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 .
Motivational interviewing to change quality of life for people with chronic heart failure: a randomised controlled trial.
BACKGROUND Patients with chronic heart failure have a reduced quality of life due in part to their limited range of physical activity and independence . OBJECTIVES The paper examines whether a physical activity ' lifestyle ' intervention , based on motivational interviewing , will improve quality of life at five months from baseline , compared with conventional treatment . METHODS Sixty older patients with chronic heart failure were r and omly assigned to either a ' st and ard care ' , ' motivational interviewing ' or ' both ' treatment groups for five months in 2002 . The primary outcome measures were the Medical Outcomes Short Form-36 Health Survey , the disease-specific Minnesota Living with Heart Failure question naire and the Motivation Readiness for Physical Activity scale . RESULTS There were non-significant differences between the groups at baseline for age , coronary risk factors , severity of chronic heart failure , ejection fraction , specific laboratory tests , length of hospitalisation , medication and social support . Following treatment there was a significant increase ( p<0.05 ) for three of the dimensions of the health survey in the ' motivational interviewing ' group . All groups improved their scores ( p<0.05 ) on the heart failure question naire . Over the five month period there was a general trend towards improvements in self-efficacy and motivation scores . CONCLUSIONS This study has demonstrated that a ' motivational interviewing ' intervention , incorporating behaviour change principles to promote physical activity , is effective in increasing selected aspects of a general quality of life question naire and a disease-specific quality of life question naire . Thus a ' motivational interviewing ' approach is a viable option compared with traditional exercise programming . It is important to test these motivational interviewing interventions more widely , especially to match individuals to treatments
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 .