Activity Level and Barriers to Participate of Cardiac Rehabilitation in Advanced Heart Failure Patients
- Conditions
- Physical ExerciseHeart Failure，CongestiveCardiac Rehabilitation
- Registration Number
- NCT03385837
- Lead Sponsor
- Hospital Israelita Albert Einstein
- Brief Summary
A prospective longitudinal and observational clinical study will be conducted with hospitalized heart failure patients.The main purpose is to know the level of physical activity of these patients after their discharge in relation to the orientation received during their hospitalization and identify the barriers perceived by these patients to participate in a cardiac rehabilitation program. The outcomes are available by telephone calls in 30 and 90 days after discharge.
- Detailed Description
Heart failure is a progression epidemic problem, parallel to population aging. The costs of this disease are estimates in 38 billion of dollars per year, many of those have a relationship to high number of hospitalizations and decompensated heart failure. Non-adherence to drug treatment and non-pharmacological measures as cardiac rehabilitation are the major causes of high number of mortality and hospitalizations by heart failure. Our objectives will be to identify in decompensated heart failure inpatients the level of physical activity that they done before hospitalization, the barriers for the non-use of cardiac rehabilitation and their disposition to changes of lifestyle. Correlation between level of physical activity and readmission in 30 and 90 days after hospital discharge will be done. To understand the profile of these patients and difficulties for to do physical exercise could help to make future actions with focus in to obtain high adherence to changes in lifestyle.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 70
Not provided
Not provided
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Know the physical activity level in heart failure patients before hospitalization Before hospitalization - To know the physical activity level in heart failure patients before the hospitalization using one questionnaire: the International Physical Activity Questionnaires (IPAQ).
Know cardiac rehabilitation barriers in heart failure patients At screening -To identify the cardiac rehabilitation barriers in heart failure patients using a likert scale CRBS (Cardiac Rehabilitation Barriers Scale) which assesses patients' perceptions regarding the personal (patient), professional (health professional) and institutional (system) barriers that affect participation and adherence to cardiac rehabilitation programs.
Know disposition for changes in life habits At screening - To identify the disposition for changes in life habits related to physical activity using the Disposition Scale described for Prochaska Jo and Diclemente with the results: pre contemplation, contemplation, preparation and action.
- Secondary Outcome Measures
Name Time Method Know the change from baseline physical activity level to 30 days after discharge 30 days To know the physical activity level in heart failure patients 30 days after discharge using one questionnaire: the International Physical Activity Questionnaires (IPAQ).
New hospitalizations 30 and 90 days after discharge 30 and 90 days Verify if there were new hospitalizations and its reasons in this period
Correlate new hospitalization with physical activity and orientations 90 days Correlate the new hospitalization in 30 and 90 days after discharge with the participation in physical activity program and orientation given in the hospital (medications and daily weight measure) in the statistical analysis
Measure anxiety and depression At screening Measure anxiety and depression through HADS (Hospital Anxiety and Depression Scale) which shows if it is impossible, possible or probable.
Correlate anxiety and depression with cognitive impairment At screening Correlate anxiety and depression with cognitive impairment in the statistical analysis
Know the change from baseline physical activity level to 90 days after discharge 90 days To know the physical activity level in heart failure patients 90 days after discharge using one questionnaire: the International Physical Activity Questionnaires (IPAQ).
Adhesion of orientation 90 days Verify the adhesion of the orientation given in the hospitalization about medications and daily weight measure
Measure cognitive impairment At screening Measure if the patient presents cognitive impairment applying the MMSE (Mini-mental State Examination).
Trial Locations
- Locations (1)
Instituto Israelita de Ensino e Pesquisa Albert Einstein 's (IIEP)
🇧🇷São Paulo, Brazil