- Title
- Confirming a beneficial effect of the six-minute walk test on exercise confidence in patients with heart failure
- Creator
- Toukhsati, Samia; Mathews, Stephanie; Sheed, A.; Freijah, Isabella; Moncur, L.; Cropper, P; Ha, F.; Hare, David
- Date
- 2020
- Type
- Text; Journal article
- Identifier
- http://researchonline.federation.edu.au/vital/access/HandleResolver/1959.17/170967
- Identifier
- vital:14253
- Identifier
- 10.1177/1474515119876784
- Identifier
- ISBN:1474-5151
- Abstract
- Background: Low confidence to exercise is a barrier to engaging in exercise in heart failure patients. Participating in low to moderate intensity exercise, such as the six-minute walk test, may increase exercise confidence. Aim: To compare the effects of a six-minute walk test with an educational control condition on exercise confidence in heart failure patients. Methods: This was a prospective, quasi-experimental design whereby consecutive adult patients attending an out-patient heart failure clinic completed the Exercise Confidence Scale prior to and following involvement in the six-minute walk test or an educational control condition. Results: Using a matched pairs, mixed model design (n=60; 87% male; Mage=58.87±13.16), we identified a significantly greater improvement in Total exercise confidence (F(1,54)=4.63, p=0.036, partial η2=0.079) and Running confidence (F(1,57)=4.21, p=0. 045, partial η2=0.069) following the six-minute walk test compared to the educational control condition. These benefits were also observed after adjustment for age, gender, functional class and depression. Conclusion: Heart failure patients who completed a six-minute walk test reported greater improvement in exercise confidence than those who read an educational booklet for 10 min. The findings suggest that the six-minute walk test may be used as a clinical tool to improve exercise confidence. Future research should test these results under randomized conditions and examine whether improvements in exercise confidence translate to greater engagement in exercise behavior. © The European Society of Cardiology 2019.
- Publisher
- SAGE Publications Inc.
- Relation
- European Journal of Cardiovascular Nursing Vol. 19, no. 2 (2020), p.165-171
- Rights
- Copyright © 2009, © SAGE Publication
- Rights
- This metadata is freely available under a CCO license
- Subject
- 1102 Cardiorespiratory Medicine and Haematology; 1110 Nursing; 1117 Public Health and Health Services; Confidence; Exercise; Heart failure; Self-efficacy; Six-minute walk test
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