Effective Strategies for Physical Activity Adherence in Heart Failure Patients: An Umbrella Review
-
Hossein Karimi Moonaghi
,
Shahnaz Ahrari
,
Seyed Mousa mahdizadeh
,
Alireza Heidari Bakavoli
,
Seyed Mohammad Riahi
Abstract
Background: Despite the importance of physical activity in heart failure treatment, physical activity adherence in heart failure patients is low. The purpose of this umbrella review was to obtain the best strategies for enhancing physical activity adherence among HF patients.
Methods: Databases were investigated from 2010 to Jan 2022. The full text of the papers was investigated in terms of inclusion and exclusion criteria. Eventually, out of 74 relevant papers, 7-review study with 20977 patients were eligible and included in the study.
Results: Five key effective approaches were identified in two subsets for enhancing physical activity adherence as follows: 1) exercise-based approaches including 1.1) Exergames, whereby the extent of adherence to exergames was between 84 and 98%. 1.2) Tele-rehabilitation with 70%-100% adherence the intervention groups 1.3) Tai chi and Qigong practices (TQPs), whereby the exercise adherence in TQP groups was 67-100%, 2. Theoretical-behavioral approaches 2.1) approaches based on behavioral and psychological theories, which were a combination of an exercise program alongside a behavior modification intervention, 2.2) Self-efficacy.
Conclusion: Approaches that are based on exercise alongside behavioral and theoretical interventions could enhance physical activity adherence among HF patients. It is suggested to evaluate mix methods of exercise-based approaches and theoretical-behavioral approaches mentioned in this study in future clinical trial studies. Use of capacity of TR programs improve to physical activity adherence should receive more attention.
1. Savarese G, Lund LH (2017). Global Public Health Burden of Heart Failure. Card Fail Rev, 3(1):7-11.
2. Ghizzardi G, Arrigoni C, Dellafiore F, et al (2022). Efficacy of motivational interviewing on enhancing self-care behaviors among patients with chronic heart failure: a systematic review and meta-analysis of randomized controlled trials. Heart Fail Rev, 27(4):1029-1041.
3. Mohammadi F, Jahromi MS, Bijani M, et al (2021). Investigating the effect of multimedia education in combination with teach-back method on quality of life and cardiac anxiety in patients with heart failure: a randomized clinical trial. BMC Cardiovasc Disord, 12;21(1):535.
4. Sarrafzadegan N, Mohammmadifard N (2019). Cardiovascular Disease in Iran in the Last 40 Years: Prevalence, Mortality, Morbidity, Challenges and Strategies for Cardiovascular Prevention. Arch Iran Med, 1;22(4):204-210.
5. Volterrani M, Iellamo F (2016). Cardiac Rehabilitation in Patients With Heart Failure: New Perspectives in Exercise Training. Card Fail Rev, 2(1):63-68.
6. Alonso WW, Kupzyk KA, Norman JF et al (2022). The HEART Camp Exercise Intervention Improves Exercise Adherence, Physical Function, and Patient-Reported Outcomes in Adults With Preserved Ejection Fraction Heart Failure. J Card Fail, 28(3):431-442.
7. Adsett JA, Morris NR ,Mudge AM (2021). Impact of exercise training program attendance and physical activity participation on six minute walk distance in patients with heart failure. Physiother Theory Pract, 37(9):1051-1059.
8. Warehime S, Dinkel D, Alonso W et al (2020). Long-term exercise adherence in patients with heart failure: A qualitative study. Heart Lung, 49(6):696-701.
9. Linda G. Park P, Np, David W et al (2017). Participation in Cardiac Rehabilitation Among Patients With Heart Failure. J Card Fail, 23(5):427-431.
10. Ahrari S, Mohammadpour A, Amouzeshi Z et al (2014). The Relationship between Cognitive Appraisal and Adherence to Medical Regimens in Type 2 Diabetic Patients. J Caring Sci, 1;3(4):277-85.
11. Heydari A, Ahrari S, Vaghee S (2011). The relationship between self-concept and adherence to therapeutic regimens in patients with heart failure. J Cardiovasc Nurs, 26(6):475-80.
12. Ahrari S, Moshki M, Bahrami M (2014). The Relationship Between Social Support and Adherence of Dietary and Fluids Restrictions among Hemodialysis Patients in Iran. J Caring Sci, 27;3(1):11-9.
13. DaSantos A, Goddard C, Ragoobirsingh D (2021). Self-care adherence and affective disorders in Barbadian adults with type 2 diabetes. AIMS Public Health, 17;9(1):62-72.
14. Rajati F, Sadeghi M, Feizi A et al (2014). Self-efficacy strategies to improve exercise in patients with heart failure: A systematic review. ARYA Atheroscler, 10(6):319-33.
15. Nakanishi M, Miura H, Irie Y et al (2022). Association of adherence to a 3 month cardiac rehabilitation with long-term clinical outcomes in heart failure patients. ESC Heart Fail, 9(2):1424-1435.
16. Tierney S, Mamas M, Woods S et al (2012). What strategies are effective for exercise adherence in heart failure? A systematic review of controlled studies. Heart Fail Rev, 17(1):107-15.
17. Florian Zores, Marie-Christine Iliou, Barnabas Gellen et al (2019). Physical activity for patients with heart failure: Position paper from the heart failure (GICC) and cardiac rehabilitation (GERS-P) Working Groups of the French Society of Cardiology. Arch Cardiovasc Dis, 112(11):723-731.
18. Skov Schacksen C, Henneberg NC, Muthulingam JA, et al (2021). Effects of Telerehabilitation Interventions on Heart Failure Management (2015-2020): Scoping Review. JMIR Rehabil Assist Technol, 1;8(4):e29714.
19. Hasanpoor E, Hallajzadeh J, Siraneh Y et al (2019). Using the Methodology of Systematic Review of Reviews for Evidence-Based Medicine. Ethiop J Health Sci, 29(6):775-778.
20. Saygın Avşar T, McLeod H, Jackson L (2021). Health outcomes of smoking during pregnancy and the postpartum period: an umbrella review. BMC Pregnancy Childbirth, 26;21(1):254.
21. Moher D, Liberati A, Tetzlaff J, Altman DG (2009). Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. BMJ, 339(jul21 1):b2535.
22. Thomson K, Hillier-Brown F, Walton N et al (2019). The effects of community pharmacy-delivered public health interventions on population health and health inequalities: A review of reviews. Prev Med, 124:98-109.
23. Higgins JPT, Green, S ( 2011.) Cochrane Handbook for Systematic Reviews of Interventions. 5.1.0 ed ed: John Wiley & Sons Ltd, Chichester.
24. S Grgic, J., Grgic, I., Del Coso, J. et al (2021). Effects of sodium bicarbonate supplementation on exercise performance: an umbrella review. J Int Soc Sports Nutr, 18;18(1):71.
25. Cavalheiro AH, Silva Cardoso J, Rocha A, et al (2021). Effectiveness of Tele-rehabilitation Programs in Heart Failure: A Systematic Review and Meta-analysis. Health Serv Insights,15;14:11786329211021668.
26. Amirova A, Fteropoulli T, Williams P et al. (2021) Efficacy of interventions to increase physical activity for people with heart failure: a meta-analysis. Open Heart, 8(1):e001687.
27. Chen X, Savarese G, Cai Y et al (2020). Tai Chi and Qigong Practices for Chronic Heart Failure: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Evid Based Complement Alternat Med, 14;2020:2034625.
28. Deka P, Pozehl B, Williams MA et al (2017). Adherence to recommended exercise guidelines in patients with heart failure. Heart Fail Rev, 22(1):41-53.
29. Verheijden Klompstra L, Jaarsma T, Strömberg A (2014). Exergaming in older adults: a scoping review and implementation potential for patients with heart failure. Eur J Cardiovasc Nurs, 13(5):388-98.
30. Orzechowski P, Piotrowicz R, Zaręba W et al (2021). Assessment of ECG during hybrid comprehensive telerehabilitation in heart failure patients-Subanalysis of the Telerehabilitation in Heart Failure Patients (TELEREH-HF) randomized clinical trial. Ann Noninvasive Electrocardiol, 26(6):e12887.
31. Brennan D, Tindall L, Theodoros D et al (2010). A blueprint for telerehabilitation guidelines. Int J Telerehabil, 2(2):31-4.
32. Piotrowicz E, Pencina MJ, Opolski G et al (2020). Effects of a 9-Week Hybrid Comprehensive Telerehabilitation Program on Long-term Outcomes in Patients With Heart Failure: The relerehabilitation in Heart Failure Patients (TELEREH-HF) Randomized Clinical Trial. JAMA Cardiol, 5(3):300-308.
33. Oshotse C, Zullig LL, Bosworth HB et al (2018). Self-Efficacy and Adherence Behaviors in Rheumatoid Arthritis Patients. Prev Chronic Dis, 15:E127.
34. Escribano S, Rocío JS, Nereida CM et al(2022). Spanish Linguistic validation of the self-efficacy questionnaire in communication skills. Contemp Nurse, 1-10.
35. Barnason S, Zimmerman L, Nieveen J et al (2003). Impact of a home communication intervention for coronary artery bypass graft patients with ischemic heart failure on self-efficacy, coronary disease risk factor modification, and functioning. Heart Lung, 32(3):147-58.
36. Gu Q, Wu SJ, Zheng Y et al (2017). Tai Chi Exercise for Patients with Chronic Heart Failure: A Meta-analysis of Randomized Controlled Trials. Am J Phys Med Rehabil, 96(10):706-716.
37. Jaarsma T, Klompstra L, Ben Gal T et al (2021). Effects of exergaming on exercise capacity in patients with heart failure: results of an international multicentre randomized controlled trial. Eur J Heart Fail, 23(1):114-124.
38. Klompstra L, Jaarsma T, Mårtensson J et al (2017). Exergaming Through the Eyes of Patients with Heart Failure: A Qualitative Content Analysis Study. Games Health J, 6(3):152-158.
39. Cacciata MC, Stromberg A, Klompstra L et al (2021) Facilitators and Challenges to Exergaming: Perspectives of Patients With Heart Failure. J Cardiovasc Nurs, 37(3):281-288.
40. Pozehl B, Duncan K, Hertzog M et al (2010). Heart Failure Exercise And Training Camp: effects of a multicomponent exercise training intervention in patients with heart failure. Heart Lung, 39(6 Suppl):S1-13.
41. Ashford S, Edmunds J, French DP (2010). What is the best way to change self-efficacy to promote lifestyle and recreational physical activity? A systematic review with meta-analysis. Br J Health Psychol, 15(Pt 2):265-88.
42. Collado-Mateo D , Lavín-Pérez A , Peñacoba C, et al (2021). Key Factors Associated with Adherence to Physical Exercise in Patients with Chronic Diseases and Older Adults: An Umbrella Review. Int J Environ Res Public Health, 18(4):2023.
2. Ghizzardi G, Arrigoni C, Dellafiore F, et al (2022). Efficacy of motivational interviewing on enhancing self-care behaviors among patients with chronic heart failure: a systematic review and meta-analysis of randomized controlled trials. Heart Fail Rev, 27(4):1029-1041.
3. Mohammadi F, Jahromi MS, Bijani M, et al (2021). Investigating the effect of multimedia education in combination with teach-back method on quality of life and cardiac anxiety in patients with heart failure: a randomized clinical trial. BMC Cardiovasc Disord, 12;21(1):535.
4. Sarrafzadegan N, Mohammmadifard N (2019). Cardiovascular Disease in Iran in the Last 40 Years: Prevalence, Mortality, Morbidity, Challenges and Strategies for Cardiovascular Prevention. Arch Iran Med, 1;22(4):204-210.
5. Volterrani M, Iellamo F (2016). Cardiac Rehabilitation in Patients With Heart Failure: New Perspectives in Exercise Training. Card Fail Rev, 2(1):63-68.
6. Alonso WW, Kupzyk KA, Norman JF et al (2022). The HEART Camp Exercise Intervention Improves Exercise Adherence, Physical Function, and Patient-Reported Outcomes in Adults With Preserved Ejection Fraction Heart Failure. J Card Fail, 28(3):431-442.
7. Adsett JA, Morris NR ,Mudge AM (2021). Impact of exercise training program attendance and physical activity participation on six minute walk distance in patients with heart failure. Physiother Theory Pract, 37(9):1051-1059.
8. Warehime S, Dinkel D, Alonso W et al (2020). Long-term exercise adherence in patients with heart failure: A qualitative study. Heart Lung, 49(6):696-701.
9. Linda G. Park P, Np, David W et al (2017). Participation in Cardiac Rehabilitation Among Patients With Heart Failure. J Card Fail, 23(5):427-431.
10. Ahrari S, Mohammadpour A, Amouzeshi Z et al (2014). The Relationship between Cognitive Appraisal and Adherence to Medical Regimens in Type 2 Diabetic Patients. J Caring Sci, 1;3(4):277-85.
11. Heydari A, Ahrari S, Vaghee S (2011). The relationship between self-concept and adherence to therapeutic regimens in patients with heart failure. J Cardiovasc Nurs, 26(6):475-80.
12. Ahrari S, Moshki M, Bahrami M (2014). The Relationship Between Social Support and Adherence of Dietary and Fluids Restrictions among Hemodialysis Patients in Iran. J Caring Sci, 27;3(1):11-9.
13. DaSantos A, Goddard C, Ragoobirsingh D (2021). Self-care adherence and affective disorders in Barbadian adults with type 2 diabetes. AIMS Public Health, 17;9(1):62-72.
14. Rajati F, Sadeghi M, Feizi A et al (2014). Self-efficacy strategies to improve exercise in patients with heart failure: A systematic review. ARYA Atheroscler, 10(6):319-33.
15. Nakanishi M, Miura H, Irie Y et al (2022). Association of adherence to a 3 month cardiac rehabilitation with long-term clinical outcomes in heart failure patients. ESC Heart Fail, 9(2):1424-1435.
16. Tierney S, Mamas M, Woods S et al (2012). What strategies are effective for exercise adherence in heart failure? A systematic review of controlled studies. Heart Fail Rev, 17(1):107-15.
17. Florian Zores, Marie-Christine Iliou, Barnabas Gellen et al (2019). Physical activity for patients with heart failure: Position paper from the heart failure (GICC) and cardiac rehabilitation (GERS-P) Working Groups of the French Society of Cardiology. Arch Cardiovasc Dis, 112(11):723-731.
18. Skov Schacksen C, Henneberg NC, Muthulingam JA, et al (2021). Effects of Telerehabilitation Interventions on Heart Failure Management (2015-2020): Scoping Review. JMIR Rehabil Assist Technol, 1;8(4):e29714.
19. Hasanpoor E, Hallajzadeh J, Siraneh Y et al (2019). Using the Methodology of Systematic Review of Reviews for Evidence-Based Medicine. Ethiop J Health Sci, 29(6):775-778.
20. Saygın Avşar T, McLeod H, Jackson L (2021). Health outcomes of smoking during pregnancy and the postpartum period: an umbrella review. BMC Pregnancy Childbirth, 26;21(1):254.
21. Moher D, Liberati A, Tetzlaff J, Altman DG (2009). Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. BMJ, 339(jul21 1):b2535.
22. Thomson K, Hillier-Brown F, Walton N et al (2019). The effects of community pharmacy-delivered public health interventions on population health and health inequalities: A review of reviews. Prev Med, 124:98-109.
23. Higgins JPT, Green, S ( 2011.) Cochrane Handbook for Systematic Reviews of Interventions. 5.1.0 ed ed: John Wiley & Sons Ltd, Chichester.
24. S Grgic, J., Grgic, I., Del Coso, J. et al (2021). Effects of sodium bicarbonate supplementation on exercise performance: an umbrella review. J Int Soc Sports Nutr, 18;18(1):71.
25. Cavalheiro AH, Silva Cardoso J, Rocha A, et al (2021). Effectiveness of Tele-rehabilitation Programs in Heart Failure: A Systematic Review and Meta-analysis. Health Serv Insights,15;14:11786329211021668.
26. Amirova A, Fteropoulli T, Williams P et al. (2021) Efficacy of interventions to increase physical activity for people with heart failure: a meta-analysis. Open Heart, 8(1):e001687.
27. Chen X, Savarese G, Cai Y et al (2020). Tai Chi and Qigong Practices for Chronic Heart Failure: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Evid Based Complement Alternat Med, 14;2020:2034625.
28. Deka P, Pozehl B, Williams MA et al (2017). Adherence to recommended exercise guidelines in patients with heart failure. Heart Fail Rev, 22(1):41-53.
29. Verheijden Klompstra L, Jaarsma T, Strömberg A (2014). Exergaming in older adults: a scoping review and implementation potential for patients with heart failure. Eur J Cardiovasc Nurs, 13(5):388-98.
30. Orzechowski P, Piotrowicz R, Zaręba W et al (2021). Assessment of ECG during hybrid comprehensive telerehabilitation in heart failure patients-Subanalysis of the Telerehabilitation in Heart Failure Patients (TELEREH-HF) randomized clinical trial. Ann Noninvasive Electrocardiol, 26(6):e12887.
31. Brennan D, Tindall L, Theodoros D et al (2010). A blueprint for telerehabilitation guidelines. Int J Telerehabil, 2(2):31-4.
32. Piotrowicz E, Pencina MJ, Opolski G et al (2020). Effects of a 9-Week Hybrid Comprehensive Telerehabilitation Program on Long-term Outcomes in Patients With Heart Failure: The relerehabilitation in Heart Failure Patients (TELEREH-HF) Randomized Clinical Trial. JAMA Cardiol, 5(3):300-308.
33. Oshotse C, Zullig LL, Bosworth HB et al (2018). Self-Efficacy and Adherence Behaviors in Rheumatoid Arthritis Patients. Prev Chronic Dis, 15:E127.
34. Escribano S, Rocío JS, Nereida CM et al(2022). Spanish Linguistic validation of the self-efficacy questionnaire in communication skills. Contemp Nurse, 1-10.
35. Barnason S, Zimmerman L, Nieveen J et al (2003). Impact of a home communication intervention for coronary artery bypass graft patients with ischemic heart failure on self-efficacy, coronary disease risk factor modification, and functioning. Heart Lung, 32(3):147-58.
36. Gu Q, Wu SJ, Zheng Y et al (2017). Tai Chi Exercise for Patients with Chronic Heart Failure: A Meta-analysis of Randomized Controlled Trials. Am J Phys Med Rehabil, 96(10):706-716.
37. Jaarsma T, Klompstra L, Ben Gal T et al (2021). Effects of exergaming on exercise capacity in patients with heart failure: results of an international multicentre randomized controlled trial. Eur J Heart Fail, 23(1):114-124.
38. Klompstra L, Jaarsma T, Mårtensson J et al (2017). Exergaming Through the Eyes of Patients with Heart Failure: A Qualitative Content Analysis Study. Games Health J, 6(3):152-158.
39. Cacciata MC, Stromberg A, Klompstra L et al (2021) Facilitators and Challenges to Exergaming: Perspectives of Patients With Heart Failure. J Cardiovasc Nurs, 37(3):281-288.
40. Pozehl B, Duncan K, Hertzog M et al (2010). Heart Failure Exercise And Training Camp: effects of a multicomponent exercise training intervention in patients with heart failure. Heart Lung, 39(6 Suppl):S1-13.
41. Ashford S, Edmunds J, French DP (2010). What is the best way to change self-efficacy to promote lifestyle and recreational physical activity? A systematic review with meta-analysis. Br J Health Psychol, 15(Pt 2):265-88.
42. Collado-Mateo D , Lavín-Pérez A , Peñacoba C, et al (2021). Key Factors Associated with Adherence to Physical Exercise in Patients with Chronic Diseases and Older Adults: An Umbrella Review. Int J Environ Res Public Health, 18(4):2023.
| Files | ||
| Issue | Vol 52 No 9 (2023) | |
| Section | Review Article(s) | |
| DOI | https://doi.org/10.18502/ijph.v52i9.13566 | |
| Keywords | ||
| Patient adherence Heart failure Review Physical activity Exercise | ||
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How to Cite
1.
Karimi Moonaghi H, Ahrari S, mahdizadeh SM, Heidari Bakavoli A, Riahi SM. Effective Strategies for Physical Activity Adherence in Heart Failure Patients: An Umbrella Review. Iran J Public Health. 2023;52(9):1832-1843.
