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Long-term exercise adherence in patients with heart failure: A qualitative study
Shane Warehime1, Danae Dinkel1, Windy Alonso2
1University of Nebraska at Omaha, 6001 Dodge St., Omaha, NE, 68182, USA.
Heart & Lung : the Journal of Critical Care
|August 31, 2020
Summary
Patients with heart failure (HF) can improve long-term exercise adherence by focusing on perceived health status, routine integration, social support, knowledge, and motivation. These factors are crucial for sustained physical activity in HF patients.
Area of Science:
- Cardiology
- Exercise Science
- Behavioral Medicine
Background:
- Heart failure (HF) patients exhibit low rates of regular exercise, despite its numerous health benefits.
- Understanding barriers and facilitators to exercise adherence is critical for improving patient outcomes.
Purpose of the Study:
- To explore factors supporting long-term exercise adherence in patients with heart failure (HF).
Main Methods:
- Qualitative multiple-case study design.
- Semi-structured interviews conducted with 22 HF patients post-18-month exercise intervention.
- Directed content analysis approach used for data analysis.
Main Results:
- Key factors identified for adherence include perceived health status, routine integration, social support (coaches, family), exercise knowledge, and motivation/perseverance.
- Perceived health status emerged as a particularly significant factor.
Conclusions:
- Perceived health status is a potentially key determinant for promoting exercise adherence in heart failure patients.
- Incorporating social support, knowledge enhancement, and motivational strategies is recommended for sustained exercise adherence.
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