Evidence map›Paper›PMID 39236063›Full record

Observational studyPloS one2024

Associations of fear of physical activity, coping style and self-reported exercise behavior in patients with chronic heart failure.

Heike Spaderna, Vincent M Brandenburg, Michael Lauterbach, Tara M Partetzke, Sandra U Schwab, Frederik Voss, Ingrid Kindermann

Registry-linked trialAbstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02898246 (Fear of Activity in Situations), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02898246 completednot on this map

Fear of Activity in Situations (FActS) - Heart Failure Study 2016

TypeobservationalSponsorUniversity of TrierRan2016 to 2019Enrolled187ConditionsChronic Heart Failure, Fear of Movement (Fear of Physical Activity)
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Heike SpadernaDepartment of Nursing Science, Health Psychology, Trier University, Trier, Germany.ORCID 0000-0002-4600-2859
Vincent M BrandenburgDepartment of Cardiology and Nephrology, Rhein-Maas-Klinikum, Würselen, Germany.
Michael LauterbachDepartment of Cardiology, Heart Center Trier, Krankenhaus der Barmherzigen Brueder, Trier, Germany.
Tara M PartetzkeDepartment of Nursing Science, Health Psychology, Trier University, Trier, Germany.
Sandra U SchwabDepartment of Nursing Science, Health Psychology, Trier University, Trier, Germany.
Frederik VossDepartment of Electrophysiology, Heart Center Trier, Krankenhaus der Barmherzigen Brueder, Trier, Germany.
Ingrid KindermannDepartment of Internal Medicine III, Cardiology, Angiology and Intensive Care Medicine, University Hospital, Saarland University, Homburg Saar, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsFear of physical activity (PA) is discussed as a barrier to regular exercise in patients with heart failure (HF), but HF-specific theoretical concepts are lacking. This study examined associations of fear of PA, heart-focused anxiety and trait anxiety with clinical characteristics and self-reported PA in outpatients with chronic HF. It was also investigated whether personality-related coping styles for dealing with health threats impact fear of PA via symptom perception. METHODS AND

resultsThis cross-sectional study enrolled 185 HF outpatients from five hospitals (mean age 62 ± 11 years, mean ejection fraction 36.0 ± 12%, 24% women). Avoidance of PA, sports/exercise participation (yes/no) and the psychological characteristics were assessed by self-reports. Fear of PA was assessed by the Fear of Activity in Situations-Heart Failure (FActS-HF15) questionnaire. In multivariable regression analyses higher NYHA class (b = 0.26, p = 0.036) and a higher number of HF drugs including antidepressants (b = 0.25, p = 0.017) were independently associated with higher fear of PA, but not with heart-focused fear and trait anxiety. Of the three anxiety scores only increased fear of PA was independently associated with more avoidance behavior regarding PA (b = 0.45, SE = 0.06, p < 0.001) and with increased odds of no sports/exercise participation (OR = 1.34, 95% CI 1.03-1.74, p = 0.028). Attention towards cardiac symptoms and symptom distress were positively associated with fear of PA (p < 0.001), which explained higher fear of PA in patients with a vigilant (directing attention towards health threats) coping style (p = 0.004).

conclusionsFear of PA assessed by the FActS-HF15 is a specific type of anxiety in patients with HF. Attention towards and being distressed by HF symptoms appear to play a central role in fear of PA, particularly in vigilant patients who are used to direct their attention towards health threats. These findings provide approaches for tailored interventions to reduce fear of PA and to increase PA in patients with HF.

trial registrationClinicalTrials.gov ID: NCT02898246.

Indexed as

Adaptation, PsychologicalExerciseFearHeart FailureSelf ReportAgedAnxietyChronic DiseaseCross-Sectional StudiesFemaleHumansMaleMiddle AgedSurveys and Questionnaires

Identifiers

PMID39236063
PMCPMC11376548

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.