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Verheijden Klompstra, LeonieORCID iD iconorcid.org/0000-0002-7493-0353
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Publications (10 of 23) Show all publications
Ben Gal, T., Perkiö Kato, N., Yaari, V., Avraham, B., Klompstra, L., Strömberg, A. & Jaarsma, T. (2019). Psychometric Testing of the Hebrew Version of the European Heart Failure Self-Care Behaviour Scale. Heart, Lung and Circulation, Article ID S1443-9506(19)31523-9.
Open this publication in new window or tab >>Psychometric Testing of the Hebrew Version of the European Heart Failure Self-Care Behaviour Scale
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2019 (English)In: Heart, Lung and Circulation, ISSN 1443-9506, E-ISSN 1444-2892, article id S1443-9506(19)31523-9Article in journal (Refereed) Epub ahead of print
Abstract [en]

BACKGROUND: The assessment of self-care behaviour is important for tailoring care to patients and evaluating the effectiveness of heart failure (HF) disease-management programmes. The European HF Self-care Behaviour (EHFScB) scale is a validated instrument used worldwide.

AIM: The purpose of the study was to evaluate psychometric properties of the Hebrew version of the nine-item EHFScB scale in Israeli patients with HF.

METHOD: To develop the Hebrew version of the EHFScB scale, forward and back translation was performed. The psychometric evaluation was based on data from 102 patients with HF (mean age 61±12 yr, male 75%, New York Heart Association [NYHA] class II 42% and NYHA class III 51%) included in two cross-sectional studies performed in 2007 and 2015-2017 in an Israeli hospital. Content validity, construct validity, known-groups validity, and discriminant validity were assessed. Reliability was evaluated with internal consistency.

RESULTS: Content validity and useability were confirmed by HF experts and patients with HF. Construct validity was tested using factor analysis and two factors were extracted (factor 1: consulting behaviour; factor 2: adherence to the regimen). Known-groups validity testing revealed a significant difference before and after an educational intervention in the total score (n=40 [41.6±23.8] vs [67.6±21.8]; p<0.01). A weak correlation between the self-care score and health-related quality of life (r= -0.299, p<0.01) was observed, showing that these concepts were related but not overlapping. Cronbach's alpha was 0.78 for the total scale, 0.76 for factor 1, and 0.68 for factor 2, suggesting that the internal consistency of this scale was acceptable.

CONCLUSIONS: Our study provides support for the useability, validity, and reliability of the nine-item Hebrew version of the EHFScB scale.

Place, publisher, year, edition, pages
Elsevier, 2019
Keywords
Heart failure, Measurement, Reliability, Validity
National Category
Medical and Health Sciences Nursing
Identifiers
urn:nbn:se:liu:diva-162853 (URN)10.1016/j.hlc.2019.10.019 (DOI)31862228 (PubMedID)2-s2.0-85076848868 (Scopus ID)
Available from: 2019-12-25 Created: 2019-12-25 Last updated: 2020-01-17Bibliographically approved
Verheijden Klompstra, L., Johansson Östbring, M., Jaarsma, T., Ågren, S., Fridlund, B., Hjelm, C., . . . Strömberg, A. (2019). The Appropriateness and Presentation of Commonly Available Cardiovascular Web Pages Providing Information About Cardiovascular Diseases.. Computers, Informatics, Nursing, 37(10), 493-497
Open this publication in new window or tab >>The Appropriateness and Presentation of Commonly Available Cardiovascular Web Pages Providing Information About Cardiovascular Diseases.
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2019 (English)In: Computers, Informatics, Nursing, ISSN 1538-2931, E-ISSN 1538-9774, Vol. 37, no 10, p. 493-497Article in journal (Refereed) Published
National Category
Nursing
Identifiers
urn:nbn:se:liu:diva-161240 (URN)10.1097/CIN.0000000000000595 (DOI)31633511 (PubMedID)
Available from: 2019-10-24 Created: 2019-10-24 Last updated: 2020-02-03
Mourad, G., Verheijden Klompstra, L., Jaarsma, T., Strömberg, A. & Alwin, J. (2019). What are patients with heart failure willing to pay for an exergame intervention?. In: : . Paper presented at EuroHeartCare.
Open this publication in new window or tab >>What are patients with heart failure willing to pay for an exergame intervention?
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2019 (English)Conference paper, Poster (with or without abstract) (Refereed)
Abstract [en]

Background: Regular physical activity in patients with heart failure (HF) improves physical capacity and quality of life, and may reduce health care utilization. One low-cost effective physical activity intervention to increase exercise capacity is exergaming. Exploring patients’ willingness to pay (WTP) for treatments/interventions is a way to obtain a monetary value for the health consequences of an intervention. This can further be used in economic evaluations.

Aim: The aim of this study was to describe patients´ WTP for an exergame intervention and to determine factors influencing the WTP.

Methods: This is a substudy of the Swedish cohort of the HF-Wii study (evaluating the effect of exergaming on exercise capacity in patients with HF; clinicaltrial.gov NCT01785121) including 34 patients who finished the 1-year follow-up. Structured telephone interviews were conducted focusing on WTP for the exergame intervention they received during the study including an exergame platform, an introduction lesson, installation of the exergame computer, and telephone follow-ups, and with an estimated cost of ∼€440 per patient. The WTP methodology used was adjusted for this specific study.

Patients were also asked to rate their level of satisfaction with the intervention on a Numeric Rating Scale (NRS) from 0-10. In addition, information on background variables and income was collected during the interview, while data on six minute walk test (6MWT) and quality of life was retrieved from previous data collection in the main study.

Results: In total, 29 patients with HF participated in this substudy, mean age 68±9 years, 69% males, and with a mean household disposable income/month of ∼€2700 (±1360). Ten patients (34.5%) had a clinically significant effect of the exergaming and improved more than 30 meters on the 6MWT.

The average WTP for the exergame intervention was ∼€160 (range €0-580). Most patients were satisfied with the exergame intervention and the median score was 8 on the NRS. The satisfaction level was significantly related to WTP (rs=0.468, p=0.012). Patients with higher satisfaction levels were willing to pay more (€210±165) for the exergame intervention than those with lower satisfaction levels (€60±70), p=0.015. Income, changes in 6MWT, and quality of life showed no significant relationship to WTP.

Conclusions: The WTP for an exergame intervention varied largely in patients with HF despite high satisfaction level with the intervention. The satisfaction level was the only factor influencing patients´ WTP. On average, patients were willing to pay about one-third of the cost of the exergame intervention. Future studies should focus on the cost-effectiveness of this intervention.

National Category
Nursing
Identifiers
urn:nbn:se:liu:diva-158027 (URN)
Conference
EuroHeartCare
Available from: 2019-06-24 Created: 2019-06-24 Last updated: 2019-09-16
Jaarsma, T., Verheijden Klompstra, L., Ski, C. F. & Thompson, D. R. (2018). Preference-based care and research. European Journal of Cardiovascular Nursing, 17(1)
Open this publication in new window or tab >>Preference-based care and research
2018 (English)In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 17, no 1Article in journal, Editorial material (Other academic) Published
Abstract [en]

n/a

Place, publisher, year, edition, pages
Sage Publications, 2018
National Category
Cardiac and Cardiovascular Systems
Identifiers
urn:nbn:se:liu:diva-144251 (URN)10.1177/1474515117714349 (DOI)000418960200001 ()28585862 (PubMedID)2-s2.0-85039912048 (Scopus ID)
Available from: 2018-01-12 Created: 2018-01-12 Last updated: 2019-06-27Bibliographically approved
Verheijden Klompstra, L., Jaarsma, T. & Strömberg, A. (2018). Self-efficacy Mediates the Relationship Between Motivation and Physical Activity Patients With Heart Failure. Journal of Cardiovascular Nursing, 33(3), 211-216
Open this publication in new window or tab >>Self-efficacy Mediates the Relationship Between Motivation and Physical Activity Patients With Heart Failure
2018 (English)In: Journal of Cardiovascular Nursing, ISSN 0889-4655, E-ISSN 1550-5049, Vol. 33, no 3, p. 211-216Article in journal (Refereed) Published
Abstract [en]

Motivation is necessary in patients with heart failure (HF) who are attempting to become more physically active but may not be sufficient to initiate physical activity. Self-efficacy might explain the relationship between motivation and physical activity. Objective: The aim of this study was to examine the role of exercise self-efficacy in the relationship between exercise motivation and physical activity in patients with HF. Methods: A total of 100 stable patients with HF (88% in New York Heart Association class IVIII; mean age, 67 +/- 13 years; 62% men) were studied. Self-efficacy was measured with the Exercise Self-Efficacy Scale; motivation, with the Exercise Motivation Index; and physical activity, with a self-report questionnaire. Logistic regression analyses were made to examine the mediation effect of exercise self-efficacy on the relationship between exercise motivation and physical activity. Result: Forty-two percent of the 100 patients reported engaging in less than 60 minutes per week of physical activity. Motivation predicted physical activity (b = 0.58, P amp;lt; .05), but after controlling for self-efficacy, the relationship between motivation and physical activity was no longer significant (b = 0.76, P = .06), indicating full mediation. Conclusion: Motivation to be physically active is important but not sufficient. In addition to a high level of motivation to be physically active, it is important that patients with HF have a high degree of self-efficacy.

Place, publisher, year, edition, pages
LIPPINCOTT WILLIAMS & WILKINS, 2018
Keywords
mediation; moderation; motivation; physical activity; self-efficacy
National Category
Cardiac and Cardiovascular Systems
Identifiers
urn:nbn:se:liu:diva-150298 (URN)10.1097/JCN.0000000000000456 (DOI)000440243400012 ()29189427 (PubMedID)
Note

Funding Agencies|Swedish National Science Council [K2013-69X-22302-01-3]; Swedish Heart and Lung Association [E085/12]; Swedish Heart-Lung Foundation [20130340]; Vardal Foundation [2014-0018]; FORSS [474681]; Swedish National Science Council/Swedish Research Council for Health, Working Life and Welfare (VR-FORTE) [2014-4100]

Available from: 2018-08-16 Created: 2018-08-16 Last updated: 2019-06-27
Verheijden Klompstra, L., Jaarsma, T., Mårtensson, J. & Strömberg, A. (2017). Exergaming Through the Eyes of Patients with Heart Failure: A Qualitative Content Analysis Study. Games for Health Journal, 6(3), 152-158
Open this publication in new window or tab >>Exergaming Through the Eyes of Patients with Heart Failure: A Qualitative Content Analysis Study
2017 (English)In: Games for Health Journal, ISSN 2161-783X, E-ISSN 2161-7856, Vol. 6, no 3, p. 152-158Article in journal (Refereed) Published
Abstract [en]

Objective: Exergaming appears to be a promising tool to increase exercise capacity in patients with chronic heart failure (HF). Therefore, it is important to obtain more in-depth knowledge about preferences, attitudes, use, and abilities in regard to exergaming. The aim of this study was to describe the experiences of patients with HF when using an exergame platform at home. Materials and Methods: A qualitative descriptive study using content analysis was conducted on interviews with 14 patients with HF (6 women, ages ranging between 56 and 81 years). The patients were recruited from three centers in Sweden included in a randomized controlled study. These patients had access to an exergame platform at home and were advised to exergame for 30 minutes per day. Results: The analysis resulted in three categories describing patients experience of exergaming: (1) making exergaming work, (2) added value of exergaming, and (3) low appeal of exergaming. Conclusion: This is the first study that explores how patients with HF experience using an exergame platform at home. The study provided important information on what aspects to discuss when initiating an exergame platform at home and following patients who may want to use an exergame platform at home. The results also revealed that this technology may be suitable for some patients, while others prefer other kinds of physical activity.

Place, publisher, year, edition, pages
MARY ANN LIEBERT, INC, 2017
Keywords
Content analysis; Experiences; Exergame; Heart failure; Wii
National Category
Nursing
Identifiers
urn:nbn:se:liu:diva-139290 (URN)10.1089/g4h.2016.0087 (DOI)000403900500004 ()28422516 (PubMedID)
Note

Funding Agencies|Swedish National Science Council [K2013-69X-22302-01-3]; Swedish Heart and Lung Association [E085/12]; Swedish Heart-Lung Foundation [20130340]; Vardal Foundation [2014-0018]; FORSS [474681]; Swedish National Science Council/Swedish research council for health, working life, and welfare (VR-FORTE) [2014-4100]

Available from: 2017-07-07 Created: 2017-07-07 Last updated: 2019-06-27
Klompstra, L. (2016). Physical activity in patients with heart failure: motivations, self-efficacy and the potential of exergaming. (Doctoral dissertation). Linköping: Linköping University Electronic Press
Open this publication in new window or tab >>Physical activity in patients with heart failure: motivations, self-efficacy and the potential of exergaming
2016 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Background: Adherence to recommendations for physical activity is low in patients with heart failure (HF). It is essential to explore to what extent and why patients with HF are physically active. Self-efficacy and motivation for physical activity are important in becoming more physically active, but the role of self-efficacy in the relationship between motivation and physical activity in patients with HF is unknown. Alternative approaches to motivate and increase self-efficacy to exercise are needed. One of these alternatives might be using exergames (games to improve physical exercise). Therefore, it is important to obtain more knowledge on the potential of exergaming to increase physical activity.

The overall aim was to describe the physical activity in patients with HF, with special focus on motivations and self-efficacy in physical activity, and to describe the potential of exergaming to improve exercise capacity.

Methods: Study I (n = 154) and II (n = 101) in this thesis had a cross-sectional survey design. Study III (n = 32) was a 12-week pilot intervention study, including an exergame platform at home, with a pretest-posttest design. Study IV (n = 14) described the experiences of exergaming in patients who participated in the intervention group of a randomized controlled study in which they had access to an exergame platform at home.

Results: In total, 34% of the patients with HF had a low level of physical activity, 46% had a moderate level, 23% reported a high level. Higher education, higher selfefficacy, and higher motivation were significantly associated with a higher amount of physical activity. Barriers to exercise were reported to be difficult to overcome and psychological motivations were the most important motivations to be physically active. Women had significantly higher total motivation to be physically active. Self-efficacy mediated the relationship between exercise motivation and physical activity; motivation leads to a higher self-efficacy towards physical activity.

More than half of the patients significantly increased their exercise capacity after 12 weeks of using an exergame platform at home. Lower NYHA-class and shorter time since diagnosis were factors significantly related to the increase in exercise capacity. The mean time spent exergaming was 28 minutes per day. Having grandchildren and being male were related to more time spent exergaming.

The analysis of the qualitative data resulted in three categories describing patients’ experience of exergaming: (i) making exergaming work, (ii) added value of exergaming, (iii) no appeal of exergaming.

Conclusion: One-third of the patients with HF had a low level of physical activity in their daily life. Level of education, exercise self-efficacy, and motivation were important factors to take into account when advising patients with HF about physical activity. In addition to a high level of motivation to be physically active, it is important that patients with HF have a high degree of exercise self-efficacy.

Exergaming has the potential to increase exercise capacity in patients with HF. The results also showed that this technology might be suitable for some patients while others may prefer other kinds of physical activity.

Abstract [nl]

Achtergrond: Het aantal patiënten met hartfalen (HF) dat zich kan houden aan de aanbevolen lichamelijke activiteit is over het algemeen klein. Het is essentieel om te onderzoeken in hoeverre en waarom patiënten met HF lichamelijk actief zijn. Het hebben van self-efficacy (een persoonlijke overtuiging dat hij/zij capabel is om te doen wat nodig is om een taak te volbrengen op een bepaald kwaliteitsniveau) en motivatie voor lichamelijke activiteit is belangrijk om meer lichamelijk actief te worden. Het is echter niet duidelijk wat de rol van self-efficacy is in relatie tot motivatie en lichamelijke activiteit bij patiënten met HF. Alternatieve benaderingen zijn nodig om patiënten te motiveren lichamelijk actiever te zijn en de self-efficacy te verhogen. Een van de mogelijke alternatieven om patiënten met HF te helpen lichamelijk actiever te zijn is de inzet van exergames: computerspellen om fysieke activiteit te bevorderen. Er is tot nu toe geen onderzoek is gedaan naar de inzet van exergaming bij patiënten met hartfalen en de mogelijkheden van exergaming om patiënten te stimuleren tot meer lichamelijke activiteit.

Het doel van dit proefschrift is het beschrijven van de lichamelijke activiteit van patiënten met HF met extra aandacht voor de motivatie en self-efficacy ten opzichte van lichamelijke activiteit. Een tweede doel is om inzicht te krijgen in de mogelijkheid om exergaming te gebruiken om de lichamelijke activiteit van patiënten met HF te verhogen.

Methode: In dit proefschrift worden gegevens van 4 studies beschreven (studie I-IV). Studie I (n = 154) en II (n = 101) hebben een crosssectioneel survey design. Studie III (n = 32) is een 12 weken durende pilot-interventie studie met een pretest-posttest design waarbij patiënten 12 weken lang een exergame platform thuis konden gebruiken. Studie IV (n = 14) beschrijft de ervaringen van patiënten die deelnamen aan de interventiegroep van een gerandomiseerde studie waarin zij een exergame platform thuis kregen.

Resultaten: In totaal hebben 34% van alle patiënten met hartfalen een laag niveau van lichamelijke activiteit, 46% had een matig niveau, en 23% een hoog niveau. Een hoger opleidingsniveau, self-efficacy en motivatie significant werd geassocieerd met een hogere hoeveelheid lichamelijke activiteit. Het bleek dat barrières voor fysieke activiteit moeilijk te overbruggen waren. Met betrekking tot motivatie, bleek dat psychologische motivatie de belangrijkste drijfveer was om fysiek actief te zijn. Verder bleek dat vrouwen een significant hogere motivatie voor fysieke activiteit hebben dan mannen.

Een ander belangrijk resultaat was dat self-efficacy de relatie tussen motivatie en lichamelijke activiteit beïnvloedt; motivatie leidt tot een hogere self-efficacy wat leidt tot hogere fysieke activiteit.

Met betrekking tot de resultaten van exergaming bleek dat de inspanningscapaciteit van meer dan de helft van de patiënten aanzienlijk was toegenomen na 12 weken gebruik gemaakt te hebben van een exergame platform thuis. Patiënten met een lager NYHA-klasse en een kortere tijd na de diagnose verhogen significant meer hun inspanningscapaciteit. Ook bleek dat het hebben van een partner en kleinkinderen gerelateerd is aan meer tijd besteden aan exergaming.

De analyse van de ervaringen van patiënten in de kwalitatieve studie resulteerde in drie categorieën: (i) zorgen dat exergaming werkt, (ii) toegevoegde waarde van exergaming, (iii) geen aantrekking tot exergaming.

Conclusie: Een derde van de patiënten met HF heeft een laag niveau van lichamelijke activiteit in hun dagelijks leven. Opleidingsniveau, self-efficacy en motivatie zijn belangrijke factoren om rekening mee te houden bij het geven van advies aan patiënten met HF betreffende fysieke activiteit. Naast een hoge motivatie tot bewegen is het belangrijk dat patiënten met HF een hoog niveau van self-efficacy hebben om fysiek actief te zijn.

Exergaming heeft potentie om inspanningscapaciteit bij patiënten met HF te verhogen. Uit de resultaten blijkt ook dat deze techniek geschikt is voor een deel van de patiënten, terwijl een deel van de patiënten wellicht liever andere vormen van lichamelijke activiteit beoefenen.

Place, publisher, year, edition, pages
Linköping: Linköping University Electronic Press, 2016. p. 96
Series
Linköping University Medical Dissertations, ISSN 0345-0082 ; 1508
Keywords
Heart failure, physical activity, exercise, motivation, self-efficacy, exergame, Hartfalen, lichamelijke activiteit, bewegen, motivatie, self-efficacy, exergame
National Category
Physiotherapy Sport and Fitness Sciences Nursing Other Medical Sciences not elsewhere specified
Identifiers
urn:nbn:se:liu:diva-130933 (URN)10.3384/diss.diva-130933 (DOI)9789176858400 (ISBN)
Public defence
2016-10-04, K1, Kåkenhus, Campus Norrköping, Norrköping, 09:00 (English)
Opponent
Supervisors
Available from: 2016-08-31 Created: 2016-08-31 Last updated: 2019-10-29Bibliographically approved
Jaarsma, T., Klompstra, L., Ben Gal, T., Boyne, J., Vellone, E., Bäck, M., . . . Strömberg, A. (2015). Increasing exercise capacity and quality of life of patients with heart failure through Wii gaming: the rationale, design and methodology of the HF-Wii study; a multicentre randomized controlled trial. European Journal of Heart Failure, 17(7), 743-748
Open this publication in new window or tab >>Increasing exercise capacity and quality of life of patients with heart failure through Wii gaming: the rationale, design and methodology of the HF-Wii study; a multicentre randomized controlled trial
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2015 (English)In: European Journal of Heart Failure, ISSN 1388-9842, E-ISSN 1879-0844, Vol. 17, no 7, p. 743-748Article in journal (Refereed) Published
Abstract [en]

Aims

Exercise is known to be beneficial for patients with heart failure (HF), and these patients should therefore be routinely advised to exercise and to be or to become physically active. Despite the beneficial effects of exercise such as improved functional capacity and favourable clinical outcomes, the level of daily physical activity in most patients with HF is low. Exergaming may be a promising new approach to increase the physical activity of patients with HF at home. The aim of this study is to determine the effectiveness of the structured introduction and access to a Wii game computer in patients with HF to improve exercise capacity and level of daily physical activity, to decrease healthcare resource use, and to improve self-care and health-related quality of life.

Methods and results

A multicentre randomized controlled study with two treatment groups will include 600 patients with HF. In each centre, patients will be randomized to either motivational support only (control) or structured access to a Wii game computer (Wii). Patients in the control group will receive advice on physical activity and will be contacted by four telephone calls. Patients in the Wii group also will receive advice on physical activity along with a Wii game computer, with instructions and training. The primary endpoint will be exercise capacity at 3months as measured by the 6min walk test. Secondary endpoints include exercise capacity at 6 and 12 months, level of daily physical activity, muscle function, health-related quality of life, and hospitalization or death during the 12 months follow-up.

Conclusion

The HF-Wii study is a randomized study that will evaluate the effect of exergaming in patients with HF. The findings can be useful to healthcare professionals and improve our understanding of the potential role of exergaming in the treatment and management of patients with HF.

Trial registration

NCT01785121

Place, publisher, year, edition, pages
Oxford University Press (OUP): Policy B / Wiley: 12 months, 2015
Keywords
Exergaming; Heart Failure; Serious gaming; Exercise capacity; Physical activity; Self-care
National Category
Sociology Clinical Medicine
Identifiers
urn:nbn:se:liu:diva-120347 (URN)10.1002/ejhf.305 (DOI)000357519700015 ()26139585 (PubMedID)
Available from: 2015-07-31 Created: 2015-07-31 Last updated: 2019-06-27
Klompstra, L., Jaarsma, T., Strömberg, A., Muhic, A., Cabanes, R., Gastelurrutia, B., . . . Bayes-Genis, A. (2015). Physical activity in daily life in heart failure patients living in two European countries, Volume 17, Issue Supplement S1. In: : . Paper presented at 2nd World Congress on Acute Heart Failure, Seville, Spain, 23–26th May 2015 (pp. 205-205). Sevilla: None
Open this publication in new window or tab >>Physical activity in daily life in heart failure patients living in two European countries, Volume 17, Issue Supplement S1
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2015 (English)Conference paper, Poster (with or without abstract) (Other academic)
Abstract [en]

Aims: 

Exercise is recognized as important in patients with heart failure (HF). It is unclear if there are differences in physical activity between European Countries, therefore the aims of this study were to

-Assess physical activity levels in HF patients,

-Describe the different types of physical activity of HF patients 

-Explore differences between patients from Spain and Sweden 

Method: The short International Physical Activity Questionnaire (sIPAQ) was used to assess the level of physical activity during the previous week. The sIPAQ contains seven items to identify the frequency and duration of light, moderate, and vigorous PA, as well as inactivity during the past week. Data was collected during April-July 2014 in Swedish and Spanish HF patients. Differences were analysed using Pearson’s chi-square or Mann-Whitney U test.

Results: 

Population:

  • 548 Spanish and 154 Swedish HF patients
  • 29% female, mean age 69±12 years, 75% NYHA class II/19% NYHA III
  • No differences were found in gender, age NYHA class between the two countries 

Patients in Sweden compared to Spanish patients:

  • Had a higher mean physical activity level
  • Did more vigorous activities, like lifting, digging, aerobics, or fast bicycling
  • Did more moderate activities like carrying light loads, bicycling at a regular pace, or doubles tennis.
  • Did less walking (walking at work and at home, walking to travel from place to place, and any other walking that might be done solely for recreation, sport, exercise, or leisure) 

Conclusions: 

Despite that most of the patients were in NYHA class II and not symptomatic even at moderate to high level of activity, one third of them had a low physical activity level in their daily life.

We found differences in the kind of physical activities between Spain and Sweden, which could be due to cultural and regional differences. Specific differences and consequences need to be further explored.

Place, publisher, year, edition, pages
Sevilla: None, 2015. p. 478
National Category
Health Sciences
Identifiers
urn:nbn:se:liu:diva-121607 (URN)
Conference
2nd World Congress on Acute Heart Failure, Seville, Spain, 23–26th May 2015
Available from: 2015-09-28 Created: 2015-09-28 Last updated: 2019-06-27Bibliographically approved
Klompstra, L., Jaarsma, T. & Strömberg, A. (2015). Physical activity in patients with heart failure: barriers and motivations with special focus on sex differences. Patient Preference and Adherence, 9, 1603-1610
Open this publication in new window or tab >>Physical activity in patients with heart failure: barriers and motivations with special focus on sex differences
2015 (English)In: Patient Preference and Adherence, ISSN 1177-889X, E-ISSN 1177-889X, Vol. 9, p. 1603-1610Article in journal (Refereed) Published
Abstract [en]

Background: Adherence to recommendations for physical activity is low in both male and female patients with heart failure (HF). Men are more physically active than women. In order to successfully promote physical activity, it is therefore essential to explore how much and why HF patients are physically active and if this is related to sex. The aim of this study was therefore to evaluate physical activity in HF patients, to describe the factors related to physical activity, and to examine potential barriers and motivations to physical activity with special focus on sex differences. Methods: The study had a cross-sectional survey design. HF patients living at home received a questionnaire during May-July 2014, with questions on physical activity (from the Short Form-International Physical Activity Questionnaire), and potential barriers and motivations to physical activity. Results: A total of 154 HF patients, 27% women, with a mean age of 70 +/- 10 were included. In total, 23% of the patients reported a high level of physical activity, 46% a moderate level, and 34% a low level. Higher education, self-efficacy, and motivation were significantly associated with a higher amount of physical activity. Symptoms or severity of the disease were not related to physical activity. All the potential barriers to exercise were reported to be of importance. Psychological motivations were most frequently rated as being the most important motivation (41%) to be physically active. Physical motivations (33%) and social motivations were rated as the least important ones (22%). Women had significantly higher total motivation to be physically active. These differences were found in social, physical, and psychological motivations. Discussion: One-third of the HF patients had a low level of physical activity in their daily life. Severity of the disease or symptoms were not related, whereas level of education, exercise self-efficacy, and motivation were important factors to take into account when advising a HF patient about physical activity. Women reported higher motivation to be physically active than men, but there was no difference in the reported level of physical activity.

Place, publisher, year, edition, pages
DOVE MEDICAL PRESS LTD, 2015
Keywords
barriers; sex differences; heart failure; motivation; physical activity; self-efficacy
National Category
Nursing Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:liu:diva-123091 (URN)10.2147/PPA.S90942 (DOI)000364289900001 ()26635469 (PubMedID)
Available from: 2015-12-03 Created: 2015-12-03 Last updated: 2019-06-27
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-7493-0353

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