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An Exercise Counseling Intervention in Minority Adults With Heart Failure

McCarthy, Margaret M. PhD, RN, FNP-BC1; Dickson, Victoria Vaughan PhD, CRNP, FAHA1; Katz, Stuart D. MD2; Chyun, Deborah A. PhD, RN, FAHA, FAAN1

doi: 10.1002/rnj.265
Continuing Education

Purpose: The primary aim of this study was to assess the feasibility of an exercise counseling intervention for adults of diverse race/ethnicity with heart failure (HF) and to assess its potential for improving overall physical activity, functional capacity, and HF self-care.

Design: This study was a quasi-experimental, prospective, longitudinal cohort design.

Methods: Twenty adults were enrolled and completed the 6-minute walk and standardized instruments, followed by exercise counseling using motivational interviewing. Each received an accelerometer, hand weights, and a diary to record self-care behaviors. Participants were followed via phone for 12 weeks to collect step-counts, review symptoms, and plan the following week’s step goal.

Findings: Results indicate that this intervention was feasible for most participants and resulted in improvements in physical activity, functional capacity, and self-care behaviors.

Conclusion/Clinical Relevance: Brief exercise counseling may be an appropriate option to improve outcomes for stable patients with HF and may be tailored to fit different settings.

1 College of Nursing, New York University, New York, NY, USA

2 Heart Failure Program, New York University, Langone Medical Center, New York, NY, USA

Correspondence: Margaret M. McCarthy, College of Nursing, New York University, 433 First Avenue, New York, NY, USA. E-mail:

Accepted December 8, 2015.

Cite this article as: McCarthy, M. M., Dickson, V. V., Katz, S. D., & Chyun, D. A. (2017). An exercise counseling intervention in minority adults with heart failure. Rehabilitation Nursing, 42(3), 146–156. doi: 10.1002/rnj.265

© 2017 Association of Rehabilitation Nurses.
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