Duncan Lorna, Essery Rosie, Dawson Shoba, Ismail Yasmin, Baird Justine, Butcher Karen, Whight Emily, Johnson Rachel, Huntley Alyson L
Centre for Academic Primary Care, Population Health Sciences, University of Bristol, Bristol, UK.
University of Southampton, Southampton, UK.
BMJ Open. 2025 Apr 5;15(4):e092457. doi: 10.1136/bmjopen-2024-092457.
To (1) synthesise the experiences of people with heart failure and those who care for them concerning participation in physical activity (2) develop a logic model for a future intervention which will support people with heart failure to feel confident and safe in being physically active.
A systematic review and meta-aggregation using Joanna Briggs Institute (JBI) methodology.
MEDLINE, Emcare and PsycINFO databases were searched through until June 2024 inclusively.
Studies with a qualitative design, including qualitative components of mixed-methods studies, which describe experiences of participation in physical activity by adults with chronic heart failure.
Two independent reviewers used standardised methods to search and screen studies. Data extraction included the PROGRESS-Plus items. The JBI checklist for qualitative studies was applied. Meta-aggregation guided by JBI methods was used to synthesise the data. This evidence, along with input from a patient and public involvement group, healthcare professionals and charity organisations, was used to develop a logic model.
We included 28 papers (25 studies) comprising 14 qualitative studies and 11 mixed-method studies describing the perspectives of 483 people with heart failure, 64 carers and 12 healthcare professionals.The meta-aggregation produced seven synthesised findings describing the impact of physical symptoms, emotional factors, extrinsic factors, access to knowledge, self-motivation and peer/professional motivation and the positive impact of physical activity. The PROGRESS-PLUS tool identified significant inclusivity issues within the studies. The meta-aggregation with relevant contributor input informed behavioural determinants and potential intervention components of a logic model.
This study identifies behavioural determinants that underlie the actions of people with heart failure in their relationship with physical activity and potential intervention components for a novel intervention design to support this population. There is a lack of studies exploring health professionals' and carers' perspectives on this topic.
CRD42022342883.
（1）综合心力衰竭患者及其护理人员在参与体育活动方面的经验；（2）为未来的干预措施建立一个逻辑模型，以支持心力衰竭患者在进行体育活动时感到自信和安全。
采用乔安娜·布里格斯研究所（JBI）方法进行系统评价和元聚合。
检索MEDLINE、Emcare和PsycINFO数据库直至2024年6月（含该月）。
定性设计的研究，包括混合方法研究的定性部分，描述成年慢性心力衰竭患者参与体育活动的经验。
两名独立评审员使用标准化方法检索和筛选研究。数据提取包括PROGRESS-Plus项目。应用JBI定性研究清单。采用以JBI方法为指导的元聚合来综合数据。这些证据，连同患者和公众参与小组、医疗保健专业人员和慈善组织的意见，被用于建立一个逻辑模型。
我们纳入了28篇论文（25项研究），包括14项定性研究和11项混合方法研究，描述了483名心力衰竭患者、64名护理人员和12名医疗保健专业人员的观点。元聚合产生了七个综合结果，描述了身体症状、情绪因素、外在因素、知识获取、自我激励和同伴/专业激励的影响以及体育活动的积极影响。PROGRESS-PLUS工具确定了研究中的重大包容性问题。与相关贡献者意见相结合的元聚合为逻辑模型的行为决定因素和潜在干预组成部分提供了信息。
本研究确定了心力衰竭患者在与体育活动关系中的行为决定因素，以及支持该人群的新型干预设计的潜在干预组成部分。缺乏探索卫生专业人员和护理人员对该主题看法的研究。
PROSPERO注册号：CRD42022342883。
