Feasibility and preliminary efficacy of a positive psychology-based intervention to promote health behaviors in heart failure: The REACH for Health study

Celano, Christopher M.; Freedman, Melanie E.; Harnedy, Lauren E.; Park, Elyse R.; Januzzi, James L.; Healy, Brian C.; Huffman, Jeff C.

doi:10.1016/j.jpsychores.2020.110285

Cited by 18 publications

(24 citation statements)

References 43 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The discrepancy in findings related to functional status may be attributed, at least in part, to the current intervention's additional focus on well-being. PP interventions have been shown to improve well-being and reduce depression, 43 and the PP component of the program may have promoted engagement by helping participants feel better mentally, 27,28 especially those with greater physical limitation and symptom frequency. Given that past studies have noted associations between disease severity and higher odds of dropout from cardiac rehabilitation programs, 44,45 the results of the current study suggest there may be benefit to developing interventions that can accommodate patients with greater physical limitations and symptom frequency.…”

Section: Discussionmentioning

confidence: 99%

“…Full details of recruitment and enrollment have been published previously. 27,28 Intervention After providing baseline information, participants were assigned to a treatment condition. In the proof-of-concept trial, all participants received the 9-week, PPbased intervention.…”

Section: Participantsmentioning

confidence: 99%

“…Full intervention details are available in prior publications. 27,28 Outcomes Engagement. Intervention engagement was measured by the percentage of intervention sessions completed, with session completion defined as completion of the intervention phone call, PP exercise, and setting of a new health behavior goal.…”

Section: Participantsmentioning

confidence: 99%

“…In single-arm (N ¼ 10) and randomized, controlled pilot trials (N ¼ 45), this PP-based intervention was feasible, well-accepted, and associated with promising improvements in well-being and health behavior adherence. 27,28 Using data from these two pilot trials, we aimed to identify factors that predicted intervention completion, physical activity, and sodium intake.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Predictors of completion and response to a psychological intervention to promote health behavior adherence in heart failure

Celano

Golden

Healy

et al. 2021

Int J Psychiatry Med

View full text Add to dashboard Cite

Objective Most individuals with heart failure (HF) struggle to adhere to one or more health behaviors, and interventions to promote adherence are time-intensive and costly. In this analysis, we examined the predictors of engagement and response related to a telephone-delivered health behavior intervention for individuals with HF. Method Using data from two pilot trials (N = 25) of a behavioral intervention for individuals with New York Heart Association (NYHA) class I-II HF, we examined predictors of intervention engagement and response using linear and mixed effects regression analyses. Predictors included medical (NYHA class, physical health-related quality of life [HRQoL], and HF symptoms) and intervention (ease and usefulness/utility ratings of the first intervention exercise) characteristics. Outcomes included percentage of sessions completed, accelerometer-measured physical activity, and sodium intake. Results Lower physical HRQoL and more frequent HF symptoms were associated with completion of more sessions. In contrast, more frequent HF symptoms and higher NYHA class were associated with less physical activity improvement. Finally, participants’ ratings of the first session’s utility were associated with greater improvements in physical activity at follow-up. Conclusions These findings suggest that while individuals with greater functional impairment are more engaged in a behavioral intervention, they may be less able to increase physical activity in response to the program. Furthermore, the perceived utility of an initial session may predict longer-term behavior change. Larger studies are needed to clarify the presence of additional predictors and determine how they can be used to better tailor health behavior interventions.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Participantsmentioning

confidence: 99%

Section: Participantsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Predictors of completion and response to a psychological intervention to promote health behavior adherence in heart failure

Celano

Golden

Healy

et al. 2021

Int J Psychiatry Med

View full text Add to dashboard Cite

show abstract

“…Higher quality of life scores in cancer patients are associated with better survival (8). In heart failure patients, a positive-psychology-based intervention led to improvements in both well-being and health-behaviour outcomes (9). The Dialysis Outcomes and Practice Patterns Study provides evidence for the impact of psychosocial factors on morbidity and mortality (10).…”

Section: Introductionmentioning

confidence: 99%

A Cross-sectional Study of Fixed and Growth Mindset in Adult Peritoneal Dialysis Patients

Fissell

Schlundt

Cavanaugh

et al. 2021

Journal of Patient Experience

View full text Add to dashboard Cite

Increasing home dialysis prevalence is an international priority. Many patients start peritoneal dialysis, then transition to hemodialysis after complications. New strategies are needed to support modality persistence. Health mindset refers to individual belief about capacity to change to improve health. Mindset was measured in a cross-section of 101 adult peritoneal dialysis patients from April 2019 to June 2020. The Health Mindset Scale was administered to characterize the continuum of fixed vs. growth mindset with respect to health. Health literacy and health self-efficacy were also assessed. Participants were 43% female, 32% African American, and 42% diabetic. Health mindset scores were skewed toward growth (range 3–18), with average (SD) 12.83 (4.2). Growth mindset was strongly associated with health self-efficacy. Adults receiving peritoneal dialysis report health mindset variation. Growth mindset and health self-efficacy correlation suggests measurement of similar constructs, demonstrating convergent validity. The Health Mindset Scale may identify individuals who could benefit from targeted interventions to improve mindset, and foster peritoneal dialysis modality persistence.

show abstract

Development and testing of an adaptive text message intervention to promote psychological well-being and reduce cardiac risk: Methods and process-related outcomes of the Text4Health controlled clinical pilot trial

Huffman,

Healy,

Jacobson

et al. 2023

Curr Psychol

View full text Add to dashboard Cite

Feasibility and preliminary efficacy of a positive psychology-based intervention to promote health behaviors in heart failure: The REACH for Health study

Cited by 18 publications

References 43 publications

Predictors of completion and response to a psychological intervention to promote health behavior adherence in heart failure

Predictors of completion and response to a psychological intervention to promote health behavior adherence in heart failure

A Cross-sectional Study of Fixed and Growth Mindset in Adult Peritoneal Dialysis Patients

Development and testing of an adaptive text message intervention to promote psychological well-being and reduce cardiac risk: Methods and process-related outcomes of the Text4Health controlled clinical pilot trial

Contact Info

Product

Resources

About