Applied Nursing Research
Volume 24, Issue 4 , Pages 207-214, November 2011

A self-directed adherence management program for patients with heart failure completing combined aerobic and resistance exercise training

  • Kathleen Duncan, PhD, RN

      Affiliations

    • College of Nursing-Lincoln Division, University of Nebraska Medical Center, PO Box 880220, Lincoln, NE 68588-0220, USA
    • Corresponding Author InformationCorresponding author. Tel.: +1 402 472 7338; fax: +1 402 472 7345.
    • ,
  • Bunny Pozehl, PhD, APRN-NP

      Affiliations

    • College of Nursing-Lincoln Division, University of Nebraska Medical Center, PO Box 880220, Lincoln, NE 68588-0220, USA
    • ,
  • Joseph F. Norman, PT, PhD

      Affiliations

    • Division of Physical Therapy Education, University of Nebraska Medical Center, 984420 Nebraska Medical Center, Omaha, NE 68198-4420, USA
    • ,
  • Melody Hertzog, PhD

      Affiliations

    • College of Nursing-Lincoln Division, University of Nebraska Medical Center, PO Box 880220, Lincoln, NE 68588-0220, USA

Received 26 January 2009; received in revised form 5 August 2009; accepted 16 August 2009. published online 16 October 2009.

Abstract 

This study measured the impact of the Exercise Adherence Management Program (EAMP) provided to 20 patients with heart failure (HF) who participated in a combined resistance and aerobic exercise training program during two 12-week phases. The EAMP included strategies designed to support exercise self-efficacy and adherence. Results indicate that an improvement in exercise self-efficacy occurred during the study period, whereas exercise adherence declined during the unsupervised phase. The highest rated adherence strategy for helpfulness and self-efficacy was group sessions. The study supports the use of adherence strategies based on self-efficacy in exercise programs for patients with HF.

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PII: S0897-1897(09)00079-2

doi:10.1016/j.apnr.2009.08.003

Applied Nursing Research
Volume 24, Issue 4 , Pages 207-214, November 2011

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