Evidence map›Paper›PMID 41184767›Full record

ArticleBMC public health2025

A qualitative exploration of the factors influencing physical activity engagement among Black individuals with heart failure in South Florida.

Tamira B Prince, Kathryn E Roach, Neva J Kirk-Sanchez, Meryl I Cohen, Lawrence P Cahalin, Sannisha K Dale

Abstract read
In one paragraph

Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

6 authors.

Tamira B PrinceDepartment of Physical Therapy, Miller School of Medicine, University of Miami, 5915 Ponce de Leon Boulevard, 5th Floor, Coral Gables, FL, 33146, USA. t.bartholomew@miami.edu.ORCID http://orcid.org/0000-0003-1728-3580
Kathryn E RoachDepartment of Physical Therapy, Miller School of Medicine, University of Miami, 5915 Ponce de Leon Boulevard, 5th Floor, Coral Gables, FL, 33146, USA.ORCID http://orcid.org/0000-0001-7943-0529
Neva J Kirk-SanchezDepartment of Physical Therapy, Miller School of Medicine, University of Miami, 5915 Ponce de Leon Boulevard, 5th Floor, Coral Gables, FL, 33146, USA.ORCID http://orcid.org/0000-0002-3996-7505
Meryl I CohenDepartment of Physical Therapy, Miller School of Medicine, University of Miami, 5915 Ponce de Leon Boulevard, 5th Floor, Coral Gables, FL, 33146, USA.ORCID http://orcid.org/0000-0001-6690-1141
Lawrence P CahalinDepartment of Physical Therapy, Miller School of Medicine, University of Miami, 5915 Ponce de Leon Boulevard, 5th Floor, Coral Gables, FL, 33146, USA.ORCID http://orcid.org/0000-0001-8447-1026
Sannisha K DaleDepartment of Psychology, University of Miami, Coral Gables, FL, USA.ORCID http://orcid.org/0000-0002-9516-239X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBlack people in the United States have the highest rates of heart failure, and the worst outcomes of any racial/ethnic group which has been linked to both sociostructural (e.g. racism, poverty, food deserts) and behavioral factors. Physical activity is vital in managing heart failure, yet little is known about the perceptions of the Black community with heart failure. The purpose of this study was to understand and interpret physical activity engagement and the factors that may influence it in Black individuals with heart failure.

methodsThis study used a thematic analysis approach. One-on-one semi-structured interviews of eight Black individuals with heart failure addressed physical activity habits, health beliefs, health literacy, medical mistrust, depression, self-efficacy, health disparities, social support, barriers and facilitators. Line-by-line coding was conducted, and themes were developed.

resultsThe four key themes identified were 1. I don't understand what heart failure is; 2. I was told that physical activity would not hurt; 3. I struggled when treated by providers from different cultures; 4. Having heart failure means I don't have long to live. All eight participants acknowledged that physical activity was important but reported being underactive. Most could not describe what heart failure was and thus could not explain the importance of physical activity in managing heart failure. Physical activity instruction was not emphasized by healthcare providers, which likely contributed to an undervaluation of physical activity and to underactivity. Cultural differences between patients and clinicians had potential to result in non-adherence to recommendations.

conclusionsHealthcare providers should strive for adequate patient literacy about heart failure, and educate on the importance of physical activity, ensuring the appropriate level of instruction is provided so that Black individuals with heart failure are informed to best address their health.

Indexed as

Black or African AmericanExerciseHeart FailureAdultAgedFemaleFloridaHealth Knowledge, Attitudes, PracticeHealth LiteracyHumansInterviews as TopicMaleMiddle AgedQualitative ResearchSelf EfficacySocial SupportBarriersBlack individualsHealth beliefsHeart failurePhysical activity

Identifiers

PMID41184767
PMCPMC12581547

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Registered trials

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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.