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

Bunny J. Pozehl; Rita McGuire; Kathleen Duncan; Kevin Kupzyk; Joseph Norman; Nancy T. Artinian; Pallav Deka; Steven K. Krueger; Matthew A. Saval; Steven J. Keteyian

doi:10.1016/j.cardfail.2018.06.007

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

Bunny J. Pozehl, Rita McGuire, Kathleen Duncan, Kevin Kupzyk, Joseph Norman, Nancy T. Artinian, Pallav Deka, Steven K. Krueger, Matthew A. Saval, Steven J. Keteyian

Research output: Contribution to journal › Article › peer-review

17 Scopus citations

Abstract

Background: 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. Methods and Results: 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. Conclusions: The multicomponent HEART Camp intervention showed efficacy with significant effects at 12 months and 18 months. Adherence levels remained modest, indicating a need for additional research to address methods and strategies to promote adherence to exercise in patients with HF.

Original language	English (US)
Pages (from-to)	654-660
Number of pages	7
Journal	Journal of Cardiac Failure
Volume	24
Issue number	10
DOIs	https://doi.org/10.1016/j.cardfail.2018.06.007
State	Published - Oct 2018

Keywords

Exercise
adherence
exercise training
heart failure

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine

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10.1016/j.cardfail.2018.06.007

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@article{072cb0acbf6e4fd99f24eed0067c6645,

title = "Effects of the HEART Camp Trial on Adherence to Exercise in Patients With Heart Failure",

abstract = "Background: 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. Methods and Results: 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. Conclusions: The multicomponent HEART Camp intervention showed efficacy with significant effects at 12 months and 18 months. Adherence levels remained modest, indicating a need for additional research to address methods and strategies to promote adherence to exercise in patients with HF.",

keywords = "Exercise, adherence, exercise training, heart failure",

author = "Pozehl, {Bunny J.} and Rita McGuire and Kathleen Duncan and Kevin Kupzyk and Joseph Norman and Artinian, {Nancy T.} and Pallav Deka and Krueger, {Steven K.} and Saval, {Matthew A.} and Keteyian, {Steven J.}",

note = "Funding Information: Funding: National Heart Lung and Blood Institute of the National Institutes of Health (award no. R01HL112979 ). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. Funding Information: Funding: National Heart Lung and Blood Institute of the National Institutes of Health (award no. R01HL112979). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. Publisher Copyright: {\textcopyright} 2018 Elsevier Inc.",

year = "2018",

month = oct,

doi = "10.1016/j.cardfail.2018.06.007",

language = "English (US)",

volume = "24",

pages = "654--660",

journal = "Journal of Cardiac Failure",

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T1 - Effects of the HEART Camp Trial on Adherence to Exercise in Patients With Heart Failure

AU - Pozehl, Bunny J.

AU - McGuire, Rita

AU - Duncan, Kathleen

AU - Kupzyk, Kevin

AU - Norman, Joseph

AU - Artinian, Nancy T.

AU - Deka, Pallav

AU - Krueger, Steven K.

AU - Saval, Matthew A.

AU - Keteyian, Steven J.

N1 - Funding Information: Funding: National Heart Lung and Blood Institute of the National Institutes of Health (award no. R01HL112979 ). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. Funding Information: Funding: National Heart Lung and Blood Institute of the National Institutes of Health (award no. R01HL112979). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. Publisher Copyright: © 2018 Elsevier Inc.

PY - 2018/10

Y1 - 2018/10

N2 - Background: 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. Methods and Results: 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. Conclusions: The multicomponent HEART Camp intervention showed efficacy with significant effects at 12 months and 18 months. Adherence levels remained modest, indicating a need for additional research to address methods and strategies to promote adherence to exercise in patients with HF.

AB - Background: 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. Methods and Results: 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. Conclusions: The multicomponent HEART Camp intervention showed efficacy with significant effects at 12 months and 18 months. Adherence levels remained modest, indicating a need for additional research to address methods and strategies to promote adherence to exercise in patients with HF.

KW - Exercise

KW - adherence

KW - exercise training

KW - heart failure

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JO - Journal of Cardiac Failure

JF - Journal of Cardiac Failure

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ER -

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

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