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 .
A new model of home-based telemonitored cardiac rehabilitation in patients with heart failure: effectiveness, quality of life, and adherence.
AIMS Despite proven benefits of cardiac rehabilitation ( CR ) , currently proposed CR models are not acceptable for many heart failure ( HF ) patients . The purpose of this study was to evaluate a new model of home-based telemonitored cardiac rehabilitation ( HTCR ) using walking training compared with an outpatient-based st and ard cardiac rehabilitation ( SCR ) using interval training on a cycle ergometer . METHODS AND RESULTS The study included 152 HF patients ( aged 58.1 + or - 10.2 years , NYHA class II and III , ejection fraction < or = 40 % ) who were r and omized to HTCR ( n = 77 ) or SCR ( n = 75 ) . All patients underwent 8 weeks of CR . Both groups were comparable in terms of demographic and clinical characteristics and medical therapy . The effectiveness of  CR  was assessed by changes in NYHA class , peak oxygen consumption , 6-min walking test distance , and SF-36 score . Cardiac rehabilitation result ed in a significant improvement of all parameters in both groups . All patients in the HTCR group completed the 8 weeks of CR , whereas 15 patients in the SCR group ( 20 % ) discontinued CR . CONCLUSION In patients with HF , HTCR is equally as effective as SCR and provides a similar improvement in quality of life . Adherence to CR seems to be better for HTCR . Home-based telemonitored cardiac rehabilitation may be a useful alternative form of CR in patients with HF
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 .