Chronic Heart Failure, Fear of Movement (Fear of Physical Activity)
Conditions
Keywords
heart failure, fear of physical activity, motor activity
Brief summary
The aim of the study is to evaluate the psychometric properties of the newly developed Fear of Activity in Situations - Heart Failure (FActS-HF 15) scale. The FActS-HF 15 is a questionnaire assessing fear of physical activity (fear of movement) in patients with chronic heart failure. FActS-HF 15 assesses cognitions and emotions that can occur during physical activity, independent of avoidance behavior. Firstly, the study aims at evaluating the instrument's reliability and validity and to investigate associations of fear of physical activity with demographic, medical, and psychosocial patient characteristics. Secondly, the study aims at assessing everyday physical activity using accelerometric measures to test the hypothesis that fear of physical activity in patients with heart failure is related with lower actual physical activity.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Clinical diagnosis of heart failure stage B or C (Hunt et al., 2005), or: New York Heart Failure classification II to IIIb: 1. Systolic dysfunction: left ventricular ejection fraction \< 45% in the last 6 month 2. Diastolic dysfunction: left ventricular ejection fraction \>= 45% in the last 6 month
Exclusion criteria
* complex ventricular arrhythmias * acute myocarditis * symptomatic cardiac valve stenosis * instable angina pectoris * other severe diseases, that impair physical activity (e.g., advanced stages of cancer) * insufficient language skills in German to answer the questionnaires * insufficient cognitive skills to answer the questionnaires
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| FActS-HF 15 total score and subscores | 2016-2019 | The psychometric properties of FActS-HF 15 are assessed in terms of item analysis, reliability (internal consistency, test-retest reliability), convergent and discriminant validity (correlations with other questionnaires) as well as confirmatory factor analysis (assessing the dimensionality). Associations with demographic, medical, and psychosocial variables will be evaluated. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Average daily energy expenditure due to physical activity (kcal/d) | 6 day assessment, after questionnaire completion | Objectively assessed via accelerometry |
| Average intensity of physical activity (MET) | 6 day assessment, after questionnaire completion | Objectively assessed via accelerometry |
| Average relative frequency of activity classes | 6 day assessment, after questionnaire completion | Relative frequency of activity classes stair climbing, lying down, walking |
Countries
Germany