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

Shane Warehime, Danae Dinkel, Windy Alonso, Bunny Pozehl, Shane Warehime, Danae Dinkel, Windy Alonso, Bunny Pozehl

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.

Conflict of interest statement

Declaration of Competing Interest None.

Copyright © 2020 Elsevier Inc. All rights reserved.

Source: PubMed

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