Dola Pathak

Michigan State University

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Pallav Deka

Michigan State University

Leonie Klompstra

Linköping University

Elena Marqués‐Sulé

Universitat de València

Raquel López‐Vilella

Hospital Universitari i Politècnic La Fe

Elena Muñoz‐Gómez

Universitat de València

Luis Almenar‐Bonet

Hospital Universitari i Politècnic La Fe

Núria Sempere‐Rubio

Universitat de València

Mats Westas

Linköping University

Tiny Jaarsma

Linköping University

Ann Annis

AcademyHealth

Cooperative Institutions

Michigan State University

Universitat de València

Linköping University

University of New Mexico

Hospital Universitari i Politècnic La Fe

Instituto de Investigación Sanitaria La Fe

RELX Group (United States)

University of New Mexico Hospital

Linköping University Hospital

ORCID

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Clinical outcomes vary between the Shuttle Walk Test and Stress Test in patients with coronary artery disease

American Heart Journal Plus Cardiology Research and Practice (2021)

Pallav Deka Dola Pathak Vicente Miró Milind Karve Raquel López‐Vilella

The purpose of this study was to determine if the Incremental Shuttle Walk Test (ISWT) can elicit similar patient responses as a treadmill stress test in patients with coronary artery disease (CAD).

Treadmill

Stress test

Stress testing (software)

Bruce protocol

10.1016/j.ahjo.2021.100064

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Changes in self-care maintenance during quarantine in patients with heart failure

European Heart Journal (2022)

Leonie Klompstra Luis Almenar‐Bonet Pallav Deka Elena Muñoz‐Gómez Raquel López‐Vilella

Abstract Background Patients with heart failure (HF) experience challenges in self-care that contribute to poor quality of life and high health care utilization. The COVID-19 pandemic required HF patients, especially living in countries with strict lockdowns and quarantines, to change their lifestyle including health promoting behaviors. Purpose To assess changes in self-care maintenance in patients with HF changed during quarantine compared to before quarantine. We hypothesized that the self-care maintenance behavior physical activity was most effected during quarantine. Method This is a cross-sectional survey study. From the medical chart, patients' disease severity (NYHA-class), ejection fraction and comorbidities were collected. Self-care maintenance was assessed using subscale Self-Care of Heart Failure Index 6.2. The total score ranges from 0–100, where 70 or higher is seen as having good self-care maintenance. With all the questions in the self-care maintenance scale a question was added: Did this change due to the COVID-19 pandemic? Patients could answer yes or no. When patients answered yes, they were asked the elaborate. Patients self-reported physical activity, before and during the pandemic, using the International Physical Activity Questionnaire (short form). Descriptive analyses were used for self-care maintenance, content analysis was applied for the qualitative data. Paired sample t-test were performed to assess the change in the total physical activity. Results In total, 120 patients with HF were included in this study (mean age was 79±13, 39% female, 78% NYHA-class I/II). Patients had a mean self-care maintenance of 32 (±6). No participant had good self-care maintenance (score of 70 or higher). Patients were non-adherent to regular physical activity (77%, n=92), keeping weight down (74%, n=89) and weighing themselves (66%, n=79) during quarantine (Figure). Behaviors which changed the most included keeping medical appointments (81%) and regular exercise (82%). Significantly higher levels of physically active was noticed before quarantine (776 Mets-minutes) compared to during quarantine (106 Mets-minutes) (p<0.01). The change in self-care maintenance was explained by change in motivation and self-confidence. Because of the pandemic and the quarantine, patients reported not being able to rely on health care and their usual social support system. Patients tried to create new habits when trying to maintain their self-care. Conclusion Patients with HF reported experiencing low self-care maintenance during quarantine due to not being able to go to medical appointments and decrease in physical activity. Public health policies during crisis events such as a pandemic should strive to provide support in coping with these changes and offer alternative ways of maintaining their self-care maintenance, especially with physical activity. Funding Acknowledgement Type of funding sources: None.

Pandemic

10.1093/eurheartj/ehac544.2760

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Fatigue, shortness of breath and well-being in patients with heart failure: A daily trend analysis over 12 weeks

European Journal of Cardiovascular Nursing (2023)

Pallav Deka Dola Pathak Martje H.L. van der Wal Anna Strömberg Tiny Jaarsma

Abstract Funding Acknowledgements Type of funding sources: Public grant(s) – National budget only. Main funding source(s): This work is supported by the Swedish National Science Council (2020-01109); The Swedish Heart and Lung Foundation (20200190); the Kamprad Foundation (20210074) and the Research Council in South East Sweden (FORSS-940933) Introduction Patients with heart failure (HF) experience symptoms of fatigue and shortness of breath (SoB) that may worsen over time and negatively impacts their well-being. Repeated admissions are partly related to delays in responding to HF symptoms. Purpose This study aimed to investigate the trend of fatigue, SoB and well-being over 12 weeks in patients with HF. Methods Diary data were collected as part of the HF-Wii study. From the 605 patients included in this study, 234 patients completed a 12-week diary. Patients rated their fatigue and SoB daily on a Likert scale (0 = no symptom, 10 = worst possible symptom). Patients also rated their daily well-being with the Cartrils Ladder of Life with 0 representing the worst possible life and 10 for the best possible life. The weekly differences in symptoms and well-being were assessed over 12 weeks. Also, the overall correlation over 12 weeks between symptoms and well-being was calculated. Results In total, 234 patients with HF were included in this analysis, mean age: 68±11 years, 31% female, 11% NYHA-class I, 65% NYHA-class II and 24% NYHA-class III. Over 12 weeks, patients had mild symptom experience. The minimum and maximum mean SoB score was 3.3(±2.1) and 3.8 (±2.5). The minimum mean fatigue score was 3.4 (±2.1) and the maximum was 3.9 (±2.4). The mean well-being minimum score was 5.8(±.9) and the maximum was 6.8 (±1.8). The trend analysis showed that when patients experience more symptom burden over time, this negatively impacted their well-being (Figure 1). A significant negative overall correlation between fatigue and well-being (r = -0.43) and between shortness of breath and well-being (r = -0.42) was noted. Conclusions Symptom experience has a significant influence on patient-reported daily well-being in patients with HF. Close monitoring of symptoms to improve well-being in this population is essential.

10.1093/eurjcn/zvad064.145

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Inadequate recording in perioperative transoesophageal views highlights the need for a standard approach in documentation of the views: a newly proposed format

Journal of Cardiothoracic and Vascular Anesthesia (2015)

Syed Altaf Bukhari Helmi Ben Saad Kiran Batool Dola Pathak Akbar Vohra

10.1053/j.jvca.2015.05.264

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Perspectives of Rural High School Students Involved in a Multi-Component, After-School Physical Activity Intervention

The Journal of School Nursing (2024)

Karla Palmer Lorraine B. Robbins Patricia West Jiying Ling Tsui‐Sui Annie Kao

After-school physical activity interventions can assist high school students in meeting physical activity recommendations; however, little is known about what kinds of programs work best for students in rural settings. The purpose of this qualitative study was to explore rural high school students' perceptions of a multi-component, after-school physical activity intervention. Interviews were conducted with 10 students who had participated in a physical activity intervention. Thematic analysis was conducted on the interviews. Participants indicated that the intervention provided a supportive and motivating environment through the use of innovative technology and peer relatedness/involvement. Although barriers such as time constraints often prevented them from achieving their weekly goals, students expressed overall satisfaction with the intervention and a heightened self-motivation for physical activity. The qualitative approach provides a greater understanding of the perspectives of rural adolescents participating in a physical activity intervention. Findings can be useful to school nurses and inform the development of future physical activity interventions.

Component (thermodynamics)

10.1177/10598405241271257

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Acceptability of a Portable Exercise Bike in Older Adults With Cardiovascular Diseases

Western Journal of Nursing Research (2024)

Pallav Deka Emma C. Schlegel Dola Pathak Milind Karve Darby Pickford

Ways to help older adults overcome barriers to performing regular exercise is a challenge to nurses.

Sitting

Foot (prosody)

Aerobic Exercise

10.1177/01939459241274869

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Physical Activity Readiness in Patients with Heart Failure

International Journal of Environmental Research and Public Health (2022)

Elena Marqués‐Sulé Pallav Deka Luis Almenar‐Bonet Dola Pathak Raquel López‐Vilella

The aim of this study was to explore the readiness for physical activity (PA) and its related factors in patients with heart failure. This cross-sectional study included 163 patients with heart failure (mean age 66 ± 16, 50% female). The ability to safely engage in PA was assessed with the PA Readiness Questionnaire (PAR-Q). Psychological readiness was measured using two questionnaires, namely: Exercise Self-efficacy Scale and the Motivation for PA and Exercise/Working Out. A multivariate analysis of covariance was conducted to test the effect of background variables on readiness for PA. 64% (n = 105) of patients reported not being able to safely engage in PA, 80% (n = 129) reported low self-efficacy, and 45% (n = 74) were extrinsically motivated indicating external factors drove their motivation. Factors that positively influenced the PA readiness included lower age (p < 0.01), being male (p < 0.01), being married (p < 0.01), having higher education (p < 0.01), being in NYHA-class I compared with II (p < 0.01), less time since diagnosis (p < 0.01), lower BMI (p = 0.02), and not suffering from COPD (p = 0.02). Prior to recommending exercise, assessment of safety to engage in PA along with self-efficacy and motivation in patients with heart failure is essential.

10.3390/ijerph192316332

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Physical Activity Behaviors of Female Adolescents in Saudi Arabia

Nursing Research (2024)

Muna Ali Alali Lorraine B. Robbins Tsui‐Sui Annie Kao Jiying Ling Dola Pathak

Background Saudi Arabia has one of the highest childhood obesity rates worldwide. The primary factor associated with the high prevalence of obesity among adolescents is a lack of physical activity (PA). Compared to male adolescents, very few Saudi female adolescents meet the World Health Organization recommendation of achieving 60 minutes of moderate-to-vigorous PA per day, putting them at a higher risk of overweight and obesity. Objective This cross-sectional study aimed to examine the relationship between the theory of planned behavior and psychosocial factors, including attitude toward PA, subjective norms, perceived behavioral control (PBC), PA intention, and self-reported PA among Saudi female adolescents. Methods A convenience sample of 329 Saudi female adolescents was recruited from all-female public intermediate and high schools in the Eastern Region of Saudi Arabia. Data were collected using online self-administered questionnaires. The theoretical model was examined using structural equation modeling. Results The findings revealed a higher prevalence of overweight compared to obesity among participants. About half the participants were from families with a medium monthly income. The mean PA score indicated a low level of PA. The model demonstrated significant explanatory power for both PA intention and PA behavior, respectively. The strongest predictor of adolescents' intention was attitude, followed by PBC. Moreover, the female adolescents' attitudes and PBC had significant indirect effects on self-reported PA through intention, whereas intention had a direct effect on PA. The model did not support a direct or indirect relationship between subjective norms and PA. Discussion The findings provide essential support for targeting attitude and perceived behavior control of female adolescents in order to enhance their PA intention. This theoretical understanding can help design effective theory-based interventions that promote PA among Saudi female adolescents.

Cross-sectional study

10.1097/nnr.0000000000000763

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Interests and preferences towards technology-based cardiac rehabilitation in men and women with coronary artery disease

European Journal of Cardiovascular Nursing (2022)

Elena Muñoz‐Gómez L Orihuela Pallav Deka Leonie Klompstra Dola Pathak

Abstract Funding Acknowledgements Type of funding sources: None. Introduction Several studies have demonstrated the effectiveness of telemedicine programmes in patients with coronary artery disease (CAD). However, the development of these programmes is driven from a technical point of view and does not usually take into account the needs and expectations of patients. Thus, we found a need to study the interests and preferences towards technology-based cardiac rehabilitation (CR) in patients with CAD. Purpose The aim of this study was to compare the interests and preferences towards technology-based CR in men and women with CAD. Method A cross-sectional study was conducted. A total of 70 subjects with CAD (84.28% male) were included. Participants' interests and preferences were measured using the Technology Usage Questionnaire, which includes items on digital health and technology usage. Results On the one hand, men showed a greater interest in receiving CR counselling via mobile phone (p=0.022), would sign up for a free technology-based CR programme (p=0.034) and would like to receive less than 1-2 messages a week (p=0.010). On the other hand, women showed greater interest in receiving information about the different components included in the CR programme (receiving healthy meal/recipe ideas (p=0.002), reminders to take medication (p=0.039) and showed greater interest in meeting other people with heart disease (p=0.034). No differences were found by gender in type of communication that participants would like to receive through their mobile phone (p=0.154) or through the Internet (p=0.648), interest in receiving treatment through the Internet (p=0.454), interest in receiving an exercise-based CR program using virtual reality (p=0.810), nor usefulness of a virtual CR session (p=0.801). Conclusions In subjects with CAD, gender appears to be a determinant of interest. Men showed a greater interest in receiving CR counselling via mobile phone, would sign up for a technology-based CR programme and would like to receive fewer notifications. Women were more interested in receiving information about different components of the CR programme.

Mobile phone

10.1093/eurjcn/zvac060.047

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Racial differences in perception of ward atmosphere

American Journal of Psychiatry (1981)

Joseph A. Flaherty J Naidu Rebecca Lawton Dola Pathak

The authors administered the Moos Ward Atmosphere Scale (WAS) to 17 black inpatients and 17 white inpatients at a VA hospital. Scores on 5 of the 10 subscales reflected significant differences on the basis of race. From these results, the authors assume that black patients and white patients perceive the same ward environment differently. They briefly discuss the treatment implications of such perceptual differences.

White (mutation)

10.1176/ajp.138.6.815

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Citations (8)