Adherence of heart failure patients to exercise: barriers and possible solutions

Conraads, Viviane M.; Deaton, Christi; Piotrowicz, Ewa; Santaularia, N. Jeanie; Tierney, Stephanie; Piepoli, Massimo F; Pieske, Burkert; Schmid, Jean Paul; Dickstein, Kenneth; Ponikowski, Piotr; Jaarsma, Tiny

doi:10.1093/eurjhf/hfs048

Cited by 264 publications

(113 citation statements)

References 57 publications

(66 reference statements)

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“…Only approx. 37-40% of patients comply to the recommendations to sustain appropriate physical activity after cardiovascular incident even if they recognize its importance, whereby people with heart failure report even more difficulties in this area -40-91% does not maintain any regular physical activity [39,40]. Patients after acute cardiovascular event also present low rates of smoking cessation, although significantly higher among those who were provided with counseling or pharmacotherapy [41].…”

Section: Psychological Aspects Of Cardiac Diseasesmentioning

confidence: 99%

Psychological interventions in cardiology - short-term motivational strategies

Mierzyńska¹,

Jurczak²,

Piotrowicz³

2017

Arch Psych Psych

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SummaryCardiovascular diseases are the most important cause of death in industrialized countries. They require long treatment and their prevention is a long-term effort at individual and social levels. Therefore more and more attention is drawn to the psychosocial processes and phenomena associated with people engagement in health harmful behaviour.The current state of medical and psychological knowledge allows the selection of several major research directions integrating these two areas within cardiology. These directions regard physiological mechanisms of the development of cardiovascular diseases, the impact of psychopathological symptoms on patients' functioning and psychological mechanisms associated with patient compliance. Studies in cardiac patients indicate the effectiveness of many psychological interventions. It has been proven that they have significant impact on the quality of life, a level of anxiety, symptoms of depression, symptoms of post-traumatic stress and mortality in cardiac patients.The main factor exerting influence on patients' coping with the treatment process and on their commitment to activities beneficial for their health is motivation. The importance of motivation process in the course and effects of treatment was the basis for development of an approach known as Motivational Interviewing (MI), which is an effective tool for promoting involvement of patients in the treatment process. Another effective approach is also a short-term Solution Focused Brief Therapy (SFBT). It allows to cooperate with people in various contexts, including somatic patients, both during hospitalization and outpatient treatment. It is worth noting that the situation in the field of psychocardiology is steadily improving. psychological interventions / cardiac patients / Motivational Interviewing / Solution Focused Brief Therapy

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Section: Psychological Aspects Of Cardiac Diseasesmentioning

confidence: 99%

Psychological interventions in cardiology - short-term motivational strategies

Mierzyńska¹,

Jurczak²,

Piotrowicz³

2017

Arch Psych Psych

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“…Since effects of exercise vanish quickly during de‐training,8, 9 exercise training needs to be continual and lifelong. Both short‐term and long‐term exercise programmes can be difficult for patients with CHF when symptoms such as dyspnoea and fatigue occur even at low physical activity levels 10. This may, therefore, limit willingness to undertake an exercise training programme 2, 5, 10.…”

Section: Introductionmentioning

confidence: 99%

“…Both short‐term and long‐term exercise programmes can be difficult for patients with CHF when symptoms such as dyspnoea and fatigue occur even at low physical activity levels 10. This may, therefore, limit willingness to undertake an exercise training programme 2, 5, 10. For these patients, a resistance training programme with, for example, elastic bands, may be an alternative.…”

Section: Introductionmentioning

confidence: 99%

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Peripheral muscle training with resistance exercise bands in patients with chronic heart failure. Long‐term effects on walking distance and quality of life; a pilot study

et al. 2017

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AimsThis study aimed to describe a method of peripheral muscle training with resistance bands in patients with chronic heart failure (CHF) and to evaluate its effects on the 6 min walk test and quality of life up to 12 months using a home‐based programme.Methods and resultsTwenty‐two patients with stable CHF (19 men and 3 women), mean age 63.2 years (SD 8.1), New York Heart Association class II–III were randomized to individual home‐based training (HT group), or home‐based training with a group‐based start‐up in a hospital setting (GT group). A 6 min walk test, the Minnesota Living with Heart Failure Questionnaire (MLHFQ), and Short Form with 36 items (SF‐36) were administered at baseline and after 3, 6, 9, and 12 months. Exercise training resulted in statistically significant increased walking distance in both groups. The HT group increased on average 107 (80) m from baseline to 12 months, and the GT group by 100 (96) m. Health‐related quality of life, measured with MLHFQ and SF‐36, reached statistically significant improvements in both groups but at different time points. There were no statistically significant differences between groups on any parameters or follow‐ups.ConclusionsLong‐term home‐based peripheral muscle training in patients with CHF, with or without an introductory period in a hospital setting, can be used for initial improvement and retention of walking distance and health‐related quality of life.

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“…One of the hypotheses argues that self-efficacy promotes change and long-term adherence to a number of health-related behaviors including exercise (Conraads et al, 2012;Tierney et al, 2012), diet (Ferranti et al, 2014;Sharp & Salyer, 2012), treatment compliance (Chair et al, 2013;McAuley et al, 2011), self-care behavior (Bohanny et al, 2013), and general health-promoting behavior (Lo, Chair, & Lee, 2015). A study in Iran explained the quality of life in 500 participants by using structural equation modeling approach (Mohamadian et al, 2011).…”

Section: Introductionmentioning

confidence: 99%