: Alternative models for initiating and maintaining regular exercise behavior in heart failure (HF) patients are essential given the debilitating symptoms of exercise intolerance, fatigue and dyspnea and the physical deconditioning experienced by the approximately 5.0 million Americans with HF (American Heart Association, 2004). Few HF patients engage in regular exercise as recommended by the American Heart Association (Pina et al., 2003) and initiation of exercise is difficult without reimbursement for formal rehabilitation programs. Therefore, the goal of this study is to test the feasibility of an innovative exercise training camp intervention called HEART CAMP (Heart failure Exercise And Resistance Training CAMP). HEART CAMP is derived from social cognitive theory (Bandura, 1997) and purposes to teach HF patients how to exercise and self-manage exercise behavior over time.
Specific aims are: (1) To pilot test the impact of the HEART CAMP intervention versus attention control in HF patients over time (3 weeks, 3 and 6 months) on: primary outcomes of estimated energy expenditure, self-efficacy to exercise, and adherence to exercise; and secondary outcomes of symptoms, biomarker, physical and psychological functioning and quality of life; (2) To estimate effect sizes for group differences in outcomes to determine sample size for a larger investigation; (3) To evaluate the feasibility of the HEART CAMP study for a larger investigation including: methods and strategies used in the intervention; data collection methods; and reliability estimates of outcome measures. An experimental repeated measures design with randomization of subjects to either the HEART CAMP intervention group or the attention control group will be used with outcome measures at baseline, 3 weeks, 3 and 6 months. Exercise training studies have HF, however attrition rates from exercise training studies and maintenance of long-term exercise behavior remains problematic. The HEART CAMP intervention is a much-needed approach to address these issues in chronically ill HF patients. ? ?

Agency
National Institute of Health (NIH)
Institute
National Institute of Nursing Research (NINR)
Type
Academic Research Enhancement Awards (AREA) (R15)
Project #
1R15NR009215-01
Application #
6848226
Study Section
Nursing Science: Adults and Older Adults Study Section (NSAA)
Program Officer
Huss, Karen
Project Start
2005-04-13
Project End
2008-03-31
Budget Start
2005-04-13
Budget End
2008-03-31
Support Year
1
Fiscal Year
2005
Total Cost
$220,500
Indirect Cost
Name
University of Nebraska Medical Center
Department
Type
Schools of Nursing
DUNS #
168559177
City
Omaha
State
NE
Country
United States
Zip Code
68198
Duncan, Kathleen; Pozehl, Bunny; Hertzog, Melody et al. (2014) Psychological responses and adherence to exercise in heart failure. Rehabil Nurs 39:130-9
Duncan, Kathleen; Pozehl, Bunny; Norman, Joseph F et al. (2011) A self-directed adherence management program for patients with heart failure completing combined aerobic and resistance exercise training. Appl Nurs Res 24:207-14
Pozehl, Bunny; Duncan, Kathleen; Hertzog, Melody et al. (2010) Heart Failure Exercise And Training Camp: effects of a multicomponent exercise training intervention in patients with heart failure. Heart Lung 39:S1-13
Norman, Joseph F; Pozehl, Bunny J; Duncan, Kathleen A et al. (2009) Relationship of resting B-type natriuretic peptide level to cardiac work and total physical work capacity in heart failure patients. J Cardiopulm Rehabil Prev 29:310-3