Dynamic factor analysis of seasonal variation in daily physical activity in individuals with heart failure and implanted cardiac devices

Shoemaker, Michael J; Kampfschulte, Andrew; Rustmann, Sarah; Dickinson, Michael G.

doi:10.1016/j.hrtlng.2021.06.001

Cited by 3 publications

(3 citation statements)

References 35 publications

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“…Seasonal variations in weather have been documented to influence physical activity patterns in people with HF, with less physical activity in the winter months. 120 In a recent study, participants living in areas with high crime and violence experienced numerous stressors, which negatively influenced their ability to adhere to the treatment regimen and manage HF symptoms. 121 Stressful events commonly preceded an HF hospital admission.…”

Section: Problem Person and Environmental Factorsmentioning

confidence: 99%

“…McCauley and Hayes 119 organize environmental science into 4 main categories: physical (eg, natural disasters), chemical (eg, allergens, lead exposure, and air pollution), biological (eg, antibiotic resistance), and cultural or social hazards (eg, violence, racism). Seasonal variations in weather have been documented to influence physical activity patterns in people with HF, with less physical activity in the winter months 120 . In a recent study, participants living in areas with high crime and violence experienced numerous stressors, which negatively influenced their ability to adhere to the treatment regimen and manage HF symptoms 121 .…”

Section: Problem Person and Environmental Factorsmentioning

confidence: 99%

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The Situation-Specific Theory of Heart Failure Self-care

2022

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Many studies of heart failure (HF) self-care have been conducted since the last update of the situation-specific theory of HF self-care. Objective The aim of this study was to describe the manner in which characteristics of the problem, person, and environment interact to influence decisions about self-care made by adults with chronic HF. Methods This study is a theoretical update. Literature on the influence of the problem, person, and environment on HF self-care is summarized. Results Consistent with naturalistic decision making, the interaction of the problem, person, and environment creates a situation in which a self-care decision is needed. Problem factors influencing decisions about HF self-care include specific conditions such as cognitive impairment, diabetes mellitus, sleep disorders, depression, and symptoms. Comorbid conditions make HF self-care difficult for a variety of reasons. Person factors influencing HF self-care include age, knowledge, skill, health literacy, attitudes, perceived control, values, social norms, cultural beliefs, habits, motivation, activation, self-efficacy, and coping. Environmental factors include weather, crime, violence, access to the Internet, the built environment, social support, and public policy. Conclusions A robust body of knowledge has accumulated on the person-related factors influencing HF self-care. More research on the contribution of problem-related factors to HF self-care is needed because very few people have only HF and no other chronic conditions. The research on environment-related factors is particularly sparse. Seven new propositions are included in this update. We strongly encourage investigators to consider the interactions of problem, person, and environmental factors affecting self-care decisions in future studies.

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Section: Problem Person and Environmental Factorsmentioning

confidence: 99%

Section: Problem Person and Environmental Factorsmentioning

confidence: 99%

The Situation-Specific Theory of Heart Failure Self-care

2022

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“…[ 41 ] In several studies, undesired climate and cold were introduced as barriers to physical activity of patients with HF. [ 42 43 ]…”

Section: Discussionmentioning

confidence: 99%

Experiences of what influences physical activity adherence in Iranian patients with heart failure: A qualitative study

Ahrari,

Karimi Moonaghi,

Mahdizadeh

et al. 2023

Journal of Education and Health Promotion

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BACKGROUND: Heart failure (HF) is becoming one of the important health care problems around the world. Physical activity as the foundation of the cardiac rehabilitation program is poorly adhered by patients with HF. This study aimed to understand the experiences of patients with HF in terms of adherence to physical activity. MATERIALS AND METHODS: This study was conducted using conventional qualitative content analysis. Data were collected by semistructured telephone interviews with 25 patients with HF through open-ended questions. Data were collected from patients with HF in Birjand and Mashhad hospitals and heart departments from December 2021 to March 2022. Data were analyzed using Max-QDA10 and data analysis was continuous, comparative, and simultaneous with data collection. RESULTS: After data analysis, three main categories were identified: (1) patient-related barriers and facilitators, (2) support system-related barriers and facilitators, and (3) environmental barriers and facilitators. These categories were subdivided into two main themes: (1) threatening disease and (2) challenging disease. CONCLUSION: The results showed that beyond patient-related, support system-related, and environmental categories, perceiving the disease as a challenge or a threat is crucial in the activity of patients with HF. Nurses and other health care providers can train problem-solving behaviors to patients with HF to improve their physical and mental well-being. It is suggested that theoretical–behavioral approaches can be used in future clinical trials to improve adherence to physical activity.

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