Feasibility of a new care program designed in collaboration with cardiac arrest survivors, co-survivors, and healthcare professionals Circulatory System
Conditions
Interventions
CARESS intervention delivery: CARESS will be delivered over 8 weeks and consists of three components.
1. One-to-one individual assessment: One-hour, online assessment with a CARESS facilitator (traine
individualised and progressive multi-modality exercise at a manageable intensity, regulated with breathlessness and/ or perceived exertion scales. Participants will be encouraged to attend the live on
Sponsors
University of Warwick
Eligibility
Sex/Gender
All
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: Current key inclusion criteria as of 02/12/2025: Survivors will be included if they meet the following inclusion criteria: 1. Adult aged 18+ years 2. A cardiac arrest survivor 3. Discharged from the hospital to their usual place of residence within 30 days of their cardiac arrest 4. Recruited within 1 year of their cardiac arrest 5. Proficient in the English language 6. Ability to complete online follow-up and attend online sessions Key supporters will be included if they meet the following inclusion criteria: 1. Adult aged 18+ years 2. Self-refer into the study or are referred to as a nominated adult family member, friend or significant other (key supporter) of a cardiac arrest survivor 3. Recruited within 8 weeks of the survivor being discharged from the hospital 4. Proficient in the English language 5. Ability to complete online follow-up and attend online sessions _____ Previous key inclusion criteria: Survivors will be included if they meet the following inclusion criteria: 1. Adult aged 18+ years 2. A cardiac arrest survivor 3. Discharged from the hospital to their usual place of residence within 30 days of their cardiac arrest 4. Recruited before, or within 8 weeks of hospital discharge 5. Proficient in the English language 6. Ability to complete online follow-up and attend online sessions Key supporters will be included if they meet the following inclusion criteria: 1. Adult aged 18+ years 2. Self-refer into the study or are referred to as a nominated adult family member, friend or significant other (key supporter) of a cardiac arrest survivor 3. Recruited within 8 weeks of the survivor being discharged from the hospital 4. Proficient in the English language 5. Ability to complete online follow-up and attend online sessions
Exclusion criteria
Exclusion criteria: Survivors will be excluded if they meet any of the following exclusion criteria: 1. Unable to give informed consent 2. Have severe mental health difficulties or cognitive impairment that prevents engagement 3. Are participating in another exercise, psychological support or structured rehabilitation study Key supporters will be excluded if they meet any of the following exclusion criteria: 1. Unable to give informed consent 2. Have severe mental health difficulties or cognitive impairment that prevents engagement 3. Are participating in another exercise, psychological support, or structured rehabilitation study 4. Key supporters of cardiac arrest victims who do not survive to hospital discharge
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Feasibility outcomes: Rates of recruitment and retention across the recruitment window measured using screening logs at baseline, 4 months (16 weeks) and 8 months (32 weeks) 2. Outcomes measurement: acceptability, respondent burden, and completion (missing data) of outcome measures measured using descriptive statistics at baseline and follow-up (11 weeks) 3. Quality of the intervention: assessment of delivery procedures for fidelity with study participants and facilitators measured by reviewing recordings of a subset of delivered sessions assessed post-intervention (9-13 weeks) 4. Process evaluation: of recruiter, participant and facilitator perspectives and experiences of delivery or participant in the study measured using data collected from interviews conducted post-intervention (9-13 weeks) | — |
Secondary
| Measure | Time frame |
|---|---|
| Current secondary outcome measures as of 30/06/2025: 1. Physical and mental health summary scoring measured using PROMIS® 29+2 Profile v2.1 (PROPr) at baseline and post-intervention (11 weeks) 2. Mental wellbeing measured using the Warwick-Edinburgh Mental Wellbeing Scales (WEMWBS) at baseline and post-intervention (11 weeks). 3. Fatigue measured using the Functional Assessment of Chronic Illness Therapy – Fatigue (FACIT-F) and PROPr fatigue subscale at baseline and post-intervention (11 weeks). 4. Depression and anxiety measured using the Hospital Anxiety and Depression Scale (HADS) and PROPr depression and anxiety subscales at baseline and post-intervention (11 weeks) 5. PTSD symptom severity measured using the Impact of Events Scale-Revised (IES-R) at baseline and post-intervention (11 weeks). 6. Health utility measured using the EuroQoL 5-dimensions 5-levels (EQ-5D-5L) at baseline and post-intervention (11 weeks). 7. Health and social care resource use measured using the Modular Resource-Use Measure (ModRUM) core, at post-intervention only (11 weeks). 8. Personal resource use questionnaire measured using an internally generated questionnaire, at post-intervention only (11 weeks). _____ Previous secondary outcome measures: 1. Demographic information (age, gender, socioeconomic factors) measured using a questionnaire, captured at baseline. 2. Physical and mental health summary scoring measured using PROMIS® 29+2 Profile v2.1 (PROPr) at baseline and post-intervention (11 weeks) 3. Mental wellbeing measured using the Warwick-Edinburgh Mental Wellbeing Scales (WEMWBS) at baseline and post-intervention (11 weeks). 4. Fatigue measured using the Functional Assessment of Chronic Illness Therapy – Fatigue (FACIT-F) at baseline and post-intervention (11 weeks). 5. Depression and anxiety measured using the Hospital Anxiety and Depression Scale (HADS) at baseline and post-intervention (11 weeks). 6. PTSD symptom severity measured using the Impact of Event | — |
Countries
England, United Kingdom
Contacts
Public ContactNathan Pearson
Outcome results
None listed