Efficacy of interventions to increase physical activity for people with heart failure: a meta-analysis

Amirova, Aliya; Fteropoulli, Theodora; Williams, Paul; Haddad, Mark

doi:10.1136/openhrt-2021-001687

Cited by 15 publications

(18 citation statements)

References 41 publications

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“…Older age is a barrier to physical activity in HF, as suggested by both qualitative and quantitative evidence. This result further reiterated the finding of a meta-analysis (Amirova et al, 2021) that older adults living with HF need more support to attain higher physical activity levels.…”

Section: Contextual Barriers and Enablerssupporting

confidence: 65%

“…Finally, tentative suggestions are made for what a future physical activity intervention needs to include Overall, the review findings indicate that to reduce the barriers and enhance the enablers, a behaviour change intervention containing the following BCTs are needed: identity associated with target behaviour, prompt/cues and adding objects to the environment, behavioural practice/rehearsal, and graded tasks. A previous meta-analysis of randomised controlled trials also suggested that these strategies are associated with the efficacy of interventions (Amirova et al, 2021). In addition, the qualitative evidence included in this review suggests that addressing the change in the social identity as a result of acquired HF diagnosis and the perceived appropriateness of physical activity in this context need to be addressed.…”

Section: Recommendations For Future Research and Clinical Practicementioning

confidence: 90%

“…Interventions informed by a behaviour change theory are potentially promising in achieving physical activity improvements in HF (Tierney et al, 2011). A recent meta-analysis found that interventions integrating an exercise programme with behaviour change theory and interventions delivered by a physiotherapist are efficacious in obtaining short-term improvements in physical activity levels among individuals living with HF (Amirova, Fteropoulli, Williams, & Haddad, 2021). However, the effect of these interventions varied considerably.…”

Section: Introductionmentioning

confidence: 99%

“…However, the effect of these interventions varied considerably. In addition, the extent to which a theory informed interventions was limited (Amirova, Fteropoulli, Williams, & Haddad, 2021). Research on the barriers and enablers influencing physical activity is needed.…”

Section: Introductionmentioning

confidence: 99%

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Informing behaviour change intervention design using systematic review with Bayesian meta-analysis: physical activity in heart failure

Amirova¹,

Taylor

Volkmer

et al. 2021

Preprint

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Systematically identified evidence concerning modifiable and contextual barriers and enablers can guide the choice of theory and inform behaviour change intervention design. The Bayesian approach can enable the comparison of the extent to which a barrier or enabler influences behaviour and helps in concluding on the uncertainty in the evidence. It can be used to inform intervention development with stakeholders' accounts using qualitative research. The Bayesian approach facilitates the synthesis of qualitative and quantitative evidence. This review evaluates the evidence on the determinants of physical activity among individuals living with heart failure (HF). In HF, physical activity is associated with improved quality of life, reduced hospitalisation, and increased longevity and is a key component of treatment. Embracing the Bayesian approach in health psychology research, we aimed to synthesise evidence regarding barriers and enablers to physical activity in HF in a way that can inform behaviour change intervention development. Qualitative and observational studies investigating any barriers and enablers to physical activity in adults diagnosed with HF were included in a systemic review with Bayesian meta-analysis following the methodology of Dixon-Woods et al. (2002). Evidence from 19 studies (three qualitative; 16 quantitative studies) was synthesised. Qualitative evidence was annotated using the Theoretical Domains Framework to identify determinants of physical activity participation and represented as a prior distribution using an expert elicitation task. The maximum a posteriori probability (MAP) was calculated as a summary statistic for the probability distribution of physical activity conditioned on each determinant, according to qualitative evidence alone (i.e., prior) and qualitative and quantitative evidence combined (i.e., posterior). The uncertainty in the evidence was expressed using Credible Intervals (CrI). Evidence concerning the modifiable barriers and enablers is highly uncertain: social support(MAP=0.11,CrI:[0.08;0.13]),negative attitude(MAP=0.22,CrI:[0.17;0.27]),positive attitude(MAP=0.27,CrI:[0.23;0.31]),self-efficacy(MAP=0.31,CrI:[0.29;0.33]),symptom distress(MAP=021,CrI:[0.18;0.24]). The contextual barriers are age(MAP=0.22,CrI:[0.22;0.23]), low Left Ventricular Ejection Fraction(MAP=0.20,CrI:[0.19;0.22]), and depression(MAP=0.14,CrI:[0.12;0.16]), low, moderate, and high uncertainty in the evidence, respectively. This work extends the limited research on the modifiable barriers and enablers for physical activity participation by individuals living with HF. The review supports the usefulness of the Bayesian approach in informing intervention development and identifies determinants to physical activity that warrant consideration when designing interventions.

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Section: Contextual Barriers and Enablerssupporting

confidence: 65%

Section: Recommendations For Future Research and Clinical Practicementioning

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Informing behaviour change intervention design using systematic review with Bayesian meta-analysis: physical activity in heart failure

Amirova¹,

Taylor

Volkmer

et al. 2021

Preprint

Self Cite

View full text Add to dashboard Cite

show abstract

“…Planning is especially important among clinical population groups because identified reasons for dropouts include irregularity (lack of consistency), low automaticity, and self-regulation (planning) [53], which reflect the importance and the presence of these variables in this study. While investigations are limited among individuals with acute coronary syndrome, planning has been found to be an effective behavior change technique for people with heart failure [54].…”

Section: Behavioral Maintenance Constructsmentioning

confidence: 99%

How and Why Patients Adhere to a Prescribed Cardiac Rehabilitation Program: A Longitudinal Phenomenological Study of Patients with Acute Coronary Syndrome

Kaushal

Nemati

Gauthier-Bisaillon

et al. 2022

IJERPH

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Background. Adherence to cardiac rehabilitation remains a challenge despite established evidence that engaging in regular exercise is a strong preventive measure to experiencing a second cardiac event. A recent study found a six-month cardiac rehabilitation program to be effective for facilitating regular exercise behavior among patients diagnosed with acute coronary syndrome. The purpose of this study was to conduct a phenomenological investigation using Colaizzi’s descriptive technique to understand mechanisms responsible for behavior change. Methods. Data were collected and analyzed among patients with acute coronary syndrome at a cardiac rehabilitation using semi-structured interviews that were conducted over the phone across three months. Conclusion. Thematic analysis of 15 semi-structured interviews resulted in 124 statements that were analyzed. The data yielded seven themes that included “motivation to follow prescribed exercise program”, “volitional decision”, “capability of performing exercise”, “connectedness to peers”, “planning”, “habit formation”, and “adopting healthy behaviors beyond exercise”. The emerged themes align with construct definitions of the self-determination theory, which include the three psychological needs (autonomy, competence, and relatedness), in addition to autonomous motivation, which represents internally driven reasons to participate in exercise. Planning and habit formation themes support contemporary research that identifies these constructs responsible for behavioral maintenance. While these themes help explain exercise participation, the final theme, adopting healthy behaviors beyond exercise, reflects the impact of the program on having a change towards a healthier lifestyle. The findings highlight the complexity of exercise behavior, and that long-term participation is likely explained by amalgamating the self-determination theory.

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Effectiveness of interventions based on health action process approach in promoting physical activity among rehabilitation patients: a systematic review and meta-analysis

Peng,

Khairani,

Zhou

et al. 2024

International Journal of Sport and Exercise Psychology

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Efficacy of interventions to increase physical activity for people with heart failure: a meta-analysis

Cited by 15 publications

References 41 publications

Informing behaviour change intervention design using systematic review with Bayesian meta-analysis: physical activity in heart failure

Informing behaviour change intervention design using systematic review with Bayesian meta-analysis: physical activity in heart failure

How and Why Patients Adhere to a Prescribed Cardiac Rehabilitation Program: A Longitudinal Phenomenological Study of Patients with Acute Coronary Syndrome

Effectiveness of interventions based on health action process approach in promoting physical activity among rehabilitation patients: a systematic review and meta-analysis

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