“I Can’t Go Far”: Perceptions and Experiences of Heart Failure Patients Regarding Physical Activity: A Qualitative Study Using Semistructured Face-to-Face Interviews

Abstract

Background Participation in regular physical activity (RPA) is beneficial to the quality of life and life expectancy of patients with chronic heart failure (CHF). However, it is inadequate in many patients. Aims To determine the factors that influence the practice of RPA in patients with CHF managed in general practice. Method This was a qualitative study using semistructured, individual face-to-face interviews. Patients with CHF (New York Heart Association Stages 1–3) capable of participating in RPA were enrolled by their general practitioner. A longitudinal and transversal inductive thematic analysis was performed by two researchers. Results Five themes emerged from the 19 interviews that were conducted. Poor knowledge of the disease and the benefits of participating in RPA, as well as the lack of motivation or enjoyment, in particular due to the absence of previous participation, were considered significant obstacles. Fear associated with CHF or other comorbidities was also an obstacle. Attendance at a rehabilitation center, family and social circles, and having a pet all appeared to be beneficial. Family and friends were important for motivating the patient to participate in an activity but could also be an obstacle when they were overprotective. Conclusion This study helps highlight the difficulties for patients with CHF associated with participation in RPA. Despite the obstacles, there are enabling factors on which the general practitioner may rely to motivate their patients.

Experiences of what influences physical activity adherence in Iranian patients with heart failure: A qualitative study

“…Several studies showed that patients with HF experienced fear, social isolation, and loss of control, which could lead to psychological distress, depression, anxiety, and frustration. [ 23 24 ] Several other studies have reported the relationship between psychological distress and poor self-care behaviors. [ 25 26 ] Heo et al .…”

“…However, support should not be so great that patients become passive in their care and dependent on others. [ 23 ] Perceived emotional/informational support is associated with better self-care management. [ 33 ]…”

“…Family and friends were important in motivating the patient to participate in an activity, but when they overprotect the patient, they might become a barrier to activity. [ 23 ]…”

A patient-centered evaluation of a novel medical student-based patient navigation program

“…Some specific examples include facilitating communication between patient and provider, appointment reminders, assisting with medication refills, providing educational resources, and providing emotional support [ 3 ]. These services, among others, have been shown to increase patient understanding of their disease and lead to improved patient outcomes [ 4 – 15 ]. The most robust data demonstrating the efficacy of PN programs comes from improving cancer screening and treatment [ 16 ], various primary care interventions [ 5 , 9 ], and HIV medication adherence [ 10 ].…”