Impact of an Exercise Intervention on Heart Failure Patients' Exercise Participation

2.50
Hdl Handle:
http://hdl.handle.net/10755/159190
Type:
Presentation
Title:
Impact of an Exercise Intervention on Heart Failure Patients' Exercise Participation
Abstract:
Impact of an Exercise Intervention on Heart Failure Patients' Exercise Participation
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2007
Author:Duncan, Kathleen, PhD
P.I. Institution Name:University of Nebraska Medical Center
Contact Address:College of Nursing - UNL campus, Lincoln, NE, 68588-0220, USA
Co-Authors:B. Pozehl, T. Baker, L. Donner, M. Fast, A. Hilger, and J. Nielsen, College of Nursing, University of Nebraska Medical Center, Omaha, NE
Adherence to exercise following completion of cardiac rehabilitation program (CRP) remains a well documented problem for patients with heart failure (HF) and numerous adherence strategies are suggested in the literature. However, the efficacy of adherence strategies for exercise and the influence of patient preference for strategies have not been well studied. The purpose of this experimental design pilot study was to test an intervention consisting of exercise strategies on adherence outcomes (number of sessions, duration of sessions, and percent of exercise goals achieved) and to evaluate patient use and preference for adherence strategies following completion of a CRP. A convenience sample of 20 patients with a diagnosis of HF (mean ejection fraction 34.8%) were randomized to the experimental (n = 10) and attention group (n = 10). Subjects in both groups were tested at baseline (within 7 days of completion of CRP) and at 12 weeks post CRP. The intervention group received all of the following adherence strategies during the first 6 weeks of the intervention: written or email logs of exercise activity, charts of exercise participation with exercise goals, pedometers, educational information on exercise and follow-up for relapse management. The attention control group was contacted at the same intervals on general dietary information. Results indicate that patients in the intervention group completed more exercise sessions (M = 58.3 sessions) compared to attention control group (M = 42.8 sessions). The highest rated and most requested adherence strategy was relapse management, followed by exercise logs, and progress charts. Findings from this study indicate that the intervention may improve exercise adherence and contribute to increase physiological functioning for patients with HF.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleImpact of an Exercise Intervention on Heart Failure Patients' Exercise Participationen_GB
dc.identifier.urihttp://hdl.handle.net/10755/159190-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Impact of an Exercise Intervention on Heart Failure Patients' Exercise Participation</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Duncan, Kathleen, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Nebraska Medical Center</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">College of Nursing - UNL campus, Lincoln, NE, 68588-0220, USA</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">kduncan@unmc.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">B. Pozehl, T. Baker, L. Donner, M. Fast, A. Hilger, and J. Nielsen, College of Nursing, University of Nebraska Medical Center, Omaha, NE</td></tr><tr><td colspan="2" class="item-abstract">Adherence to exercise following completion of cardiac rehabilitation program (CRP) remains a well documented problem for patients with heart failure (HF) and numerous adherence strategies are suggested in the literature. However, the efficacy of adherence strategies for exercise and the influence of patient preference for strategies have not been well studied. The purpose of this experimental design pilot study was to test an intervention consisting of exercise strategies on adherence outcomes (number of sessions, duration of sessions, and percent of exercise goals achieved) and to evaluate patient use and preference for adherence strategies following completion of a CRP. A convenience sample of 20 patients with a diagnosis of HF (mean ejection fraction 34.8%) were randomized to the experimental (n = 10) and attention group (n = 10). Subjects in both groups were tested at baseline (within 7 days of completion of CRP) and at 12 weeks post CRP. The intervention group received all of the following adherence strategies during the first 6 weeks of the intervention: written or email logs of exercise activity, charts of exercise participation with exercise goals, pedometers, educational information on exercise and follow-up for relapse management. The attention control group was contacted at the same intervals on general dietary information. Results indicate that patients in the intervention group completed more exercise sessions (M = 58.3 sessions) compared to attention control group (M = 42.8 sessions). The highest rated and most requested adherence strategy was relapse management, followed by exercise logs, and progress charts. Findings from this study indicate that the intervention may improve exercise adherence and contribute to increase physiological functioning for patients with HF.</td></tr></table>en_GB
dc.date.available2011-10-26T21:47:25Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T21:47:25Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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