An Exercise Counseling Intervention in Minority Adults With Heart Failure

Rehabil Nurs. 2017 May/Jun;42(3):146-156. doi: 10.1002/rnj.265.

Abstract

Purpose: The primary aim of this study was to assess the feasibility of an exercise counseling intervention for adults of diverse race/ethnicity with heart failure (HF) and to assess its potential for improving overall physical activity, functional capacity, and HF self-care.

Design: This study was a quasi-experimental, prospective, longitudinal cohort design.

Methods: Twenty adults were enrolled and completed the 6-minute walk and standardized instruments, followed by exercise counseling using motivational interviewing. Each received an accelerometer, hand weights, and a diary to record self-care behaviors. Participants were followed via phone for 12 weeks to collect step-counts, review symptoms, and plan the following week's step goal.

Findings: Results indicate that this intervention was feasible for most participants and resulted in improvements in physical activity, functional capacity, and self-care behaviors.

Conclusion/clinical relevance: Brief exercise counseling may be an appropriate option to improve outcomes for stable patients with HF and may be tailored to fit different settings.

MeSH terms

  • Aged
  • Cohort Studies
  • Counseling / methods*
  • Counseling / standards
  • Exercise / psychology*
  • Female
  • Heart Failure / nursing
  • Heart Failure / psychology
  • Heart Failure / rehabilitation*
  • Humans
  • Longitudinal Studies
  • Male
  • Middle Aged
  • Minority Groups / psychology*
  • Prospective Studies
  • Rehabilitation Nursing / methods
  • Self Care
  • United States