Patient-Selected Strategies for Post Cardiac Rehabilitation Exercise Adherence in Heart Failure

The aim of this study was to evaluate the use of patient-selected exercise adherence strategies following cardiac rehabilitation (CR).Twenty patients with heart failure (HF) were recruited and randomly assigned to the intervention or control group at completion of CR.The intervention included the use of six adherence strategies (logs, graphs, pedometers, phone follow-up, education, and a letter from CR staff), which were provided for 6 weeks post CR and during home-based exercise. After 6 weeks, the intervention group selected strategies to continue, and only those were provided for the last 6 weeks. At 12 weeks, patients were retested.Patients with HF demonstrated improvement in distance walked and less HF symptoms and adhered to exercise at levels recommended during CR.Inclusion of patient-selected adherence strategies supports continued exercise and helps to sustain physiological improvements.Results from this study have implications for CR programs serving HF patients and provide insight into adherence strategies.