Health Psychology Section, Institute of Psychiatry, Psychology and Neuroscience, King's College London, Guy's Hospital, London, United Kingdom.
St Raphael's Hospice Hospital & Health Care, Sutton, United Kingdom.
PLoS One. 2022 Aug 4;17(8):e0271743. doi: 10.1371/journal.pone.0271743. eCollection 2022.
In heart failure (HF), increased physical activity is associated with improved quality of life, reduced hospitalisation, and increased longevity and is an important aim of treatment. However, physical activity levels in individuals living with HF are typically extremely low. This qualitative study with one-to-one interviews systematically explores perceived clinical, environmental, and psychosocial barriers and enablers in older adults (≥70 years old) living with HF. Semi-structured interviews (N = 16) based on the Theoretical Domains Framework elicited 39 belief statements describing the barriers and enablers to physical activity. Theoretical domains containing these beliefs and corresponding constructs that were both pervasive and common were deemed most relevant. These were: concerns about physical activity (Beliefs about Consequences), self-efficacy (Beliefs about Capabilities), social support (Social Influences), major health event (Environmental Context and Resources), goal behavioural (Goal), action planning (Behavioural Regulation). This work extends the limited research on the modifiable barriers and enablers for physical activity participation by individuals living with HF. The research findings provide insights for cardiologists, HF-specialist nurses, and physiotherapists to help co-design and deliver a physical activity intervention more likely to be effective for individuals living with HF.
在心力衰竭（HF）中，增加身体活动与改善生活质量、减少住院、延长寿命有关，是治疗的重要目标。然而，HF 患者的身体活动水平通常极低。这项针对≥70 岁 HF 患者的一对一访谈的定性研究系统地探讨了他们在身体活动方面感知到的临床、环境和心理社会障碍和促进因素。基于理论领域框架的半结构化访谈（N=16）引出了 39 个信念陈述，描述了身体活动的障碍和促进因素。包含这些信念和相应结构的理论领域，如果既普遍又常见，则被认为最相关。这些领域包括：对身体活动的担忧（对后果的信念）、自我效能（对能力的信念）、社会支持（社会影响）、重大健康事件（环境背景和资源）、目标行为（目标）、行动计划（行为调节）。这项工作扩展了对 HF 患者身体活动参与的可改变障碍和促进因素的有限研究。研究结果为心脏病专家、HF 专科护士和物理治疗师提供了见解，以帮助共同设计和提供更有可能对 HF 患者有效的身体活动干预措施。
