Prevalence of US Adults With Cardiovascular Disease Reporting Barriers to Clinician Office Visits

Platz, Katherine; Zelle, Heather; Howie-Esquivel, Jill

doi:10.1097/hcr.0000000000000669

Cited by 2 publications

(1 citation statement)

References 51 publications

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“…Physical limitations to exercising such as back pain and knee pain were barriers reported in nearly half of the included studies. Our results provide a qualitative comparison to the study by Platz et al 67 that estimates 42% of US adults with CVD have difficulty walking or climbing stairs. The Centers for Medicare & Medicaid Services has included PA as a social determinant of health.…”

Section: Physical Activity As a Social Determinant Of Healthsupporting

confidence: 60%

Benefits, Facilitators, and Barriers of Alternative Models of Cardiac Rehabilitation

Platz

Kools

Howie-Esquivel

2022

Journal of Cardiopulmonary Rehabilitation and Prevention

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Section: Physical Activity As a Social Determinant Of Healthsupporting

confidence: 60%

Benefits, Facilitators, and Barriers of Alternative Models of Cardiac Rehabilitation

Platz

Kools

Howie-Esquivel

2022

Journal of Cardiopulmonary Rehabilitation and Prevention

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Initiating and Continuing Long-Term Exercise in Heart Failure

Platz,

Metzger,

Cavanagh

et al. 2024

J Cardiovasc Nurs

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Background Exercise is a class 1A recommendation to improve the lives of patients with heart failure, yet less than one-third adhere to physical activity guidelines, and less than 3% attend cardiac rehabilitation. Objective The aim of this study was to determine the effect of gentle nonaerobic exercise on initial and long-term adherence in patients with heart failure. Methods We used a qualitative descriptive approach with qualitative content analysis to analyze previously recorded interview data collected as part of the 6-month GEtting iNTo Light Exercise–Heart Failure study and looked for trends in responses among our sample. Thematic statements, representing salient aspects of the participants' experiences, were created and supported by illustrative excerpts from the data. Results Twenty-two interviews were analyzed. Eight participants had ≥80% adherence, and the remaining 14 participants were super-adherers (>100% adherence). Super-adherers tended to be male and 65 years or older, and have no exercise for 3 months before the study, a body mass index ≥ 30, and poor to good Kansas City Cardiomyopathy Questionnaire scores. Participants initially enrolled because they saw the program as an opportunity to improve a health issue and to exercise. Long-term adherence was facilitated by convenience, individualization, experiencing psychological and physical improvements, and peer fellowship. Conclusions The GEtting iNTo Light Exercise–Heart Failure study that used home-based gentle nonaerobic exercise had 64% of participants come more than was asked. It is imperative that clinicians incorporate what participants with heart failure have directly stated is important for their initiation and long-term adherence to exercise so that we can work toward bridging sedentary patients to the full exercise guidelines to reduce morbidity and mortality.

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Prevalence of US Adults With Cardiovascular Disease Reporting Barriers to Clinician Office Visits

Cited by 2 publications

References 51 publications

Benefits, Facilitators, and Barriers of Alternative Models of Cardiac Rehabilitation

Benefits, Facilitators, and Barriers of Alternative Models of Cardiac Rehabilitation

Initiating and Continuing Long-Term Exercise in Heart Failure

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