Evidence mapPaperPMID 40187783Full record

SynthesisBMJ open2025

What are the experiences of people with heart failure regarding participation in physical activity? A systematic review, meta-aggregation and development of a logic model.

Lorna Duncan, Rosie Essery, Shoba Dawson, Yasmin Ismail, Justine Baird, Karen Butcher, Emily Whight, Rachel Johnson, Alyson L Huntley

Abstract readSystematic Review
In one paragraph

Synthesis in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Lorna DuncanCentre for Academic Primary Care, Population Health Sciences, University of Bristol, Bristol, UK.
Rosie EsseryUniversity of Southampton, Southampton, UK.
Shoba DawsonCentre for Academic Primary Care, Population Health Sciences, University of Bristol, Bristol, UK.ORCID http://orcid.org/0000-0002-6700-6445
Yasmin IsmailUniversity Hospitals NHS Trust, Bristol, UK.
Justine BairdSirona Care, Bristol, UK.
Karen ButcherNorth Bristol Trust, Westbury on Trym, UK.
Emily WhightSirona Care, Bristol, UK.
Rachel JohnsonCentre for Academic Primary Care, Population Health Sciences, University of Bristol, Bristol, UK.ORCID http://orcid.org/0000-0003-0266-3433
Alyson L HuntleyCentre for Academic Primary Care, Population Health Sciences, University of Bristol, Bristol, UK alyson.huntley@bristol.ac.uk.ORCID http://orcid.org/0000-0001-9409-7891

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo (1) synthesise the experiences of people with heart failure and those who care for them concerning participation in physical activity (2) develop a logic model for a future intervention which will support people with heart failure to feel confident and safe in being physically active.

designA systematic review and meta-aggregation using Joanna Briggs Institute (JBI) methodology. DATA SOURCES: MEDLINE, Emcare and PsycINFO databases were searched through until June 2024 inclusively. ELIGIBILITY CRITERIA: Studies with a qualitative design, including qualitative components of mixed-methods studies, which describe experiences of participation in physical activity by adults with chronic heart failure. DATA EXTRACTION AND SYNTHESIS: Two independent reviewers used standardised methods to search and screen studies. Data extraction included the PROGRESS-Plus items. The JBI checklist for qualitative studies was applied. Meta-aggregation guided by JBI methods was used to synthesise the data. This evidence, along with input from a patient and public involvement group, healthcare professionals and charity organisations, was used to develop a logic model.

resultsWe included 28 papers (25 studies) comprising 14 qualitative studies and 11 mixed-method studies describing the perspectives of 483 people with heart failure, 64 carers and 12 healthcare professionals.The meta-aggregation produced seven synthesised findings describing the impact of physical symptoms, emotional factors, extrinsic factors, access to knowledge, self-motivation and peer/professional motivation and the positive impact of physical activity. The PROGRESS-PLUS tool identified significant inclusivity issues within the studies. The meta-aggregation with relevant contributor input informed behavioural determinants and potential intervention components of a logic model.

conclusionsThis study identifies behavioural determinants that underlie the actions of people with heart failure in their relationship with physical activity and potential intervention components for a novel intervention design to support this population. There is a lack of studies exploring health professionals' and carers' perspectives on this topic. PROSPERO REGISTRATION NUMBER: CRD42022342883.

Indexed as

ExerciseHeart FailureHumansQualitative ResearchExerciseHealth EquityHeart failureSystematic Review

Identifiers

PMID40187783
PMCPMC11973767

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.