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The HEART Camp Exercise Intervention Improves Exercise Adherence, Physical Function, and Patient-Reported Outcomes in
Windy W Alonso1, Kevin A Kupzyk1, Joseph F Norman2
1College of Nursing, University of Nebraska Medical Center, Omaha, Nebraska.
Journal of Cardiac Failure
|September 17, 2021
Summary
The HEART Camp intervention significantly improved exercise adherence and physical function in patients with heart failure with preserved ejection fraction (HFpEF). This behavioral program offers a promising approach for managing HFpEF outcomes.
Area of Science:
- Cardiology
- Exercise Physiology
- Behavioral Science
Background:
- Exercise is crucial for improving outcomes in heart failure with preserved ejection fraction (HFpEF).
- Clinical trials for HFpEF often face challenges with patient adherence to exercise interventions.
- The Heart failure Exercise And Resistance Training (HEART) Camp is a behavioral intervention developed to enhance exercise adherence in heart failure (HF) patients.
Purpose of the Study:
- To evaluate the effects of the HEART Camp intervention on exercise adherence in HFpEF and heart failure with reduced ejection fraction (HFrEF) subgroups.
- To assess the intervention's impact on symptoms, health status, and physical function in HFpEF patients.
Main Methods:
- A randomized controlled trial involving 204 adults with chronic HF (59 HFpEF, 145 HFrEF).
- Exercise adherence was measured weekly for 18 months.
- Intervention effects were evaluated using patient-reported outcomes, health status questionnaires, and physical function tests.
Main Results:
- HFpEF participants in the HEART Camp group showed significantly higher exercise adherence at 12 and 18 months compared to the usual care group.
- The HEART Camp intervention led to significant improvements in walking distance and HF-related health status in HFpEF patients.
- In the HFrEF subgroup, only patient-reported anxiety showed significant improvement with the intervention.
Conclusions:
- A multicomponent behavioral intervention like HEART Camp can improve long-term exercise adherence, physical function, and patient-reported outcomes in adults with HFpEF.
- The findings support the need for larger clinical trials to validate these results and explore mechanisms for enhancing adherence and outcomes in HFpEF.
- The intervention also showed benefits for anxiety in the HFrEF subgroup.
Keywords:
Heart failureadherenceexerciseheart failure with preserved ejection fractionheart failure with reduced ejection fractionMore Related Videos
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