Evidence map›Paper›PMID 41224317›Full record

ArticleBMJ open2025

What are the exercise barriers, facilitators and preferences of community-dwelling older adults with heart failure with preserved ejection fraction? A qualitative best fit framework analysis.

Faye Forsyth, Peter Hartley, Jonathan Mant, Scott Rowbotham, John Sharpley, Alison Wood, Christi Deaton

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article 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. Article
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

7 authors.

Faye ForsythDepartment of Public Health and Primary Care, University of Cambridge School of Clinical Medicine, Cambridge, UK fc349@cam.ac.uk.ORCID http://orcid.org/0000-0003-2107-3690
Peter HartleyDepartment of Public Health and Primary Care, University of Cambridge School of Clinical Medicine, Cambridge, UK.
Jonathan MantPrimary Care Unit, University of Cambridge, Cambridge, England, UK.ORCID http://orcid.org/0000-0002-9531-0268
Scott RowbothamPhysiotherapy Department, King's Lynn NHS Foundation Trust, King's Lynn, Norfolk, UK.
John SharpleyDepartment of Public Health and Primary Care, University of Cambridge School of Clinical Medicine, Cambridge, UK.
Alison WoodDepartment of Public Health and Primary Care, University of Cambridge School of Clinical Medicine, Cambridge, UK.
Christi DeatonPublic Health and Primary Care, University of Cambridge School of Clinical Medicine, and Cambridge Biomedical Research Centre Cambridge UK, Cambridge, UK.ORCID http://orcid.org/0000-0003-3209-0752

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo establish, through patient and public involvement (PPI) events, the exercise barriers, facilitators and preferences of people with heart failure with preserved ejection fraction (HFpEF).

designQualitative 'best fit' framework analysis was used to analyse field notes and transcripts collected during three patient and public involvement meetings and three workshops. The best fit framework was based on the

results24 people with HFpEF (n=16 female, 66%), 2 spouses and 2 people with chronic conditions participated in the PPI meetings and workshops. Multiple exercise-related capability (negative symptoms, functional ability, resilience and self-efficacy and knowledge and skill); opportunity (appealing components, optimal conditions, adequate support); and motivation factors (well-being, physical gains, goal achievement, sense of enjoyment) were identified as essential to facilitating change in exercise behaviours in people with HFpEF.

conclusionsThis study provides insight into capability, opportunity and motivation conditions that people with HFpEF feel are necessary to enable them to engage in exercise-related behaviour change. This work extends previous post hoc work by moving beyond identification of broad influencers that may enable or impede exercise intervention engagement, to identify intervention conditions necessary to affect change.

Indexed as

ExerciseHeart FailurePatient PreferenceAgedAged, 80 and overFemaleHumansIndependent LivingMaleMotivationQualitative ResearchSelf EfficacyStroke VolumeExerciseHeart failurePatient Satisfaction

Identifiers

PMID41224317
PMCPMC12612770

What Socratic holds

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LicenceCC BY
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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.