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Updated: May 21, 2026
04:24
A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
Published on: April 19, 2019
Development and implementation of a HAPA-based exercise rehabilitation program for patients with chronic heart
Jiang-Ying Li1, Qiu-Chen Wang1, Lu Chen1
1Department of Nursing, The Affiliated Taizhou People's Hospital of Nanjing Medical University, Taizhou School of Clinical Medicine, Nanjing Medical University, Taizhou, China.
Frontiers in Cardiovascular Medicine
|May 20, 2026
Summary
This study shows that a Health Action Process Approach (HAPA) based exercise program significantly improved exercise adherence, self-efficacy, and quality of life (QoL) in chronic heart failure (CHF) patients.
Area of Science:
- Cardiology
- Rehabilitation Medicine
- Health Psychology
Background:
- Chronic heart failure (CHF) poses significant challenges to patient well-being and functional capacity.
- Exercise rehabilitation is crucial for managing CHF, but adherence and self-efficacy can be barriers.
- The Health Action Process Approach (HAPA) offers a framework to understand and promote health behavior change.
Purpose of the Study:
- To develop and evaluate a HAPA-based exercise rehabilitation program for patients with chronic heart failure.
- To assess the program's impact on exercise adherence, self-efficacy, and quality of life (QoL).
Main Methods:
- A randomized controlled trial involving 100 CHF patients was conducted.
- Participants were assigned to either a HAPA-based exercise program (intervention) or routine care (control) for three months.
- Primary outcomes included exercise adherence, self-efficacy, and QoL, measured and compared between groups.
Main Results:
- The HAPA-based program significantly improved exercise adherence at 1, 3, and 6 months post-intervention.
- Exercise self-efficacy was notably higher in the intervention group compared to the control group.
- Patients in the intervention group reported significantly improved quality of life across multiple domains.
Conclusions:
- A HAPA-based exercise rehabilitation program demonstrates potential for enhancing exercise adherence, self-efficacy, and QoL in CHF patients.
- Further research is warranted to confirm the program's efficacy and clinical applicability.
- This approach may offer a valuable strategy for improving long-term outcomes in chronic heart failure management.
Keywords:
chronic heart failureexercise adherenceexercise rehabilitationhealth action process approach modelself-efficacyMore Related Videos
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