Exercise self-efficacy in older women with diastolic heart failure: results of a walking program and education intervention

J Gerontol Nurs. 2006 Jul;32(7):31-9; quiz 40-1. doi: 10.3928/00989134-20060701-05.


The purpose of this study was to evaluate exercise self-efficacy in older women with stable New York Heart Association Functional Class II and III heart failure who were enrolled in a 12-week, home-based, low- to moderate-intensity combined walking and education program. Findings indicate that participation in a 12-week, home-based walking program improved self-efficacy for exercise adherence and workload physical function. Women in the program also improved in 6-minute walk distance, depressive symptoms, and quality of life at 12 weeks, while control participants had no change on any measures. These results support that an exercise intervention that progresses gradually has potential to improve exercise self-efficacy, physical function, depressive symptoms, and quality of life in women with heart failure compared to education alone.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Activities of Daily Living
  • Aged
  • Aged, 80 and over
  • Attitude to Health
  • Depression / etiology
  • Depression / prevention & control
  • Diastole
  • Exercise / psychology*
  • Exercise Therapy / organization & administration*
  • Female
  • Geriatric Assessment
  • Heart Failure* / prevention & control
  • Heart Failure* / psychology
  • Home Care Services / organization & administration*
  • Humans
  • Middle Aged
  • Nursing Assessment
  • Nursing Evaluation Research
  • Outcome Assessment, Health Care
  • Patient Education as Topic / organization & administration*
  • Program Evaluation
  • Quality of Life / psychology
  • Self Care / methods
  • Self Care / psychology
  • Self Efficacy*
  • Surveys and Questionnaires
  • Walking / psychology