PMID- 27417807
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20160715
LR  - 20201001
IS  - 2227-9032 (Print)
IS  - 2227-9032 (Electronic)
IS  - 2227-9032 (Linking)
VI  - 3
IP  - 4
DP  - 2015 Oct 15
TI  - "I Just Can't Do It Anymore" Patterns of Physical Activity and Cardiac 
      Rehabilitation in African Americans with Heart Failure: A Mixed Method Study.
PG  - 973-86
LID - 10.3390/healthcare3040973 [doi]
AB  - 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.
FAU - McCarthy, Margaret
AU  - McCarthy M
AD  - New York University College of Nursing, New York, NY 10010, USA. 
      mmccarthy@nyu.edu.
FAU - Katz, Stuart D
AU  - Katz SD
AD  - New York University Langone Medical Center, New York, NY 10016, USA. 
      stuart.katz@nyumc.org.
FAU - Schipper, Judith
AU  - Schipper J
AD  - New York University Langone Medical Center, New York, NY 10016, USA. 
      judith.schipper@nyumc.org.
FAU - Dickson, Victoria Vaughan
AU  - Dickson VV
AD  - New York University College of Nursing, New York, NY 10010, USA. 
      vdickson@nyu.edu.
LA  - eng
PT  - Journal Article
DEP - 20151015
PL  - Switzerland
TA  - Healthcare (Basel)
JT  - Healthcare (Basel, Switzerland)
JID - 101666525
PMC - PMC4934625
OTO - NOTNLM
OT  - cardiac rehabilitation
OT  - exercise
OT  - heart failure
OT  - minorities
EDAT- 2015/01/01 00:00
MHDA- 2015/01/01 00:01
PMCR- 2015/10/15
CRDT- 2016/07/16 06:00
PHST- 2015/07/01 00:00 [received]
PHST- 2015/10/09 00:00 [revised]
PHST- 2015/10/09 00:00 [accepted]
PHST- 2016/07/16 06:00 [entrez]
PHST- 2015/01/01 00:00 [pubmed]
PHST- 2015/01/01 00:01 [medline]
PHST- 2015/10/15 00:00 [pmc-release]
AID - healthcare3040973 [pii]
AID - healthcare-03-00973 [pii]
AID - 10.3390/healthcare3040973 [doi]
PST - epublish
SO  - Healthcare (Basel). 2015 Oct 15;3(4):973-86. doi: 10.3390/healthcare3040973.