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Clinical Trial
. 2021 Dec;8(6):4644-4651.
doi: 10.1002/ehf2.13616. Epub 2021 Sep 21.

Exploring factors related to non-adherence to exergaming in patients with chronic heart failure

Tiny Jaarsma  1 , Leonie Klompstra  1 , Anna Strömberg  1   2 , Tuvia Ben Gal  3 , Jan Mårtensson  4 , Martje H L van der Wal  1   5 ; HF‐Wii study team
Collaborators, Affiliations
Clinical Trial

Exploring factors related to non-adherence to exergaming in patients with chronic heart failure

Tiny Jaarsma et al. ESC Heart Fail. 2021 Dec.

Abstract

Aims: This study aimed to explore factors related to non-adherence to exergaming in patients with heart failure.

Methods and results: Data from patients in the exergame group in the HF-Wii trial were used. Adherence to exergaming was defined as playing 80% or more of the recommended time. Data on adherence and reasons for not exergaming at all were collected during phone calls after 2, 4, 8, and 12 weeks. Logistic regression was performed between patients who were adherent and patients who were non-adherent. Secondly, a logistic regression was performed between patients who not exergamed at all and patients who were adherent to exergaming. Finally, we analysed the reasons for not exergaming at all with manifest content analysis. Almost half of the patients were adherent to exergaming. Patients who were adherent had lower social motivation [odds ratio (OR) 0.072; 95% confidence interval (CI) 0.054-0.095], fewer sleeping problems (OR 0.84; 95% CI 0.76-0.092), and higher exercise capacity (OR 1.003; 95% CI 1.001-1.005) compared with patients who were non-adherent. Patients who not exergamed at all had lower cognition (OR 1.18; 95% CI 1.06-1.31) and more often suffered from peripheral vascular disease (OR 3.74; 95% CI 1.01-13.83) compared with patients who were adherent to exergaming. Patients most often cited disease-specific barriers as a reason for not exergaming at all.

Conclusions: A thorough baseline assessment of physical function and cognition is needed before beginning an exergame intervention. It is important to offer the possibility to exergame with others, to be able to adapt the intensity of physical activity.

Keywords: Adherence; Exergame; Heart failure; Physical activity; Serious game.

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Conflict of interest statement

None declared.

Figures

Figure 1
Figure 1
Protocolized telephone follow‐up for patients in the exergame group.
Figure 2
Figure 2
Number of patients and their percentage of adherence to exergaming.
Figure 3
Figure 3
Number of minutes per week that the patients used the exergame.
See this image and copyright information in PMC

References

    1. Cooper LB, Mentz RJ, Sun J‐L, Schulte PJ, Fleg JL, Cooper LS, Piña IL, Leifer ES, Kraus WE, Whellan DJ, Keteyian SJ, O'Connor CM. Psychosocial factors, exercise adherence, and outcomes in heart failure patients: insights from heart failure: a controlled trial investigating outcomes of exercise training (HF‐ACTION). Circulation 2015; 8: 1044–1051. - PMC - PubMed
    1. Conraads VM, Deaton C, Piotrowicz E, Santaularia N, Tierney S, Piepoli MF, Pieske B, Schmid JP, Dickstein K, Ponikowski PP, Jaarsma T. Adherence of heart failure patients to exercise: barriers and possible solutions: a position statement of the Study Group on Exercise Training in Heart Failure of the Heart Failure Association of the European Society of Cardiology. Eur J Heart Fail 2012; 14: 451–458. - PubMed
    1. Deka P, Pozehl B, Williams MA, Yates B. Adherence to recommended exercise guidelines in patients with heart failure. Heart Fail Rev 2017; 22: 41–53. - PubMed
    1. Shanmugasegaram S, Gagliese L, Oh P, Stewart DE, Brister SJ, Chan V, Grace SL. Psychometric validation of the cardiac rehabilitation barriers scale. Clin Rehabil 2012; 26: 152–164. - PMC - PubMed
    1. Buckingham S, Taylor R, Jolly K, Zawada A, Dean SG, Cowie A, Norton RJ, Dalal HM. Home‐based versus centre‐based cardiac rehabilitation: abridged Cochrane systematic review and meta‐analysis. Open heart 2016; 3: e000463. - PMC - PubMed

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