PMID- 33461359 OWN - NLM STAT- MEDLINE DCOM- 20220505 LR - 20230102 IS - 1541-3527 (Electronic) IS - 0091-2174 (Print) IS - 0091-2174 (Linking) VI - 57 IP - 1 DP - 2022 Jan TI - Predictors of completion and response to a psychological intervention to promote health behavior adherence in heart failure. PG - 21-34 LID - 10.1177/0091217421989830 [doi] AB - OBJECTIVE: Most individuals with heart failure (HF) struggle to adhere to one or more health behaviors, and interventions to promote adherence are time-intensive and costly. In this analysis, we examined the predictors of engagement and response related to a telephone-delivered health behavior intervention for individuals with HF. METHOD: Using data from two pilot trials (N = 25) of a behavioral intervention for individuals with New York Heart Association (NYHA) class I-II HF, we examined predictors of intervention engagement and response using linear and mixed effects regression analyses. Predictors included medical (NYHA class, physical health-related quality of life [HRQoL], and HF symptoms) and intervention (ease and usefulness/utility ratings of the first intervention exercise) characteristics. Outcomes included percentage of sessions completed, accelerometer-measured physical activity, and sodium intake. RESULTS: Lower physical HRQoL and more frequent HF symptoms were associated with completion of more sessions. In contrast, more frequent HF symptoms and higher NYHA class were associated with less physical activity improvement. Finally, participants' ratings of the first session's utility were associated with greater improvements in physical activity at follow-up. CONCLUSIONS: These findings suggest that while individuals with greater functional impairment are more engaged in a behavioral intervention, they may be less able to increase physical activity in response to the program. Furthermore, the perceived utility of an initial session may predict longer-term behavior change. Larger studies are needed to clarify the presence of additional predictors and determine how they can be used to better tailor health behavior interventions. FAU - Celano, Christopher M AU - Celano CM AUID- ORCID: 0000-0003-0547-2851 AD - Department of Psychiatry, Harvard Medical School, Boston, MA, USA. AD - Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA. FAU - Golden, Julia AU - Golden J AD - University of Connecticut School of Medicine, Farmington, CT, USA. FAU - Healy, Brian C AU - Healy BC AD - Department of Neurology, Brigham and Women's Hospital, Boston, MA, USA. AD - Departments of Neurology and Biostatistics, Harvard Medical School, Boston, MA, USA. FAU - Longley, Regina M AU - Longley RM AD - Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA. FAU - Huffman, Jeff C AU - Huffman JC AD - Department of Psychiatry, Harvard Medical School, Boston, MA, USA. AD - Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA. LA - eng GR - K23 HL123607/HL/NHLBI NIH HHS/United States GR - P30 DK111022/DK/NIDDK NIH HHS/United States GR - R01 HL113272/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20210118 PL - United States TA - Int J Psychiatry Med JT - International journal of psychiatry in medicine JID - 0365646 SB - IM MH - Health Behavior MH - Health Promotion MH - *Heart Failure/psychology/therapy MH - Humans MH - Psychosocial Intervention MH - *Quality of Life PMC - PMC8300859 MID - NIHMS1724579 OTO - NOTNLM OT - health behavior OT - heart failure OT - motivational interviewing OT - patient compliance OT - positive psychology EDAT- 2021/01/20 06:00 MHDA- 2022/05/06 06:00 PMCR- 2023/01/01 CRDT- 2021/01/19 05:36 PHST- 2021/01/20 06:00 [pubmed] PHST- 2022/05/06 06:00 [medline] PHST- 2021/01/19 05:36 [entrez] PHST- 2023/01/01 00:00 [pmc-release] AID - 10.1177/0091217421989830 [doi] PST - ppublish SO - Int J Psychiatry Med. 2022 Jan;57(1):21-34. doi: 10.1177/0091217421989830. Epub 2021 Jan 18.