TY - JOUR
T1 - The Home-Heart-Walk study, a self-administered walk test on perceived physical functioning, and self-care behaviour in people with stable chronic heart failure
T2 - A randomized controlled trial
AU - Du, Huiyun
AU - Newton, Phillip J.
AU - Budhathoki, Chakra B.
AU - Everett, Bronwyn
AU - Salamonson, Yenna
AU - Macdonald, Peter S.
AU - Davidson, Patricia M
PY - 2017/8/1
Y1 - 2017/8/1
N2 - Background: Adherence to self-care recommendations is associated with improved patient outcomes and improved quality of life for people living with heart failure. The Home-Heart-Walk (HHW) is an intervention to promote physical activity adapting the elements of a six minute walk test, a reliable and valid measure. This adaptation was designed to support self-monitoring of physical functioning and promote the self-care of people with heart failure. The primary outcome of the Home-Heart-Walk was perceived physical functioning and the secondary outcomes were six-minute walk test distance, health related quality of life, self-care behaviour, self-efficacy and physical activity level. Methods: A multicentre randomized controlled trial. Participants (N=132) were recruited from three academic hospitals in Sydney, Australia. Participants were randomized to either the Home-Heart-Walk group or the control group. Perceived physical functioning, health related quality of life, self-care behaviour, exercise self-efficacy and physical activity level were measured at baseline and at three- and six-month follow-up. Results: After adjusting for baseline scores, there were no statistically significant between-group differences in perceived physical functioning, six-minute walk test distance, health related quality of life and exercise self-efficacy at follow-up. The intervention group had improvement in self-care behaviour (F(1,129) = 4.75, p = 0.031) and physical activity level (U = 1713, z = −2.12, p = 0.034) at the six-month follow-up compared with the control group. Conclusion: The Home-Heart-Walk did not improve the perceived physical functioning of the intervention group. Although the feasibility and acceptability of this strategy to support self-monitoring and improve self-care behaviour was demonstrated, self-reported adherence was unreliable; newer technologies may offer better assessment of adherence.
AB - Background: Adherence to self-care recommendations is associated with improved patient outcomes and improved quality of life for people living with heart failure. The Home-Heart-Walk (HHW) is an intervention to promote physical activity adapting the elements of a six minute walk test, a reliable and valid measure. This adaptation was designed to support self-monitoring of physical functioning and promote the self-care of people with heart failure. The primary outcome of the Home-Heart-Walk was perceived physical functioning and the secondary outcomes were six-minute walk test distance, health related quality of life, self-care behaviour, self-efficacy and physical activity level. Methods: A multicentre randomized controlled trial. Participants (N=132) were recruited from three academic hospitals in Sydney, Australia. Participants were randomized to either the Home-Heart-Walk group or the control group. Perceived physical functioning, health related quality of life, self-care behaviour, exercise self-efficacy and physical activity level were measured at baseline and at three- and six-month follow-up. Results: After adjusting for baseline scores, there were no statistically significant between-group differences in perceived physical functioning, six-minute walk test distance, health related quality of life and exercise self-efficacy at follow-up. The intervention group had improvement in self-care behaviour (F(1,129) = 4.75, p = 0.031) and physical activity level (U = 1713, z = −2.12, p = 0.034) at the six-month follow-up compared with the control group. Conclusion: The Home-Heart-Walk did not improve the perceived physical functioning of the intervention group. Although the feasibility and acceptability of this strategy to support self-monitoring and improve self-care behaviour was demonstrated, self-reported adherence was unreliable; newer technologies may offer better assessment of adherence.
KW - Heart failure
KW - physical activity
KW - physical functioning
KW - self-care
KW - self-monitoring
KW - six-minute walk test (6MWT)
UR - http://www.scopus.com/inward/record.url?scp=85041809994&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85041809994&partnerID=8YFLogxK
U2 - 10.1177/1474515117729779
DO - 10.1177/1474515117729779
M3 - Article
C2 - 28857618
SN - 1474-5151
JO - European Journal of Cardiovascular Nursing
JF - European Journal of Cardiovascular Nursing
ER -