with Heart Failure A Four Nation Study

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INSTRUCTIONS This toolkit contains the information you need to communicate the outcomes of the. The toolkit will help you share the findings with your carer community and reinforce the challenges and value of family caregiving to the health care system and to persons with heart failure. In this Communications Toolkit you will find: 1 KEY MESSAGES» 2 WHERE CAN I ACCESS THE STUDY?» 3 SOCIAL MEDIA STRATEGIES» 4 RESOURCES AND TEMPLATES» The study was supported by Novartis. Communications Toolkit ABOUT THE INTERNATIONAL ALLIANCE OF CARER ORGANIZATIONS (IACO) The International Alliance of Carer Organizations (IACO) is a global coalition of 15 member nations committed to building a global understanding and respect for the vital role of family carers. Each member country is represented by a nationally recognized carer organization. The coalition works to identify and share best practices, build awareness of global carers issues, and advocate for family carers with international entities such as the United Nations.

1 KEY MESSAGES The International Alliance of Carer Organizations (IACO), in collaboration with carer and patient organizations in four countries, initiated a study using the Caregiver Questionnaire for Heart Failure tool to describe the effects of caregiving for a person with heart failure on the daily life and well-being of family caregivers, and to explore the factors that influence caregivers outcomes. Data was collected from 519 caregivers who completed the online Caregiver Questionnaire for Heart Failure. The study was conducted in Australia, Canada, United Kingdom (UK) and United States (US). The leading organizations were: Carers Australia, Carers Canada, Carers UK, National Alliance for Caregiving (US), WomenHeart: The National Coalition for Women with Heart Disease (US), Pumping Marvellous (UK), Canadian Home Care Association, The Heart and Stroke Foundation of Canada, and Heart Support-Australia Ltd. What is the Study About? A landmark study about the impact of caregiving on persons with heart failure in Australia, Canada, the United Kingdom and the United States. Conducted by the International Alliance of Carer Organizations (IACO) and supported by Novartis, this work advances IACO s mission to build a global understanding and recognition of the role of carers. Who is a Carer? In this study the definition of a carer is an individual that provides unpaid care to support a relative or friend,18 years or older, who is diagnosed with heart failure. This may include helping with personal needs, household chores, assisting with medical or nursing tasks, managing finances and arranging for outside services. Around the world, the term carer is used interchangeably with caregiver or family caregiver. Why Study Caregivers of Individuals? + + Heart failure (HF) is a chronic and degenerative disease which does not allow the heart to pump enough blood to the body, causing it to have less oxygen and nutrients 1. + + HF directly impacts the lives of 26 million people globally 2 1 in 5 individuals will develop heart failure. + + HF accounts for 1 3% of all hospital admissions in Europe and the USA. + + HF is associated with a significant impact on the functional capacity of a person with the condition, corresponding to increased need for support with daily activities. However, caregivers in general, and heart failure caregivers in particular, are an under-recognized group. The impact of heart failure on caregivers is an under-studied area. 1 (IHHUB, 2017) 2 (Cowie MR et al, 2014)

What did the Study find? Carer and patient well-being are directly linked. + + Carers have a positive influence on the health outcomes of persons with heart failure and can contribute to a better quality of life, reduced hospitalization, and improved survival for the patient. + + Support for caregivers leads to better outcomes for persons with heart failure regarding the increased healthrelated quality of life and improved survival. Caregivers give their time and support to individuals with HF. +70% + of persons with heart failure depend upon a family caregiver when receiving care in the home. + + Carers spend on average 22 hours/ week looking after a person with heart failure. +70% + of carers helped with medical and/or nursing tasks. +75% + supported the health care plan through supervision, reminding and coaching. Caring impacts the health, well-being and work-life of caregivers. + + Caregivers stated that they had changed jobs, decreased working hours or become self-employed to manage the caregiving situation. +13% + of carers quit their jobs, 9% turned down a promotion, 9% lost job benefits. + + 52% experienced a deterioration in their own health - only 3% of carers reported that caregiving had improved their health. I work from home, but have had to cut my hours and so my income. Carers are not prepared for, or supported to look after a person with heart failure. + + 50% of carers felt unprepared for their caring role. + + Only 19% received support from the healthcare professionals. + + 50% found it difficult to help with daily caregiving tasks. + + More carers in the US (37% and Australia (35%) felt supported than ones in Canada (27%) and the United Kingdom (21%). What is needed to support the vital role of carers for persons with heart failure? Caregiver engagement: + + Recognize and include carers as partners in the health care team. + + Assess caregiver needs as part of the care planning process and provide appropriate supports. Implement policy measures to support caregivers: + + Invest in research on heart failure caregiving to support evidence-based policies and programs. + + Increase awareness and understanding of heart failure caregiving and the challenges families face. + + Minimize the financial burden of caregiving and encourage flexible workplaces for employed carers. Accommodating the needs of caregivers: I was not prepared. I had no caregiving skills. + + Provide resources to help carers navigate health and social care systems.

2 WHERE CAN I ACCESS THE STUDY? Twitter: Use the twitter pictures, and start a Twitter trend using these suggested tweets. Include #CarersHaveHeart. The full study and the press release can be downloaded from the IACO website at: /publications PRESS RELEASE Heart failure caregivers face critical gaps in resources and support, new international study shows. The International Alliance of Carer Organizations releases a first-of-its-kind four nation study on heart failure caring. Adelaide, South Australia, Australia (PRWEB) October 03, 2017 The International Alliance of Carer Organizations (IACO), supported by Novartis, has released a first-of-its-kind global study examining the role and impact of heart failure caregiving. Presented at the 7th International Carers Conference in Adelaide, Australia, the study analyzed data collected from more than 500 heart failure carers in Australia, Canada, the United Kingdom, and the United States to determine the key challenges that they face. The research builds on existing evidence of the positive influence of caregiving on heart failure outcomes, including improvements in health-related quality of life, reduced rates of hospitalizations, and improved survival for the person with heart failure when the carer receives adequate support. Despite this positive influence, many carers face a significant unmet need for resources and support, according to the new data. Key findings include: While 70% percent of carers helped with medical and nursing tasks such as managing medications or monitoring symptoms, only one in five (19%) say they were prepared for these tasks by health care professionals. More than half of carers (53%) reported that they felt like they had no control of the heart failure condition. Caring for someone with heart failure was found to have a significant personal impact on caregivers, as many carers noted that they had to take an early retirement or quit work in order to provide care. One-third of carers found it difficult to support the person with heart failure with activities of daily living, such as bathing or toileting, and instrumental activities of daily living, such as managing finances and housework. On average, heart failure caregivers scored their quality of life as six (6.0) on the ladder of life from 0-10. Facebook: Receiving adequate support from a caregiver is an important factor in the health-related quality of life of persons with heart failure, but as these data show caregivers themselves don t have adequate support to help them play this important role while minimizing impact on their own well-being, said David Palacios, Head of Global Patient Relations, Novartis Pharmaceuticals. This study provides an important insight into the role and impact of heart failure caregiving, and underlines that better support for caregivers is an important way we can improve overall health outcomes in this space. Carers in general, and heart failure carers in particular, are an under-recognized group, said Rick Greene, Executive Advisor, International Alliance of Carer Organizations. "We hope this new study can bring to light common challenges across nations where heart failure carers need support and the strategies needed to improve quality of life outcomes for those in a caregiving role. Supporting carers is a critical step in improving outcomes for the person with heart failure. Create your own facebook post using the digital banner. Include #CarersHaveHeart. 3 SOCIAL MEDIA STRATEGIES This section helps you promote the A Four Nation Study using online tools such as website banners, sample tweets and Facebook messaging. Post the infographic and pre-written templates provided on your social media channels to spread the study results and build awareness about. Infographic: Share highlights of study findings. Newsletter sample: A LANDMARK STUDY about the impact of caregiving on persons with heart failure in Australia, Canada, the United Kingdom and the United States. A total of 519 carers shared how caring affects them and the factors impacting their health and well-being. Conducted by the International Alliance of Carer Organizations (IACO) and supported by Novartis, this work advances IACO s mission to build a global understanding and recognition of the role of carers. HEART FAILURE DIRECTLY IMPACTS THE LIVES OF 26 million CAREGIVERS OF PERSONS WITH HF SHARE THEIR EXPERIENCES 79% people globally 1 A sample newsletter article to be shared with your communications team and distributed in your local newsletter. Post it on your website, or send it electronically to your staff/stakeholders/members. Fill in your organization s name and run an article in the next issue of your newsletter. 1 Cowie MR et al, 2014 2 IHHUB, 2017 CARERS DO NOT FEEL PREPARED OR SUPPORTED IN THEIR ROLE 21% Average age 58 years 49% spouses/partners 12% children 39% caring for more than 5 years Heart failure (HF) is a chronic and degenerative disease which does not allow the heart to pump enough blood to the body, causing it to have less oxygen and nutrients 2 CARERS HAVE A POSITIVE INFLUENCE ON THE HEALTH OUTCOMES OF PERSONS WITH HEART FAILURE I was not prepared. I had no caregiving skills. 50% IMPACT ON CARERS EMPLOYMENT I work from home, but have had to cut my hours and so my income. 45% are employed full or part-time 13% quit their jobs 9% lost job benefits or turned down a promotion IMPACT ON CARERS HEALTH AND WELL-BEING experienced a deterioration 52% in their own health Only 3% felt unprepared of carers reported that caregiving had improved their health best possible quality of life 10 9 35% Australia Better quality of life Improved survival Reduced hospitalization 27% 21% Canada UK 37% USA Carers scored their quality-of-life as 6.0 The population norm is around 7.5 8 7 6 5 4 3 2 1 0 C ANT RIL S LADDER OF LI FE Percentage of carers who felt supported varies by country worst possible quality of life CAREGIVERS PLAY A VITAL ROLE IN SUPPORTING INDIVIDUALS WITH HF 70% of persons with heart failure depend upon a family caregiver when receiving care in the home 22 hours/week average amount of time carers spent looking after a person with heart failure 70% of carers helped with medical and/or nursing tasks 75% supported the health care plan through supervision, reminding and coaching Around the world, the term carer is used interchangeably with caregiver or family caregiver. ACTIONS TO SUPPORT THE VITAL ROLE OF CARERS FOR PERSONS WITH HEART FAILURE Include carers as partners in the health care team Assess caregiver needs as part of the care planning process Provide resources to help carers navigate health and social care systems Create workplaces that recognize, respect and support carers obligations Invest in research on heart failure caregiving to support decision-making «Previous page First page Next page»

Organization website banner: 4 Use theorganization digital banner Website on your organization s website to direct users to the report Digital banners avaiable for your organization website. or the IACO website. RESOURCES AND TEMPLATES The full communication package can be downloaded here 300 x 250 px KEY MESSAGES NEWSLETTER SAMPLE 300 x 150 px TWITTER FACEBOOK 320 x 50 px INFOGRAPHIC WEBSITE BANNER REPORT PDF 900 x 450 px 970 x 90 px An International Study An International Study «Previous page First page