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

PURPOSE: The aim of this study was to evaluate the use of patient-selected exercise adherence strategies following cardiac rehabilitation (CR). DESIGN: Twenty patients with heart failure (HF) were recruited and randomly assigned to the intervention or control group at completion of CR. METHODS: 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. FINDINGS: Patients with HF demonstrated improvement in distance walked and less HF symptoms and adhered to exercise at levels recommended during CR. CONCLUSION: Inclusion of patient-selected adherence strategies supports continued exercise and helps to sustain physiological improvements. Clinical Relevance: Results from this study have implications for CR programs serving HF patients and provide insight into adherence strategies.