Motivators and barriers for participation in aquatic and land-based exercise training programs for people with stable heart failure: A mixed methods approach

Background Aquatic exercise training may be suitable for people with stable heart failure (HF) to engage in physical activity. Objectives Acceptability, experiences and preferences regarding aquatic and traditional land-based exercise training, were explored in people with HF. Methods As part of a comparative intervention study, participants completed a questionnaire assessing acceptability, benefits and challenges of aquatic compared to land-based programs. Semi-structured interviews explored participant experiences in greater depth. Results Forty-eight participants, (mean age 70 + /- 11 years), completed the questionnaire and 14 participated in semi structured interviews. Aquatic exercise was regarded as acceptable and beneficial. Motivators were similar for both programs and included: a skilled and compassionate workforce, tailored care, perceived health benefit, sense of safety and an inclusive and enjoyable environment. Few barriers were identified for either program. Conclusions Aquatic and land-based exercise training are equally acceptable for people with stable HF and motivators are similar for both programs.