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Cited by 94Physical Activity and HealthCardiac Health and Mental HealthCardiovascular and exercise physiology

What can we learn from patients with heart failure about exercise adherence? A systematic review of qualitative papers

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Tierney, Stephanie, Mamas, Mamas, Skelton, Dawn, Woods, Stephen, Rutter, Martin K., Gibson, Martin, Neyses, Ludwig, Deaton, Christi·2011·Health Psychology
DOI 10.1037/a0022848
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Abstract

OBJECTIVES: Keeping physically active has been shown to bring positive outcomes for patients diagnosed with heart failure (HF). However, a number of individuals with this health problem do not undertake regular exercise. A review of extant qualitative research was conducted to explore what it can tell us about barriers and enablers to physical activity among people with HF. METHODS: A systematic search, involving electronic databases and endeavors to locate gray literature, was carried out to identify relevant qualitative studies published from 1980 onward. Data from retrieved papers were combined using framework analysis. Papers read in full numbered 32, and 20 were included in the review. RESULTS: Synthesis of results from the 20 studies resulted in 4 main themes: Changing soma, negative emotional response, adjusting to altered status, and interpersonal influences. How individuals responded to their diagnosis and their altered physical status related to their activity levels, as did the degree of encouragement to exercise coming from family, friends, and professionals. These findings can be connected to the theory of behavioral change developed by Bandura, known as social cognitive theory (SCT). CONCLUSIONS: SCT may be a useful framework for developing interventions to support patients with HF in undertaking and maintaining regular exercise patterns. Specific components of SCT that practitioners may wish to consider include self-efficacy and outcome expectancies. These were issues referred to in papers for the systematic review that appear to be particularly related to exercise adherence.

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  • Exercise programs for patients with cardiovascular disease should analyze exercise barriers and facilitators before the intervention, emphasize the importance of family and peer support, exercise monitoring, and providing educational information about how to exercise in their condition.

    “Exercise programs for patients with cardiovascular disease should analyze exercise barriers and facilitators before the intervention [28,35,36,37,39,40], but also, they should emphasize the importance of family and peer support [28,36,37,38,39], together with exercise monitoring [28,35,37,38] and providing educational information about how to exercise in their condition [35,36,37,38].”

    From Key Factors Associated with Adherence to Physical Exercise in Patients with Chronic Diseases and Older Adults: An Umbrella Review (2021) · cites this paper as [36]

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Authors
Tierney, S., Mamas, M., Skelton, D., Woods, S., Rutter, M. K., Gibson, M., Neyses, L., & Deaton, C.
Affiliations
  • University of Manchester (GB)
  • Glasgow Caledonian University (GB)
  • University of Luxembourg (LU)
ORCID
Venue
Health Psychology
Publisher
American Psychological Association (APA)
Published
2011
Volume
30
Issue
4
Pages
401-410
ISSN
  • 0278-6133 (ISSN-L)
  • 1930-7810
DOI
10.1037/a0022848
OpenAlex
W2116403933
Semantic Scholar
f2bad9b601962616866938c434d5eac83e346804
Cited by
94
References
57
Citations by year
2026: 2 · 2025: 3 · 2024: 13 · 2023: 2 · 2022: 3 · 2021: 9 · 2020: 5 · 2019: 5 · 2018: 4 · 2017: 7 · 2016: 9 · 2015: 7 · 2014: 11 · 2013: 4 · 2012: 7
FWCI
0.86
Type
journal article
Language
en
Open access
Licence
other-oa
Locations
  • Health Psychology (publishedVersion)
  • PubMed (publishedVersion)
  • ResearchOnline (acceptedVersion, other-oa)
  • Open Repository and Bibliography (University of Luxembourg) (submittedVersion, other-oa)
  • ResearchOnline (Glasgow Caledonian University) (submittedVersion, other-oa)
  • Research Explorer (The University of Manchester) (submittedVersion)
Funders
  • Collaborative Leadership in Applied Health Research and Care Flexibility
  • Manchester Academic Health Sciences Centre
  • National Institute for Health Research
Topics
  • Health Sciences › Medicine › Physiology › Physical Activity and Health
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
  • Health Sciences › Medicine › Complementary and alternative medicine › Cardiovascular and exercise physiology
Keywords
heart failure, exercise adherence, physical activity, barriers and facilitators, social cognitive theory, self-efficacy, outcome expectations, interpersonal influence, behavior change
MeSH terms
Exercise Therapy, Heart Failure, Humans, Motor Activity, Patient Compliance, Health Behavior

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