title: Self-concepts of exercise in frail older adults with heart failure: a literature review.
abstract: The co-occurrence of frailty and heart failure (HF) in older adults (65 years or older) can adversely affect the ability to engage in self-care management behaviors, which may alter self-concepts and decrease quality of life. Little is known about how frailty and HF influence older adults' self-concepts or how these self-concepts affect exercise behaviors. Therefore, the aims of this literature review were to identify the self-concepts of older frail adults with HF and to identify how these self-concepts affect their exercise behaviors. Guided by the schema model of self-concept, publications before April 2013 that examined the impact of the self-concepts of older adults with HF and/or frailty on exercise behavior were reviewed. As a result, 6 articles were included. Three of the 6 articles focused on frailty, and 3 of the 6 articles focused on HF. However, no study was found that specifically examined the self-concepts of frail older adults with HF. The self-concepts of older adults with HF and/or frailty are multifaceted and include both cognitive resources (facilitating exercise) and cognitive liabilities (hindering exercise). Studies are needed to determine how the co-occurrence of frailty and HF impact self-concepts and exercise behaviors in older adults.
authors.forename: Boqin
authors.initials: B
authors.lastname: Xie
authors.forename: Cynthia
authors.initials: C
authors.lastname: Arslanian-Engoren
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D015444:Exercise; D016330:Frail Elderly; D006333:Heart Failure / Q000503:physiopathology*; D006801:Humans; D008962:Models, Theoretical; D012649:Self Concept