Dataset Information

Predictors of completion and response to a psychological intervention to promote health behavior adherence in heart failure.

ABSTRACT:

Objective

Most individuals with heart failure (HF) struggle to adhere to one or more health behaviors, and interventions to promote adherence are time-intensive and costly. In this analysis, we examined the predictors of engagement and response related to a telephone-delivered health behavior intervention for individuals with HF.

Method

Using data from two pilot trials (N = 25) of a behavioral intervention for individuals with New York Heart Association (NYHA) class I-II HF, we examined predictors of intervention engagement and response using linear and mixed effects regression analyses. Predictors included medical (NYHA class, physical health-related quality of life [HRQoL], and HF symptoms) and intervention (ease and usefulness/utility ratings of the first intervention exercise) characteristics. Outcomes included percentage of sessions completed, accelerometer-measured physical activity, and sodium intake.

Results

Lower physical HRQoL and more frequent HF symptoms were associated with completion of more sessions. In contrast, more frequent HF symptoms and higher NYHA class were associated with less physical activity improvement. Finally, participants' ratings of the first session's utility were associated with greater improvements in physical activity at follow-up.

Conclusions

These findings suggest that while individuals with greater functional impairment are more engaged in a behavioral intervention, they may be less able to increase physical activity in response to the program. Furthermore, the perceived utility of an initial session may predict longer-term behavior change. Larger studies are needed to clarify the presence of additional predictors and determine how they can be used to better tailor health behavior interventions.

SUBMITTER: Celano CM

PROVIDER: S-EPMC8300859 | biostudies-literature | 2022 Jan

REPOSITORIES: biostudies-literature

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Publications

Predictors of completion and response to a psychological intervention to promote health behavior adherence in heart failure.

Celano Christopher M CM Golden Julia J Healy Brian C BC Longley Regina M RM Huffman Jeff C JC

International journal of psychiatry in medicine 20210118 1

<h4>Objective</h4>Most individuals with heart failure (HF) struggle to adhere to one or more health behaviors, and interventions to promote adherence are time-intensive and costly. In this analysis, we examined the predictors of engagement and response related to a telephone-delivered health behavior intervention for individuals with HF.<h4>Method</h4>Using data from two pilot trials (N = 25) of a behavioral intervention for individuals with New York Heart Association (NYHA) class I-II HF, we ex ...[more]

PMID: 33461359

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Dataset Information

Predictors of completion and response to a psychological intervention to promote health behavior adherence in heart failure.

Objective

Method

Results

Conclusions

Publications

Predictors of completion and response to a psychological intervention to promote health behavior adherence in heart failure.

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