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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

1
New York University College of Nursing, New York, NY 10010, USA
2
New York University Langone Medical Center, New York, NY 10016, USA
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Author to whom correspondence should be addressed.
Academic Editors: Tracey L. Yap and Melissa Batchelor-Murphy
Healthcare 2015, 3(4), 973-986; https://doi.org/10.3390/healthcare3040973
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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