of heart failure including: coping with the variability of heart failure symptoms, what to do in an emergency, understanding and managing medicines, providing emotional support, promoting exercise and physical activity, providing personal care, living with a cardiac device and supporting depression management. Secondly, as they make the transition to becoming a caregiver, they need to develop skills to undertake difficult discussions about the role; communicate with health professionals; manage their own mental health, well-being and sleep; and manage home and work. Thirdly, caregivers require skills to engage social support, and voluntary and formal services while recognising that the long-term future is uncertain.
  
  
  CONCLUSIONS
  The identification of the needs of caregiver has been used to inform the development of a home-based heart failure intervention facilitated by a trained health care practitioner.
authors: BIU, Knowledge Spa, Royal Cornwall Hospital, Truro, UK University of Exeter Medical School, Primary Care Research Group, Exeter, UK Jenny.Wingham@rcht.cornwall.nhs.uk.
authors: Jennifer
authors: J
authors: Wingham
authors: Institute of Health Research, University of Exeter Medical School, Exeter, UK.
authors: Julia
authors: J
authors: Frost
authors: Institute of Health Research, University of Exeter Medical School, Exeter, UK.
authors: Nicky
authors: N
authors: Britten
authors: University of Birmingham, Birmingham, UK.
authors: Kate
authors: K
authors: Jolly
authors: University of Exeter Medical School, Primary Care Research Group, Exeter, UK.
authors: Colin
authors: C
authors: Greaves
authors: Psychology Applied to Health Group, University of Exeter Medical School, Exeter, UK.
authors: Charles
authors: C
authors: Abraham
authors: Hayes
authors: H
authors: Dalal
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017028:Caregivers / Q000523:psychology*; D005260:Female; D017144:Focus Groups; D006333:Heart Failure / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D020380:Needs Assessment; D036301:Qualitative Research; D012648:Self Care; D012944:Social Support
keywords: Heart failure; Rehabilitation Enablement in Chronic Heart Failure; caregiver; needs; qualitative