Effects of the HEART Camp Trial on Adherence to Exercise in Patients With Heart Failure

Journal of Cardiac Failure
Bunny PozehlSteven J Keteyian

Abstract

Few exercise training studies in patients with heart failure (HF) report adherence to guideline-recommended 150 minutes of moderate-intensity exercise per week, and no studies have focused on a primary outcome of adherence. This randomized controlled trial evaluated the effect of a multicomponent intervention, Heart Failure Exercise and Resistance Training (HEART) Camp, on adherence to exercise (after 6, 12, and 18 months) compared with an enhanced usual care (EUC) group. Patients (n = 204) were 55.4% male, overall average age was 60.4 years, and 47.5% were nonwhite. The HEART Camp group had significantly greater adherence at 12 (42%) and 18 (35%) months compared with the EUC group (28% and 19%, respectively). No significant difference (P > .05) was found at 6 months. The treatment effect did not differ based on patient's age, race, gender, marital status, type of HF (preserved or reduced ejection fraction) or New York Heart Association functional class. Left ventricular ejection fraction (LVEF) significantly moderated the treatment effect, with greater adherence at higher LVEF. The multicomponent HEART Camp intervention showed efficacy with significant effects at 12 months and 18 months. Adherence levels remained modest, indic...Continue Reading

Associated Clinical Trials

References

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Sep 25, 2012·Journal of the American College of Cardiology·Romualdo BelardinelliAugusto Purcaro
Dec 1, 2014·BMC Cardiovascular Disorders·Bunny J PozehlSteven J Keteyian
Sep 28, 2016·Heart Failure Reviews·Pallav DekaBernice Yates
Feb 25, 2017·Journal of Cardiac Failure·Linda G ParkMary A Whooley
Mar 15, 2018·The Journal of Cardiovascular Nursing·Bunny J PozehlSteven J Keteyian

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Citations

Aug 3, 2019·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Joseph F NormanBunny J Pozehl
Feb 14, 2021·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·Windy W AlonsoBunny Pozehl
Jan 28, 2021·Clinics·Edimar Alcides BocchiVitor Sergio Kawabata
Nov 7, 2021·The Cochrane Database of Systematic Reviews·Grace DibbenRod S Taylor

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