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Adherence to recommended exercise guidelines in patients with heart failure
Pallav Deka1, Bunny Pozehl2, Mark A Williams3
1College of Nursing, University of Nebraska Medical Center, Commerce Court 1230 O Street, Suite 131, Lincoln, NE, 68588-0220, USA. pallav.deka@unmc.edu.
Heart Failure Reviews
|September 28, 2016
Summary
Improving exercise adherence in heart failure patients is crucial for treatment effectiveness. This review identifies strategies to enhance adherence, focusing on behavioral change and patient factors.
Area of Science:
- Cardiology and Exercise Science
- Heart Failure Management
- Behavioral Medicine
Background:
- Exercise training offers significant benefits for patients with heart failure.
- Adherence to prescribed exercise programs remains a critical challenge in heart failure management.
- Adherence is typically defined as meeting at least 80% of the recommended exercise dose.
Purpose of the Study:
- To review exercise recommendations for heart failure patients.
- To identify exercise prescription methods and adherence-improving strategies used in research.
- To evaluate the theoretical basis of interventions aimed at enhancing exercise adherence.
Main Methods:
- Systematic review of studies reporting exercise adherence in heart failure patients.
- Analysis of exercise prescription methodologies and adherence-enhancing tools.
- Investigation of factors influencing adherence, including setting, intensity, duration, demographics, and heart failure type.
Main Results:
- Identified various exercise recommendations and prescription approaches.
- Examined a range of strategies and tools designed to improve adherence.
- Assessed the role of theoretical frameworks in behavior change interventions for exercise adherence.
Conclusions:
- Adherence to exercise is vital for heart failure patient outcomes.
- Understanding influencing factors and employing theory-based strategies can improve adherence.
- Future research should focus on developing and testing effective, evidence-based interventions to enhance long-term exercise adherence.
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