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COMPAR-EU RCTs Web

Effects of exercise training on depressive symptoms in patients with chronic heart failure: the HF-ACTION randomized trial

Author: Blumenthal, J. A. Country/countries: Canada, France, United States Number of patients participating in the study: 2331 This study was focused on patients living with Heart Failure
Intervention analysed in the study: Usual Care Plus Intervention components: UCP
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Setting of implementation: Home-care, Outpatient care (hospital) Professionals delivering the intervention: Nurses, Physicians Targeted self-management behaviours: Condition-specific behaviours, Eating behaviours, Physical activity /exercise, Self-monitoring
Intervention analysed in the study: Monitoring and action-based behavioural techniques delivered in groups Intervention components: E+MT+AB+G
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Setting of implementation: Home-care, Outpatient care (hospital) Professionals delivering the intervention: Nurses, Physicians, Physiotherapists Targeted self-management behaviours: Condition-specific behaviours, Device management, Eating behaviours, Medication use and adherence, Physical activity /exercise, Self-monitoring

Outcomes measured in the study

Outcome Measure Tool
Exercise capacity (including effort test) Exercise capacity 6-min walking test (6MWT)
Exercise capacity (including effort test) Peak Oxygen Uptake N/A
Exercise capacity (including effort test) Exercise capacity Accelerometer
Hospital admissions All-cause hospital admissions N/A
Hospital admissions Cardiovascular-related hospital admissions N/A
Mortality All causes of mortality N/A
Mortality Cardiovascular-related mortality N/A

Patient characteristics

Age: 59.25 years (+/- a standard deviation of 8.1) Gender: 661 females Time since diagnosis of Heart Failure: N/A Severity of the disease: N/A Multi-morbidity: N/A
  • Number of co-morbidities: N/A

Level of health literacy: N/A
  • Tool: N/A

Socio-economic characteristics: N/A

Risk of Bias of this study

Outcome Random sequence generation Allocation concealment Blinding performance Blinding detection objective outcomes assessment Attrition incomplete outcome Incorrect statistical methods Recruitment bias Selective outcome reporting
Exercise capacity (including effort test) - Exercise capacity
Exercise capacity (including effort test) - Peak Oxygen Uptake
Exercise capacity (including effort test) - Exercise capacity
Hospital admissions - All-cause hospital admissions
Hospital admissions - Cardiovascular-related hospital admissions
Mortality - All causes of mortality
Mortality - Cardiovascular-related mortality

Other publications associated with this study

Clinical Characteristics, Response to Exercise Training and Outcomes in Heart Failure Patients with Chronic Obstructive Pulmonary Disease: Findings from HF-ACTION Link: 10.1016/j.ahj.2012.10.029. Heart failure and a controlled trial investigating outcomes of exercise training (HF-ACTION): design and rationale Link: 10.1016/j.ahj.2006.11.007. Economic evaluation of the HF-ACTION (Heart Failure: A Controlled Trial Investigating Outcomes of Exercise Training) randomized controlled trial: an exercise training study of patients with chronic heart failure Link: 10.1161/CIRCOUTCOMES.109.907287.  Effects of exercise training on outcomes in women with heart failure: analysis of HF-ACTION (Heart Failure-A Controlled Trial Investigating Outcomes of Exercise TraiNing) by sex Link: 10.1016/j.jchf.2013.10.007.  Efficacy and safety of exercise training in patients with chronic heart failure: HFACTION randomized controlled trial. Link: 10.1001/jama.2009.454. Psychosocial Factors, Exercise Adherence, and Outcomes in Heart Failure Patients: Insights From Heart Failure: A Controlled Trial Investigating Outcomes of Exercise Training (HF-ACTION) Link: 10.1161/CIRCHEARTFAILURE.115.002327. Aerobic exercise training and general health status in ambulatory heart failure patients with a reduced ejection fraction—Findings from the Heart Failure and A Controlled Trial Investigating Outcomes of Exercise Training (HF-ACTION)trial Link: 10.1016/j.ahj.2016.12.017. Renal Function and Exercise Training in AmbulatoryHeart Failure Patients With a Reduced Ejection Fraction Link: 10.1016/j.amjcard.2018.06.011.  Effects of Exercise Training on Health Status in Patients With Chronic Heart Failure. HF-ACTION randomized controlled trial. Link: 10.1001/jama.2009.457. Safety and efficacy of aerobic training in patients with cancer who have heart failure: an analysis of the HF-ACTION randomized trial Link: 10.1200/JCO.2013.53.5724.  Race, exercise training, and outcomes in chronic heart failure: Findings from Heart Failure - A Controlled Trial Investigating Outcomes in Exercise TraiNing (HF-ACTION) Link: 10.1016/j.ahj.2013.06.002.