Exploring factors related to non‐adherence to exergaming in patients with chronic heart failure
Abstract Aims This study aimed to explore factors related to non‐adherence to exergaming in patients with heart failure. Methods and results Data from patients in the exergame group in the HF‐Wii trial were used. Adherence to exergaming was defined as playing 80% or more of the recommended time. Dat...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2021-12-01
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| Series: | ESC Heart Failure |
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| Online Access: | https://doi.org/10.1002/ehf2.13616 |
| _version_ | 1811247795483443200 |
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| author | Tiny Jaarsma Leonie Klompstra Anna Strömberg Tuvia Ben Gal Jan Mårtensson Martje H.L. van derWal HF‐Wii study team |
| author_facet | Tiny Jaarsma Leonie Klompstra Anna Strömberg Tuvia Ben Gal Jan Mårtensson Martje H.L. van derWal HF‐Wii study team |
| author_sort | Tiny Jaarsma |
| collection | DOAJ |
| description | Abstract Aims This study aimed to explore factors related to non‐adherence to exergaming in patients with heart failure. Methods and results Data from patients in the exergame group in the HF‐Wii trial were used. Adherence to exergaming was defined as playing 80% or more of the recommended time. Data on adherence and reasons for not exergaming at all were collected during phone calls after 2, 4, 8, and 12 weeks. Logistic regression was performed between patients who were adherent and patients who were non‐adherent. Secondly, a logistic regression was performed between patients who not exergamed at all and patients who were adherent to exergaming. Finally, we analysed the reasons for not exergaming at all with manifest content analysis. Almost half of the patients were adherent to exergaming. Patients who were adherent had lower social motivation [odds ratio (OR) 0.072; 95% confidence interval (CI) 0.054–0.095], fewer sleeping problems (OR 0.84; 95% CI 0.76–0.092), and higher exercise capacity (OR 1.003; 95% CI 1.001–1.005) compared with patients who were non‐adherent. Patients who not exergamed at all had lower cognition (OR 1.18; 95% CI 1.06–1.31) and more often suffered from peripheral vascular disease (OR 3.74; 95% CI 1.01–13.83) compared with patients who were adherent to exergaming. Patients most often cited disease‐specific barriers as a reason for not exergaming at all. Conclusions A thorough baseline assessment of physical function and cognition is needed before beginning an exergame intervention. It is important to offer the possibility to exergame with others, to be able to adapt the intensity of physical activity. |
| first_indexed | 2024-04-12T15:15:45Z |
| format | Article |
| id | doaj.art-e55f1329646545c7a163301dc7a95c61 |
| institution | Directory Open Access Journal |
| issn | 2055-5822 |
| language | English |
| last_indexed | 2024-04-12T15:15:45Z |
| publishDate | 2021-12-01 |
| publisher | Wiley |
| record_format | Article |
| series | ESC Heart Failure |
| spelling | doaj.art-e55f1329646545c7a163301dc7a95c612022-12-22T03:27:37ZengWileyESC Heart Failure2055-58222021-12-01864644465110.1002/ehf2.13616Exploring factors related to non‐adherence to exergaming in patients with chronic heart failureTiny Jaarsma0Leonie Klompstra1Anna Strömberg2Tuvia Ben Gal3Jan Mårtensson4Martje H.L. van derWal5HF‐Wii study teamDepartment of Medicine, Health and Caring Sciences Linköping University Linköping SwedenDepartment of Medicine, Health and Caring Sciences Linköping University Linköping SwedenDepartment of Medicine, Health and Caring Sciences Linköping University Linköping SwedenHeart Failure Unit, Cardiology Department, Rabin Medical Center, Petah Tikva and Sackler Faculty of Medicine Tel Aviv University Tel Aviv IsraelDepartment of Nursing, School of Health and Welfare Jönköping University Jönköping SwedenDepartment of Medicine, Health and Caring Sciences Linköping University Linköping SwedenAbstract Aims This study aimed to explore factors related to non‐adherence to exergaming in patients with heart failure. Methods and results Data from patients in the exergame group in the HF‐Wii trial were used. Adherence to exergaming was defined as playing 80% or more of the recommended time. Data on adherence and reasons for not exergaming at all were collected during phone calls after 2, 4, 8, and 12 weeks. Logistic regression was performed between patients who were adherent and patients who were non‐adherent. Secondly, a logistic regression was performed between patients who not exergamed at all and patients who were adherent to exergaming. Finally, we analysed the reasons for not exergaming at all with manifest content analysis. Almost half of the patients were adherent to exergaming. Patients who were adherent had lower social motivation [odds ratio (OR) 0.072; 95% confidence interval (CI) 0.054–0.095], fewer sleeping problems (OR 0.84; 95% CI 0.76–0.092), and higher exercise capacity (OR 1.003; 95% CI 1.001–1.005) compared with patients who were non‐adherent. Patients who not exergamed at all had lower cognition (OR 1.18; 95% CI 1.06–1.31) and more often suffered from peripheral vascular disease (OR 3.74; 95% CI 1.01–13.83) compared with patients who were adherent to exergaming. Patients most often cited disease‐specific barriers as a reason for not exergaming at all. Conclusions A thorough baseline assessment of physical function and cognition is needed before beginning an exergame intervention. It is important to offer the possibility to exergame with others, to be able to adapt the intensity of physical activity.https://doi.org/10.1002/ehf2.13616AdherenceExergameHeart failurePhysical activitySerious game |
| spellingShingle | Tiny Jaarsma Leonie Klompstra Anna Strömberg Tuvia Ben Gal Jan Mårtensson Martje H.L. van derWal HF‐Wii study team Exploring factors related to non‐adherence to exergaming in patients with chronic heart failure ESC Heart Failure Adherence Exergame Heart failure Physical activity Serious game |
| title | Exploring factors related to non‐adherence to exergaming in patients with chronic heart failure |
| title_full | Exploring factors related to non‐adherence to exergaming in patients with chronic heart failure |
| title_fullStr | Exploring factors related to non‐adherence to exergaming in patients with chronic heart failure |
| title_full_unstemmed | Exploring factors related to non‐adherence to exergaming in patients with chronic heart failure |
| title_short | Exploring factors related to non‐adherence to exergaming in patients with chronic heart failure |
| title_sort | exploring factors related to non adherence to exergaming in patients with chronic heart failure |
| topic | Adherence Exergame Heart failure Physical activity Serious game |
| url | https://doi.org/10.1002/ehf2.13616 |
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