Exploring factors related to non-adherence to exergaming in patients with chronic heart failure.

Autor: Jaarsma T; Department of Medicine, Health and Caring Sciences, Linköping University, Linköping, Sweden., Klompstra L; Department of Medicine, Health and Caring Sciences, Linköping University, Linköping, Sweden., Strömberg A; Department of Medicine, Health and Caring Sciences, Linköping University, Linköping, Sweden.; Department of Cardiology, Linkoping University, Linkoping, Sweden., Ben Gal T; Heart Failure Unit, Cardiology Department, Rabin Medical Center, Petah Tikva and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel., Mårtensson J; Department of Nursing, School of Health and Welfare, Jönköping University, Jönköping, Sweden., van der Wal MHL; Department of Medicine, Health and Caring Sciences, Linköping University, Linköping, Sweden.; Department of Cardiology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Jazyk: angličtina
Zdroj: ESC heart failure [ESC Heart Fail] 2021 Dec; Vol. 8 (6), pp. 4644-4651. Date of Electronic Publication: 2021 Sep 21.
DOI: 10.1002/ehf2.13616
Abstrakt: Aims: This study aimed to explore factors related to non-adherence to exergaming in patients with heart failure.
Methods and Results: Data from patients in the exergame group in the HF-Wii trial were used. Adherence to exergaming was defined as playing 80% or more of the recommended time. Data on adherence and reasons for not exergaming at all were collected during phone calls after 2, 4, 8, and 12 weeks. Logistic regression was performed between patients who were adherent and patients who were non-adherent. Secondly, a logistic regression was performed between patients who not exergamed at all and patients who were adherent to exergaming. Finally, we analysed the reasons for not exergaming at all with manifest content analysis. Almost half of the patients were adherent to exergaming. Patients who were adherent had lower social motivation [odds ratio (OR) 0.072; 95% confidence interval (CI) 0.054-0.095], fewer sleeping problems (OR 0.84; 95% CI 0.76-0.092), and higher exercise capacity (OR 1.003; 95% CI 1.001-1.005) compared with patients who were non-adherent. Patients who not exergamed at all had lower cognition (OR 1.18; 95% CI 1.06-1.31) and more often suffered from peripheral vascular disease (OR 3.74; 95% CI 1.01-13.83) compared with patients who were adherent to exergaming. Patients most often cited disease-specific barriers as a reason for not exergaming at all.
Conclusions: A thorough baseline assessment of physical function and cognition is needed before beginning an exergame intervention. It is important to offer the possibility to exergame with others, to be able to adapt the intensity of physical activity.
(© 2021 The Authors. ESC Heart Failure published by John Wiley & Sons Ltd on behalf of European Society of Cardiology.)
Databáze: MEDLINE
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