Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 Nov-Dec;49(6):696-701.
doi: 10.1016/j.hrtlng.2020.08.016. Epub 2020 Aug 27.

Long-term exercise adherence in patients with heart failure: A qualitative study

Shane Warehime  1 , Danae Dinkel  2 , Windy Alonso  3 , Bunny Pozehl  4
Affiliations

Long-term exercise adherence in patients with heart failure: A qualitative study

Shane Warehime et al. Heart Lung. 2020 Nov-Dec.

Abstract

Background: Regular exercise is associated with numerous benefits; yet up to 91% of patients with heart failure (HF) do not exercise regularly. This study explored factors supporting long-term exercise adherence in patients with HF.

Design: This study was a qualitative multiple-case study.

Methods: Data were collected via semi-structured interviews from patients with HF at completion of an 18-month exercise intervention in a health care exercise facility and analyzed using a directed content analysis approach.

Results: Participants (n=22) identified perceived health status, scheduling/making exercise part of a routine, social support from coaches and family, knowledge about exercise, and motivation/perseverance as supports for long-term exercise adherence.

Conclusions: Perceived health status may be key when promoting exercise adherence in this population. Knowledge, social support from coaches and family members, and motivation should be considered for long-term exercise adherence.

Keywords: Exercise adherence; Health-outcomes; Heart failure; Self-efficacy.

PubMed Disclaimer

Conflict of interest statement

Declaration of Competing Interest None.

References

    1. Centers for Disease Control and Prevention. Facts about physical activity. Http://www.Cdc.gov/physicalactivity/data/facts.Htm Accessed June 14, 2019.
    1. Heart Failure Society of America, Lindenfeld J, Albert NM, et al. HFSA 2010 comprehensive heart failure practice guideline. J Card Fail, 16(6), e1–e194. - PubMed
    1. Evangelista LS, Berg J, Dracup K. Relationship between psychosocial variables and compliance in patients with heart failure. Heart Lung. 2014;30(4):294–301. - PubMed
    1. Gary R Exercise self-efficacy in older women with diastolic heart failure: Results of a walking program and education intervention. J Gerontol Nurs. 2001;32(7):31–9. - PubMed
    1. van der Wal Martje HL, van Veldhuisen DJ, et al. Compliance with non-pharmacological recommendations and outcome in heart failure patients. Eur Heart J. 2010;31(12):1486–1493. - PubMed

Publication types