An adherence facilitation intervention improved exercise adherence and confidence in continuing home exercise compared to exercise alone in patients with heart failure.
RCT (n=13)
Does an adherence facilitation intervention improve home exercise adherence in patients with heart failure?
An adherence facilitation intervention using goal setting and graphic feedback improves home exercise adherence in patients with heart failure.
The purpose of this investigation was to test the effectiveness of an adherence facilitation intervention consisting of goal setting, graphic feedback, and provider guidance to support adherence to home exercise in a sample of patients with heart failure who had completed a supervised exercise program. The sample consisted of 13 patients with an ejection fraction of 40% or less who were randomly assigned to either the exercise only group (n=6) or the exercise with adherence facilitation group (n=7). The format of the intervention was graphic depiction of each patient's exercise goals in comparison to each patient's exercise participation. Graphs were mailed at 3-week intervals for 12 weeks. Results indicate that patients who received the intervention demonstrated higher exercise adherence and greater confidence in continuing to exercise in the future. The adherence facilitation intervention may be helpful to heart failure patients in adapting to a program of home exercise. (c)2002 CHF, Inc.
Duncan et al. (2002) conducted an RCT in Heart failure (n=13). Adherence facilitation intervention (goal setting, graphic feedback, provider guidance) vs. Exercise only was evaluated on Exercise adherence and confidence in continuing to exercise. An adherence facilitation intervention improved exercise adherence and confidence in continuing home exercise compared to exercise alone in patients with heart failure.