Negative Attitudes, Self-efficacy, and Relapse Management Mediate Long-Term Adherence to Exercise in Patients With Heart Failure.
Windy W Alonso, Kevin Kupzyk, Joseph Norman...
https://pubmed.ncbi.nlm.nih.gov/33580663/Actively Recruiting
Led by University of Nebraska · Updated on 2026-01-16
300
Participants Needed
3
Research Sites
4 weeks
Total Duration
Researchers are studying adults with heart failure with preserved ejection fraction HFpEF to understand how different exercise coaching methods affect their ability to exercise, improve symptoms, and change blood markers. The study compares three groups over 18 months usual care with video exercises, in-person coaching with exercise, and virtual coaching via videoconference. The goal is to see which method helps patients stick to exercise routines and improves their health and physical function. Participants are randomly assigned to one of three groups the usual care group accesses exercise videos online and does not meet with a coach the HEART Camp group exercises and meets with a coach in person at a medical fitness center and the HEART Camp Connect group exercises using videos and meets virtually with a coach. Coaching sessions occur weekly for the first 3 months and then every other week up to 12 months, with group exercise and Q&A sessions on alternate weeks. After 12 months, coaching ends, and participants manage their exercise independently for the final 6 months. Participants undergo an initial exercise test to ensure safety and receive training on using activity monitors, heart rate monitors, and exercise diaries. They wear activity monitors for 7 days at four study points baseline, 6, 12, and 18 months, have blood drawn, complete a 6-minute walk test, and fill out questionnaires about heart failure and exercise. The study measures exercise adherence over time and tracks heart failure symptoms, physical function, inflammatory blood markers, and quality of life. The total participation lasts 18 months with regular monitoring and data collection.
CONDITIONS
HEART Camp Connect -Promoting Exercise in Adults With Heart Failure With Preserved Ejection Fraction
W
Windy W Alonso, PhD
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University of Nebraska
Lead Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | Virtual HEART Camp Connect | In-Person HEART Camp | Enhanced Usual Care |
|---|---|---|---|
| What is it? | A structured virtual behavioral intervention using live videoconference coaching and group-based exercise for HFpEF. | An in-person behavioral intervention at a medical fitness center with live coaching and group-based exercise for HFpEF. | Enhanced usual care, including standard medical management and educational materials, without supervised exercise or added behavioral coaching. |
| Role in the trial | Randomized intervention arm testing a virtual delivery model for exercise and behavioral coaching. | Randomized intervention arm testing traditional in-person exercise and behavioral support. | Randomized comparator arm receiving best-practice medical care plus education, without structured exercise support. |
| Primary use | To promote long-term adherence to exercise and physical activity among adults with HFpEF via remote behavioral support. | To promote exercise engagement and habit formation in adults with HFpEF through in-person guidance and group sessions. | To provide benchmark best-practice medical therapy and health education for HFpEF, reflecting usual care without structured behavioral or exercise support. |
| How is it given or performed? | Participants meet virtually with a coach weekly for 30 minutes during months 1-3, then every other week for 15 minutes for months 4-12, alternating with virtual 1-hour group coaching and exercise sessions via videoconference. | Participants meet in person with a coach at a medical fitness center weekly for 30 minutes during months 1-3, then every other week for 15 minutes in months 4-12, alternating with in-person 1-hour group coaching and exercise sessions. | Participants receive guideline-based medical therapy and printed educational materials. No supervised exercise or behavioral coaching sessions are provided. |
| Evidence status | Efficacy of remote coaching and exercise for HFpEF is being tested; prior behavioral interventions improve physical activity adherence in heart failure but remote models require further study. | Prior studies and meta-analyses show in-person exercise and behavioral interventions improve exercise capacity, quality of life, and symptoms in HFpEF. | Guideline-directed medical management and patient education remain fundamental in HFpEF; without structured behavioral support, effects on exercise adherence are limited. |
| Important limitations | Participant access and comfort with technology may affect engagement; evidence for long-term success with remote coaching in HFpEF is still emerging. | In-person participation depends on transportation, mobility, and ability to attend center-based sessions; real-world barriers may restrict sustained engagement. | Without structured behavioral coaching or group support, adherence to exercise recommendations tends to be lower in daily practice. |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person) for cardiopulmonary exercise testing (CPET) and safety evaluation
Duration - Approximately 1 week
Participants complete 3 monitored cardiac rehabilitation sessions and study orientation including training on exercise platforms and monitoring devices.
3 monitored sessions and 1 in-person orientation visit
Duration - 12 months
Participants engage in a 12-month exercise intervention with coaching. The HEART Camp group meets in-person; the HEART Camp Connect group meets virtually. Coaching frequency tapers over time with weekly sessions for 3 months and biweekly sessions with group training until month 12. The Enhanced Usual Care group receives virtual access and support without coaching.
Weekly 30-minute coaching sessions Months 1-3; every other week 15-minute coaching plus alternate week 1-hour group sessions Months 4-12
Duration - 6 months
Participants self-regulate exercise without coaching or motivational messages for 6 months after the intervention ends.
No scheduled coaching visits; participants continue exercise independently
Duration - Throughout study duration
Participants meet with research staff at baseline, 6, 12, and 18 months for assessments including blood draws, 6-minute walk tests, activity monitoring, and surveys.
4 visits (in-person) at baseline, 6, 12, and 18 months
Study Type
INTERVENTIONAL
Masking
DOUBLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
3
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https://pubmed.ncbi.nlm.nih.gov/25433674/University of Nebraska
Lead Sponsor