Long-term exercise adherence in patients with heart failure: A qualitative study

Background: Regular exercise is associated with numerous benefits; yet up to 91% of patients with heart failure (HF) do not exercise regularly. This study explored factors supporting long-term exercise adherence in patients with HF. Design: This study was a qualitative multiple-case study. Methods: Data were collected via semi-structured interviews from patients with HF at completion of an 18month exercise intervention in a health care exercise facility and analyzed using a directed content analysis approach. Results: Participants (n=22) identified perceived health status, scheduling/making exercise part of a routine, social support from coaches and family, knowledge about exercise, and motivation/perseverance as supports for long-term exercise adherence. Conclusions: Perceived health status may be key when promoting exercise adherence in this population. Knowledge, social support from coaches and family members, and motivation should be considered for longterm exercise adherence. (c) 2020 Elsevier Inc. All rights reserved.