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Exercise counseling in low-income et...

McCarthy, Margaret M.

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Exercise counseling in low-income ethnic minority individuals with heart failure: A pilot study.

Record Type:	Language materials, printed : Monograph/item
Title/Author:	Exercise counseling in low-income ethnic minority individuals with heart failure: A pilot study./
Author:	McCarthy, Margaret M.
Description:	194 p.
Notes:	Source: Dissertation Abstracts International, Volume: 75-01(E), Section: B.
Contained By:	Dissertation Abstracts International75-01B(E).
Subject:	Health Sciences, Nursing. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3574444
ISBN:	9781303506031

Exercise counseling in low-income ethnic minority individuals with heart failure: A pilot study.
McCarthy, Margaret M.

Exercise counseling in low-income ethnic minority individuals with heart failure: A pilot study. - 194 p.

Source: Dissertation Abstracts International, Volume: 75-01(E), Section: B.

Thesis (Ph.D.)--New York University, 2013.

Background. Heart failure (HF) affects over five million people in the United States, and the primary symptom is exercise intolerance. Unfortunately, many patients are not directed toward cardiac rehabilitation, nor counseled about exercise. The positive effects of exercise training on functional status and quality of life have been well researched in patients with HF; however, very few ethnic minority individuals of low socio-economic status have been included in these samples. The purpose of this study was to pilot a brief exercise counseling intervention in a low-income ethnic minority HF clinic, and to assess preliminary efficacy in improving functional status, physical activity, mood, quality of life, and vascular measures.

ISBN: 9781303506031Subjects--Topical Terms:

1017798
Health Sciences, Nursing.

Exercise counseling in low-income ethnic minority individuals with heart failure: A pilot study.
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020 $a 9781303506031
035 $a (MiAaPQ)AAI3574444
035 $a AAI3574444
040 $a MiAaPQ $c MiAaPQ
100 1 $a McCarthy, Margaret M. $3 2094428
245 1 0 $a Exercise counseling in low-income ethnic minority individuals with heart failure: A pilot study.
300 $a 194 p.
500 $a Source: Dissertation Abstracts International, Volume: 75-01(E), Section: B.
500 $a Adviser: Deborah A. Chyur.
502 $a Thesis (Ph.D.)--New York University, 2013.
520 $a Background. Heart failure (HF) affects over five million people in the United States, and the primary symptom is exercise intolerance. Unfortunately, many patients are not directed toward cardiac rehabilitation, nor counseled about exercise. The positive effects of exercise training on functional status and quality of life have been well researched in patients with HF; however, very few ethnic minority individuals of low socio-economic status have been included in these samples. The purpose of this study was to pilot a brief exercise counseling intervention in a low-income ethnic minority HF clinic, and to assess preliminary efficacy in improving functional status, physical activity, mood, quality of life, and vascular measures.
520 $a Methods. Adults with HF (n=20) were recruited from an urban HF clinic. Upon enrollment, brief exercise counseling was conducted using the principles of motivational interviewing (MI), and subjects were provided with an accelerometer and hand weights. Subjects were followed via phone for 12 weeks to collect weekly step counts, review symptoms and discuss future goals. Results. The mean age of the subjects was 52 +/- 8.2 years and 60% were men. Half were born outside the United States; 65% were Black; and 70% had a high school degree or less. The mean duration of HF was 4.6 +/- 5.4 years and mean ejection fraction was 32.88 +/- 18.8%. A process evaluation indicated the pilot was a feasible, safe intervention. At 12 weeks, improvements were seen in the six minute walk test (p=.0006), walking score of the International Physical Activity Questionnaire (p=.04), weekly step-counts (p=.03), Minnesota Living with Heart Failure Questionnaire (p=.006), depression (p=.02), anxiety (p=.03) and self-care maintenance (p=.03).
520 $a Conclusion. Brief counseling interventions using MI may lead to improvements in health outcomes in low-income ethnic minority populations with HF. Further testing of the intervention in a randomized trial is warranted.
590 $a School code: 0146.
650 4 $a Health Sciences, Nursing. $3 1017798
650 4 $a Psychology, Behavioral. $3 1017677
650 4 $a Health Sciences, Recreation. $3 1018003
650 4 $a Sociology, Ethnic and Racial Studies. $3 1017474
690 $a 0569
690 $a 0384
690 $a 0575
690 $a 0631
710 2 $a New York University. $b Nursing. $3 2094429
773 0 $t Dissertation Abstracts International $g 75-01B(E).
790 $a 0146
791 $a Ph.D.
792 $a 2013
793 $a English
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3574444