Purpose
Patients with heart failure report low levels of physical activity and quality of life, both of which are important predictors of patient prognosis. This study aimed to investigate the effects of nurse-led motivational interviewing on self-efficacy for exercise, engagement in regular exercise, exercise capacity, and quality of life among patients with heart failure.
Methods
A randomized controlled trial design was used, and 66 Korean participants (i.e., 38 in a control group and 28 in an intervention group) aged 40~80 years who were diagnosed with heart failure were recruited between May 2012 and September 2013. The intervention group received telephone-based motivational interviews twice a week for one month. All participants were assessed for exercise regularity, levels of exercise, exercise capacity, and quality of life at baseline, one month, and three months. The data were analyzed using independent t-tests, repeated measures ANOVA, and nonparametric tests.
Results
At one month, there were significant group differences in exercise regularity (x² =6.10, p=.013) and levels of exercise (Z=-2.56, p=.024). There was a significant group-by-time effect on the quality of life (F=3.76, p=.044).
Conclusion
Nurse-led motivational interviewing was effective in increasing exercise levels and quality of life in patients with heart failure. In the future, we propose a study with a larger number of participants and a long-term follow-up study with additional contact to maintain the intervention effect.

Citations

• Empowering Trusted Messengers With Motivational Interviewing Skills: Improving Dissemination of Accurate Information to Communities
  Marie Ivantechenko, Shubarna Akhter, Damara Gutnick
  Community Health Equity Research & Policy.2024;[Epub]     CrossRef
• Effectiveness of behavioural interventions with motivational interviewing on physical activity outcomes in adults: systematic review and meta-analysis
  SuFen Zhu, Deepra Sinha, Megan Kirk, Moscho Michalopoulou, Anisa Hajizadeh, Gina Wren, Paul Doody, Lucy Mackillop, Ralph Smith, Susan A Jebb, Nerys M Astbury
  BMJ.2024; : e078713.     CrossRef
• Benefits and Harms of Digital Health Interventions Promoting Physical Activity in People With Chronic Conditions: Systematic Review and Meta-Analysis
  Graziella Zangger, Alessio Bricca, Behnam Liaghat, Carsten B Juhl, Sofie Rath Mortensen, Rune Martens Andersen, Camma Damsted, Trine Grønbek Hamborg, Mathias Ried-Larsen, Lars Hermann Tang, Lau Caspar Thygesen, Søren T Skou
  Journal of Medical Internet Research.2023; 25: e46439.     CrossRef

Purpose
The purpose of this study was to construct and test a hypothetical model of exercise behavior in patients with Heart Failure (HF) based on the Information-Motivation-Behavioral skills (IMB) model, and the IMB model including depression (IMBD). Methods: Data collection was conducted from February 1 to March 15, 2019. A total of 306 patients who were diagnosed with HF and were receiving outpatient treatment at the D University hospital and S hospital located in B city were included in the final analysis. The collected data were analyzed using SPSS 24.0 and AMOS 25.0 program. Results: The IMB model (x² /df=2.45, SRMR=.07, RMSEA=.07, GFI=.98, AGFI=.94, TLI=.93, CFI=.97) and IMBD model (x² /df=0.79, SRMR=.02, RMSEA=.003, GFI=.99, AGFI=.97, TLI=.98, CFI=.97) were a good fit for the data. In the exercise behavior IMB model, exercise behavior was explained by 55.1% by information, personal motivation, and behavioral skills. In the exercise behavior IMBD model, exercise behavior was explained by 60.4% by information, personal motivation, behavioral skills, and depression. Conclusion: The IMBD model showed high predictive power of exercise behavior. Therefore, in order to improve HF patients’ exercise behavior, it is necessary to identify and manage patients who experience depression. The development and application of integrated interventions to provide appropriate information, motivation, and confidence in exercise can be an effective strategy in increasing exercise compliance, and ultimately contribute to improving the health outcomes of patients with HF.

Citations

• Exercise and adults with hemophilia: a systematic review and meta-analysis
  Doo Young Kim, Mi Yang Jeon, Young Eun, Da In Jeong
  Journal of Korean Biological Nursing Science.2024; 26(1): 1.     CrossRef
• Factors Affecting Health-promoting Behavior of Nurses in Small and Medium-sized Hospitals based on the IMB Model
  Jin Hee Jeong, Hye Kyung Lee
  The Korean Journal of Rehabilitation Nursing.2022; 25(2): 102.     CrossRef
• Factors Influencing Performance of Exercise Behavior of Middle-Aged Men with Chronic Disease Based on the Information–Motivation–Behavioral Skill-Revealed-Related Variables (IMBR) Model
  Hee-Kyung Kim, Hyoungtae Kim, Jeong-Hyo Seo
  Healthcare.2022; 11(1): 100.     CrossRef

PURPOSE
The purpose of this study was to identify the effects of reinforced walking exercise on dyspnea-fatigue symptoms, daily activities, walking ability and health related quality of life (HRQoL) in heart failure patients.
METHODS
This study used a randomized controlled trial design. The participants (experimental group=16, control group=25) were recruited from a university hospital in Kyeong-nam area. Data were collected from March to September, 2015. The reinforced walking exercise included goal setting and feedback (telephone and text message) provided for 12 weeks. Dyspnea-Fatigue Index, Korean Activity Scale/Index (KASI), six-minute walking distance (6MWD) and HRQoL were measured. Data were analyzed using descriptive statistics, t-test, Fisher's exact test, χ2 test, and Kolmogrove-Smirnov test.
RESULTS
Prior to the intervention there were no differences in the research variables between two groups. The exercise compliance in the experimental group was 100% (walking for 50 minutes per day, 5 times per week). The experimental group had improved dyspnea-fatigue symptoms (t=8.63, p<.001), daily activities (t=-4.92, p<.001), longer 6MWD (t=-5.66, p<.001), and increased HRQoL (t=-9.05, p<.001) compared to the control group.
CONCLUSION
The reinforced walking exercise could be a cost-effective intervention in heart failure patient, which could enhance patients' outcomes, such as improving dyspnea-fatigue symptoms, daily activities, walking ability, and quality of life.

Citations

• A Case Report on the Improvement of Dyspnea and Edema Caused by Heart Failure Through a Complex Korean Medicine Treatment
  Jumin Kim, Hyeryun Lee, Hyungsun Jun, Dasol Park, Jungtae Leem
  The Journal of Internal Korean Medicine.2025; 46(1): 172.     CrossRef
• Exercise-based cardiac rehabilitation for adults with heart failure
  Cal Molloy, Linda Long, Ify R Mordi, Charlene Bridges, Viral A Sagar, Edward J Davies, Andrew JS Coats, Hasnain Dalal, Karen Rees, Sally J Singh, Rod S Taylor
  Cochrane Database of Systematic Reviews.2024;[Epub]     CrossRef
• Home-based versus centre-based cardiac rehabilitation
  Sinead TJ McDonagh, Hasnain Dalal, Sarah Moore, Christopher E Clark, Sarah G Dean, Kate Jolly, Aynsley Cowie, Jannat Afzal, Rod S Taylor
  Cochrane Database of Systematic Reviews.2023;[Epub]     CrossRef
• The Effects of Exercise-Based Interventions on Fluid Overload Symptoms in Patients with Heart Failure: A Systematic Review and Meta-Analysis
  Mei Rosemary Fu, Yuan Li, Catherine Conway, Alessandra Masone, Jinbo Fang, Christopher Lee
  Biomedicines.2022; 10(5): 1111.     CrossRef
• Effects of Smartphone-Based Compensatory Cognitive Training and Physical Activity on Cognition, Depression, and Self-Esteem in Women with Subjective Cognitive Decline
  Yanghee Pang, Oksoo Kim
  Brain Sciences.2021; 11(8): 1029.     CrossRef