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Open AccessArticle

“I Just Can’t Do It Anymore” Patterns of Physical Activity and Cardiac Rehabilitation in African Americans with Heart Failure: A Mixed Method Study

New York University College of Nursing, New York, NY 10010, USA
New York University Langone Medical Center, New York, NY 10016, USA
Author to whom correspondence should be addressed.
Academic Editors: Tracey L. Yap and Melissa Batchelor-Murphy
Healthcare 2015, 3(4), 973-986;
Received: 1 July 2015 / Revised: 9 October 2015 / Accepted: 9 October 2015 / Published: 15 October 2015
(This article belongs to the Special Issue Nursing Care of the Older Adult)
Physical activity and cardiac rehabilitation (CR) are components of heart failure (HF) self-care. The aims of this study were to describe patterns of physical activity in African Americans (n = 30) with HF and to explore experience in CR. This was a mixed method, concurrent nested, predominantly qualitative study. Qualitative data were collected via interviews exploring typical physical activity, and CR experience. It was augmented by quantitative data measuring HF severity, self-care, functional capacity and depressive symptoms. Mean age was 60 ± 15 years; 65% were New York Heart Association (NYHA) class III HF. Forty-three percent reported that they did less than 30 min of exercise in the past week; 23% were told “nothing” about exercise by their provider, and 53% were told to do “minimal exercise”. A measure of functional capacity indicated the ability to do moderate activity. Two related themes stemmed from the narratives describing current physical activity: “given up” and “still trying”. Six participants recalled referral to CR with one person participating. There was high concordance between qualitative and quantitative data, and evidence that depression may play a role in low levels of physical activity. Findings highlight the need for strategies to increase adherence to current physical activity guidelines in this older minority population with HF. View Full-Text
Keywords: heart failure; exercise; cardiac rehabilitation; minorities heart failure; exercise; cardiac rehabilitation; minorities
MDPI and ACS Style

McCarthy, M.; Katz, S.D.; Schipper, J.; Dickson, V.V. “I Just Can’t Do It Anymore” Patterns of Physical Activity and Cardiac Rehabilitation in African Americans with Heart Failure: A Mixed Method Study. Healthcare 2015, 3, 973-986.

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