Positive outcomes occurred in the short-term from interventions using approaches such as  exercise prescriptions , goal setting , feedback and problem-solving .
However , longer-term maintenance of exercise  was less successful .
Physical activity is recommended for people with stable heart failure ( HF ) , because it is known to improve quality of life and health outcomes .
However , adherence to this recommendation has been poor in many studies .
A systematic review was conducted to examine the effectiveness of strategies used to promote exercise adherence in those with HF .
Effects of multidisciplinary Internet-based program on management of heart failure
Objectives : To develop and test the effectiveness of an Internet-based self management program by multidisciplinary health care professionals for patients with heart failure ( HF ) . Methods : The comprehensive educational material for HF was created and posted on a website . A computer with Internet connection and computer training were provided first . A secure and simple web-based recording system of vital signs and health behaviors and a mechanism for feedback regarding each participant ’s record were developed . A r and omized controlled trial with a one-year intervention was conducted using a total of 40 patients who were assessed three times in their homes . An intention-to-treat analysis used multivariate statistics . Results : The treatment group had a high ( 85 % ) adherence to the intervention . Only the treatment group showed a significant improvement in the knowledge level ( p < 0.001 ) , amount of exercise ( p = 0.001 ) , and quality of life ( p = 0.001 ) , and reduction in HF related symptoms ( dyspnea , p = 0.001 ; fatigue , p = 0.003 ; functional emotion , p < 0.001 ) , blood pressure ( systolic , p = 0.002 ; diastolic , p < 0.001 ) , frequency of emergency room visit , and length of hospital stay ( both p = 0.001 ) . Conclusions : An effective program to change one ’s behaviors in managing HF takes a multidisciplinary approach to create and provide feedback regarding a patient ’s daily record , which can be accomplished through Internet use
Positive outcomes occurred in the short-term from interventions using approaches such as  exercise prescriptions , goal setting , feedback and problem-solving .
However , longer-term maintenance of exercise  was less successful .
Physical activity is recommended for people with stable heart failure ( HF ) , because it is known to improve quality of life and health outcomes .
However , adherence to this recommendation has been poor in many studies .
A systematic review was conducted to examine the effectiveness of strategies used to promote exercise adherence in those with HF .