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Published on: April 19, 2019
Adherence to exercise training in heart failure: a review
Krista A Barbour1, Nancy Houston Miller
1Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Box 3119, Durham, NC 27710, USA. kabarbour@gmail.com
Heart Failure Reviews
|November 17, 2007
Summary
Adherence to prescribed exercise is crucial for heart failure (HF) patients. This review examines exercise adherence monitoring, barriers, and strategies to improve patient outcomes in HF treatment.
Area of Science:
- Cardiology
- Exercise Physiology
- Rehabilitation Medicine
Background:
- Heart failure (HF) management increasingly incorporates exercise training.
- Patient adherence to prescribed exercise is essential for treatment efficacy.
- Understanding adherence challenges in HF populations is critical.
Purpose of the Study:
- To review current adherence monitoring and interventions in HF randomized trials.
- To explore barriers to exercise participation and strategies for enhancing adherence.
- To provide future research directions for exercise adherence in HF.
Main Methods:
- Literature review of randomized controlled trials in heart failure.
- Analysis of adherence monitoring techniques and intervention strategies.
- Exploration of patient-reported barriers and facilitators to exercise.
Main Results:
- Current adherence monitoring in HF trials is variable.
- Several barriers to exercise adherence have been identified in HF patients.
- Effective strategies to improve adherence require further investigation.
Conclusions:
- Optimizing exercise adherence is key to maximizing the benefits of exercise training for HF patients.
- Future research should focus on developing and validating targeted adherence interventions.
- A comprehensive approach addressing patient and program factors is needed.
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