IRCT2012113011616N1 IRCT 2013-01-03 Isfahan University of Medical Sciences Effect of educational exercise intervention on heart failure Surrvey of educational exercise intervention efficiency based on social cognitive theory in patients empowerment diagnosed with heart failure 2012-03-08 anticipated 60 Complete https://irct.ir/trial/11806 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Other. N/A Heart failure. Intervention 1: Control group: Rehabilitation program for 8-week course of exercise (three 60-minute sessions per week). Frequency of steady state training is included 5-10 minutes sessions 3 times per week for more compromised patients; 20–30 minutes sessions 3 times per week for patients with good functionalcapacity. Intensity of training sessionsis included initial phase that it is 40–50% peak VO2, increasing duration from 5–15 minutes and inimprovement phase that it is gradual increase to 60–80% peak VO2, increasing duration to 15–20 minutes (up to 30 minutes as secondary goal). Patient work out in interval training by cycling and treadmill. Patiets exercise in work phase of 30–120 seconds and recovery phase of 60–120 seconds at an intensity of 50% of maximum short term capacity (determined on exercise bike) by cycling. Heart failure patients work out with tredmill in work and recovery phases 60 seconds each. The cardiac rehabilitation is also included combination of nutritional counseling, medication follow-ups, stress management and depression counseling. Intervention 2: Intervention group: the intervention group are attended the weekly social cognitive theory-based educational sessions and face to face intervention during rehabilitation program. Content education covers self-management components, warning sign for heart failure, understanding risk for heart failure, what exercise you can do and how can you get your heart rate. Patient are encouraged to take walking, jogging, biking,calisthenics on nonrehabilitation days, because some patients who develop exhaustion after training may need a day of rest between sessions, these recommendation are offerd by the specialist in sport medicine. The families are educated about their supportive role in patient exercise. Pamphlet, book, CD and other material about heart failure and exercise are provided for patients.