Heart Failure
Conditions
Keywords
sedentary time, number of steps/day, mobility, disability
Brief summary
To determine the change in sedentary time and number of steps/day for older patients with heart failure at risk for mobility disability who receive a program to decrease sedentary behavior versus a standard program to increase exercise.
Interventions
The experimental group will wear an activPAL and have counseling sessions that use the Health Belief Model and Motivational Interviewing strategies to reduce sedentary time.
The Active Comparative group will wear an activPAL and have counseling sessions that use the Health Belief Model and Motivational Interviewing strategies to increase exercise time.
Sponsors
Study design
Eligibility
Inclusion criteria
* NYHA II-IV, * Age ≥ 65, * SPPB score of \> 4 and ≤ 10 of 12, * and deemed (by 1° cardiologist) to be at maximal tolerated dose of heart failure medication (ACE-inhibitor (ACE-I)/angiotensin receptor blocker and beta blocker (BB) for patients with HF with reduced ejection fraction (HFrEF), and * blood pressure controlled for HF with preserved ejection fraction (HFpEF) according to the American Heart Failure Association HF guidelines.
Exclusion criteria
* Patients requiring medication titration such as ACE-I or BB, (will return to their cardiologist and be eligible after 3 months of stable medication.) * Oxygen dependent lung disease, * Orthopedic or neurologic disease that severely limits mobility, * Active cancer diagnosis except non-melanoma skin cancer, * Geriatric Depression Scale (GDS) score of ≥ 9 , * Limited life-expectancy of \<6 months, * Known dementia or disease that effects ability to learn/follow directions, or * Failed MiniCog test.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of Subjects that are more active than Control. | Monthly for 3 months |
Countries
United States