Feasibility of using the Fitbit® Charge HR in validating self-reported exercise diaries in a community setting in patients with heart failure

2018 ◽  
Vol 17 (7) ◽  
pp. 605-611 ◽  
Author(s):  
Pallav Deka ◽  
Bunny Pozehl ◽  
Joseph F Norman ◽  
Deepak Khazanchi
Keyword(s):  
Physical Activity ◽  
Heart Failure ◽  
Exercise Adherence ◽  
Community Setting ◽  
Community Dwelling ◽  
Activity Monitors ◽  
The Past ◽  
Physical Activity Interventions ◽  
Patients With Heart Failure ◽  
Exercise Routine

Background: Use of wrist-worn activity monitors has increased over the past few years; however, the use of the Fitbit® Charge HR (FCHR) in a community setting in patients with heart failure has not been tested. Purpose: The purpose of the study was to assess the feasibility, practicality and acceptability of utilizing the FCHR to validate self-reported exercise diaries and monitor exercise in community dwelling patients with heart failure. Methods: Thirty heart failure patients (12 females and 18 males) aged 64.7 ± 11.5 years were provided with a FCHR. Participants were provided with an exercise routine and for eight weeks, recorded their exercise sessions in self-reported exercise diaries and used the FCHR to record those exercise sessions. Results: Exercise data from the self-reported exercise diaries were validated with data from the FCHR. Participants’ perception and acceptance of using the FCHR was positive. Validation of exercise and physical activity interventions using the FCHR appears feasible and acceptable in patients with heart failure. Conclusion: Wrist-worn activity monitors can be useful for objective measurement of exercise adherence and monitoring of physical activity in patients with heart failure in a community setting.

Kansas City Cardiomyopathy Questionnaire Administered to Hospitalized Patients With Heart Failure

2016 ◽  
Vol 24 (2) ◽  
pp. 245-257
Author(s):  
Rebecca Tucker ◽  
Jill R. Quinn ◽  
Ding-Geng (Din) Chen ◽  
Leway Chen
Keyword(s):  
Heart Failure ◽  
Factor Analysis ◽  
Confirmatory Factor Analysis ◽  
Psychometric Properties ◽  
Convergent Validity ◽  
Kansas City ◽  
Community Dwelling ◽  
Kansas City Cardiomyopathy Questionnaire ◽  
Patients With Heart Failure ◽  
Confirmatory Factor

Background and Purpose: The psychometric properties of the Kansas City Cardiomyopathy Questionnaire (KCCQ) have been examined primarily in community-dwelling patients with heart failure (HF). The objective of this research was to examine the properties of the KCCQ administered to patients hospitalized with HF (N = 233). Methods: Confirmatory factor analysis, Cronbach’s alphas, and correlations were performed to examine the scale’s dimensions, reliability, and validity. Results: Confirmatory factor analysis indicated a 5-factor solution (63.6% of the variance). The Cronbach’s alpha levels were greater than .70, except for the self-efficacy dimension (.60). Convergent validity was not verified between the KCCQ and several illness severity measures. Conclusions: The psychometric properties of the KCCQ may be different based on the population in which the KCCQ is administered, which may have clinical implications.

An Ecological Exploration of Facilitators to Participation in a Mosque-Based Physical Activity Program for South Asian Muslim Women

2018 ◽  
Vol 15 (9) ◽  
pp. 671-678 ◽  
Author(s):  
Munira Abdulwasi ◽  
Meena Bhardwaj ◽  
Yuka Nakamura ◽  
Maha Zawi ◽  
Jennifer Price ◽  
...  
Keyword(s):  
Physical Activity ◽  
South Asian ◽  
Local Community ◽  
Physical Activity Intervention ◽  
Descriptive Analysis ◽  
Community Setting ◽  
Muslim Women ◽  
Face To Face ◽  
Physical Activity Interventions ◽  
Semistructured Interviews

Background: This descriptive qualitative study informed by an ecological framework explored factors influencing South Asian Muslim women’s decisions to participate in a mosque-based physical activity intervention.Methods: Individual, face-to-face, semistructured interviews were conducted in English, Hindi, or Urdu with 12 South Asian Muslim women at their home or mosque in Ontario, Canada. All interviews were audio-recorded, transcribed verbatim and managed, sorted, and analyzed for themes through a process of descriptive analysis.Results: The participants described as follows: (1) intrapersonal facilitators, which included their feelings, beliefs, and motivations to continue with this intervention; (2) interpersonal facilitators detailing the support that they had received from others during the intervention; and (3) environmental facilitators, which highlighted convenience and access to physical activity opportunities in a local community setting.Conclusion: This intervention displayed how South Asian Muslim women were motivated to continue with the mosque-based physical activity intervention due to interpersonal, intrapersonal, and environmental facilitators. The findings can be used to increase further understanding of how mosques may provide culturally and religiously sensitive contexts for physical activity interventions for South Asian Muslim women.

Medication Adherence Among Community-Dwelling Patients With Heart Failure

SciVee ◽  
2011 ◽  
Author(s):  
Shannon m. Dunlay ◽  
Jessica m. Eveleth ◽  
Nilay d. Shah ◽  
Sheila m. Mcnallon ◽  
Véronique l. Roger
Keyword(s):  
Heart Failure ◽  
Medication Adherence ◽  
Community Dwelling ◽  
Patients With Heart Failure

scholarly journals It is easy to see, but it is better to foresee: a case report on the favourable alliance between CardioMEMS and levosimendan

2020 ◽  
Vol 4 (4) ◽  
pp. 1-5
Author(s):  
Valeria Visco ◽  
Cristina Esposito ◽  
Paolo Vitillo ◽  
Carmine Vecchione ◽  
Michele Ciccarelli
Keyword(s):  
Heart Failure ◽  
Hospital Admissions ◽  
Systolic Pressure ◽  
Pulmonary Artery Systolic Pressure ◽  
Optimal Management ◽  
Reduced Ejection Fraction ◽  
The Past ◽  
Case Summary ◽  
Pressure Profiles ◽  
Patients With Heart Failure

Abstract Background In the past years, different devices have been investigated to help in identifying early decompensation events in patients with heart failure (HF) and reduced ejection fraction (EF), reducing hospital admissions. In this report, we present the first patient experience with levosimendan infusion led by CardioMEMS. Case summary A 68-year-old man with HF and reduced EF with more than 20 hospitalizations for exacerbation of HF was enrolled in our HF Clinic from October 2017. Echocardiogram showed a dilated left ventricle with severely reduced EF (29%) and increased pulmonary artery systolic pressure (40 mmHg). From October 2017 to May 2019, the patient went through numerous hospitalizations, despite optimal medical therapy; subsequently, was adopted a strategy of levosimendan infusions guided by CardioMEMS. Levosimendan infusions improved haemodynamic and pressure profiles. The patient was monitored daily by CardioMEMS, and from June to December 2019, he had only two hospitalizations scheduled for levosimendan infusion and none for HF exacerbation. Discussion Our case supports the combination of CardioMEMS and levosimendan for the optimal management of patients with advanced HF. These results further strengthen the development of a randomized clinical trial to demonstrate the clinical usefulness of this device in combination with the levosimendan infusion programme in advanced HF patients.

Key Articles and Guidelines in the Management of Heart Failure: 2018 Update

2018 ◽  
Vol 32 (1) ◽  
pp. 77-92 ◽  
Author(s):  
Cynthia A. Jackevicius ◽  
Robert L. Page ◽  
Leo F. Buckley ◽  
Douglas L. Jennings ◽  
Jean M. Nappi ◽  
...  
Keyword(s):  
Heart Failure ◽  
Observational Studies ◽  
Lifestyle Modification ◽  
The United States ◽  
Heart Failure Management ◽  
Comorbid Conditions ◽  
The Past ◽  
Time Period ◽  
Patients With Heart Failure ◽  
Include Heart Failure

Heart failure is one of the leading causes of hospitalizations in the United States, with >1 million admissions yearly and a 25% risk of readmissions within 1 month. In order to assist clinicians, we provide an update of the heart failure bibliography that was published in Pharmacotherapy in 2008, which followed the original bibliography published in 2004. A significant number of clinical trials and observational studies have been conducted since the early 1980s to guide management of heart failure patients. Major advances have occurred in the past 10 years, and our understanding of the diagnosis, prevention, and management of heart failure has evolved substantially during this time period. Specific areas of this review include heart failure risk factors, management of comorbid conditions, acute heart failure management, chronic heart failure management, advanced heart failure, device therapy, lifestyle modification, and medication and therapy management, including medication adherence. Key consensus guidelines and statements are also included. This bibliography of key heart failure papers aims to provide clinicians and their trainees with a valuable clinical reference resource and teaching tool that may be used to optimize the care of patients with heart failure.

scholarly journals Long-term exercise adherence in patients with heart failure: A qualitative study

Heart & Lung ◽  
2020 ◽  
Vol 49 (6) ◽  
pp. 696-701
Author(s):  
Shane Warehime ◽  
Danae Dinkel ◽  
Windy Alonso ◽  
Bunny Pozehl
Keyword(s):  
Heart Failure ◽  
Qualitative Study ◽  
Exercise Adherence ◽  
Patients With Heart Failure
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