Efficacy of interventions to increase physical activity for people with heart failure: a meta-analysis

Amirova, Aliya; Fteropoulli, Theodora; Williams, Paul; Haddad, Mark

doi:10.1101/2021.04.14.21255358

Cited by 2 publications

(5 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Older age is a barrier to physical activity in HF, as suggested by both qualitative and quantitative evidence. This result further reiterated the finding of a meta-analysis (Amirova et al, 2021) that older adults living with HF need more support to attain higher physical activity levels.…”

Section: Discussionsupporting

confidence: 67%

“…Finally, tentative suggestions are made for what a future physical activity intervention needs to include Overall, the review findings indicate that to reduce the barriers and enhance the enablers, a behaviour change intervention containing the following BCTs are needed: identity associated with target behaviour, prompt/cues and adding objects to the environment, behavioural practice/rehearsal, and graded tasks. A previous meta-analysis of randomised controlled trials also suggested that these strategies are associated with the efficacy of interventions (Amirova et al, 2021). In addition, the qualitative evidence included in this review suggests that addressing the change in the social identity as a result of acquired HF diagnosis and the perceived appropriateness of physical activity in this context need to be addressed.…”

Section: Discussionmentioning

confidence: 99%

“…Interventions informed by a behaviour change theory are potentially promising in achieving physical activity improvements in HF (Tierney et al, 2011). A recent meta-analysis found that interventions integrating an exercise programme with behaviour change theory and interventions delivered by a physiotherapist are efficacious in obtaining short-term improvements in physical activity levels among individuals living with HF (Amirova, Fteropoulli, Williams, & Haddad, 2021). However, the effect of these interventions varied considerably.…”

Section: Introductionmentioning

confidence: 99%

“…However, the effect of these interventions varied considerably. In addition, the extent to which a theory informed interventions was limited (Amirova, Fteropoulli, Williams, & Haddad, 2021). Research on the barriers and enablers influencing physical activity is needed.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Informing behaviour change intervention design using systematic review with Bayesian meta-analysis: physical activity in heart failure

Amirova¹,

Taylor

Volkmer

et al. 2021

Preprint

Self Cite

View full text Add to dashboard Cite

Systematically identified evidence concerning modifiable and contextual barriers and enablers can guide the choice of theory and inform behaviour change intervention design. The Bayesian approach can enable the comparison of the extent to which a barrier or enabler influences behaviour and helps in concluding on the uncertainty in the evidence. It can be used to inform intervention development with stakeholders' accounts using qualitative research. The Bayesian approach facilitates the synthesis of qualitative and quantitative evidence. This review evaluates the evidence on the determinants of physical activity among individuals living with heart failure (HF). In HF, physical activity is associated with improved quality of life, reduced hospitalisation, and increased longevity and is a key component of treatment. Embracing the Bayesian approach in health psychology research, we aimed to synthesise evidence regarding barriers and enablers to physical activity in HF in a way that can inform behaviour change intervention development. Qualitative and observational studies investigating any barriers and enablers to physical activity in adults diagnosed with HF were included in a systemic review with Bayesian meta-analysis following the methodology of Dixon-Woods et al. (2002). Evidence from 19 studies (three qualitative; 16 quantitative studies) was synthesised. Qualitative evidence was annotated using the Theoretical Domains Framework to identify determinants of physical activity participation and represented as a prior distribution using an expert elicitation task. The maximum a posteriori probability (MAP) was calculated as a summary statistic for the probability distribution of physical activity conditioned on each determinant, according to qualitative evidence alone (i.e., prior) and qualitative and quantitative evidence combined (i.e., posterior). The uncertainty in the evidence was expressed using Credible Intervals (CrI). Evidence concerning the modifiable barriers and enablers is highly uncertain: social support(MAP=0.11,CrI:[0.08;0.13]),negative attitude(MAP=0.22,CrI:[0.17;0.27]),positive attitude(MAP=0.27,CrI:[0.23;0.31]),self-efficacy(MAP=0.31,CrI:[0.29;0.33]),symptom distress(MAP=021,CrI:[0.18;0.24]). The contextual barriers are age(MAP=0.22,CrI:[0.22;0.23]), low Left Ventricular Ejection Fraction(MAP=0.20,CrI:[0.19;0.22]), and depression(MAP=0.14,CrI:[0.12;0.16]), low, moderate, and high uncertainty in the evidence, respectively. This work extends the limited research on the modifiable barriers and enablers for physical activity participation by individuals living with HF. The review supports the usefulness of the Bayesian approach in informing intervention development and identifies determinants to physical activity that warrant consideration when designing interventions.

show abstract

Section: Discussionsupporting

confidence: 67%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Informing behaviour change intervention design using systematic review with Bayesian meta-analysis: physical activity in heart failure

Amirova¹,

Taylor

Volkmer

et al. 2021

Preprint

Self Cite

View full text Add to dashboard Cite

show abstract

“…A meta-analysis of RCTs reporting on the effects of PA among participants with HF found that the specific features indicative of a more successful intervention included a center-based group-oriented delivery format that combined exercise with behavioral change strategies. 62…”

Section: Physical Activity and Sedentary Behaviormentioning

confidence: 99%

Heart Disease and Stroke Statistics—2023 Update: A Report From the American Heart Association

Tsao¹,

Aday²,

Almarzooq³

et al. 2023

Circulation

3,184

702

View full text Add to dashboard Cite

BACKGROUND: The American Heart Association, in conjunction with the National Institutes of Health, annually reports the most up-to-date statistics related to heart disease, stroke, and cardiovascular risk factors, including core health behaviors (smoking, physical activity, diet, and weight) and health factors (cholesterol, blood pressure, and glucose control) that contribute to cardiovascular health. The Statistical Update presents the latest data on a range of major clinical heart and circulatory disease conditions (including stroke, congenital heart disease, rhythm disorders, subclinical atherosclerosis, coronary heart disease, heart failure, valvular disease, venous disease, and peripheral artery disease) and the associated outcomes (including quality of care, procedures, and economic costs). METHODS: The American Heart Association, through its Epidemiology and Prevention Statistics Committee, continuously monitors and evaluates sources of data on heart disease and stroke in the United States to provide the most current information available in the annual Statistical Update with review of published literature through the year before writing. The 2023 Statistical Update is the product of a full year’s worth of effort in 2022 by dedicated volunteer clinicians and scientists, committed government professionals, and American Heart Association staff members. The American Heart Association strives to further understand and help heal health problems inflicted by structural racism, a public health crisis that can significantly damage physical and mental health and perpetuate disparities in access to health care, education, income, housing, and several other factors vital to healthy lives. This year’s edition includes additional COVID-19 (coronavirus disease 2019) publications, as well as data on the monitoring and benefits of cardiovascular health in the population, with an enhanced focus on health equity across several key domains. RESULTS: Each of the chapters in the Statistical Update focuses on a different topic related to heart disease and stroke statistics. CONCLUSIONS: The Statistical Update represents a critical resource for the lay public, policymakers, media professionals, clinicians, health care administrators, researchers, health advocates, and others seeking the best available data on these factors and conditions.

show abstract

Efficacy of interventions to increase physical activity for people with heart failure: a meta-analysis

Cited by 2 publications

References 41 publications

Informing behaviour change intervention design using systematic review with Bayesian meta-analysis: physical activity in heart failure

Informing behaviour change intervention design using systematic review with Bayesian meta-analysis: physical activity in heart failure

Heart Disease and Stroke Statistics—2023 Update: A Report From the American Heart Association

Contact Info

Product

Resources

About