Activity Level and Barriers to Participate of Cardiac Rehabilitation in Advanced Heart Failure Patients
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Heart Failure，Congestive
- Sponsor
- Hospital Israelita Albert Einstein
- Enrollment
- 70
- Locations
- 1
- Primary Endpoint
- Know the physical activity level in heart failure patients before hospitalization
- Status
- Completed
- Last Updated
- 6 years ago
Overview
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.
Investigators
Luciana Diniz Nagem Janot Matos
PhD
Hospital Israelita Albert Einstein
Eligibility Criteria
Inclusion Criteria
- Not provided
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Know the physical activity level in heart failure patients before hospitalization
Time Frame: 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
Time Frame: 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
Time Frame: 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 Outcomes
- Know the change from baseline physical activity level to 30 days after discharge(30 days)
- New hospitalizations 30 and 90 days after discharge(30 and 90 days)
- Correlate new hospitalization with physical activity and orientations(90 days)
- Measure anxiety and depression(At screening)
- Correlate anxiety and depression with cognitive impairment(At screening)
- Know the change from baseline physical activity level to 90 days after discharge(90 days)
- Adhesion of orientation(90 days)
- Measure cognitive impairment(At screening)