Abstract 4369343: Adults with Arrhythmias and Cardiomyopathy Have Lower WHO-QOL Health Satisfaction and Different Wellness Intervention Preferences

Abstract

Background: People living with chronic heart conditions often experience poor quality of life (QoL) and reduced well-being; however, the intervention preferences to promote well-being among these individuals are not well known. Purpose: The purpose of this study was to describe QoL and preferences for wellbeing interventions in people with chronic heart conditions and to describe differences by heart condition diagnosis. Method: We conducted a cross-sectional study and recruited participants from a national online support group for people with heart conditions from April 29 to June 3, 2025. We measured QoL (WHO-QOL 28-item) and priorities for interventions via an investigator-developed questionnaire. Descriptive and bivariate analyses were conducted by heart condition. Results: In our preliminary findings among 107 participants [mean age=65.7 years (SD=12.5)], female (53%), White (82%), 67% ≥ 2 heart conditions] most reported being diagnosed with arrhythmias (36%), congenital heart disease (35%), and heart failure (34%), and the fewest reported cardiomyopathy (22%). Participants reported their physical health QoL as the lowest (M = 56.8±12.6), followed by psychological health (M = 62.5±13.1), and social relationships (M = 65.7±19.0). Most participants preferred non-pharmacological wellness interventions (79%) over pharmacological (23%). The highest interest in interventions was for nutrition/weight (80%), exercise (78%), relaxation (78%), mind-body (yoga or tai-chi) (72%), and meditation/mindfulness (69%). Most preferred delivery in-person (64%) or self-guided app/Website (60%). WHO-QOL ratings of Very Satisfied/Satisfied for Health Satisfaction were compared by heart condition (with and without) and were lower for two conditions: cardiomyopathy, (35% vs 63% p=0.015) and arrhythmias (44% vs 65%, p = 0.033). Participants with arrhythmias prioritized social support interventions (74% vs 48%, p = 0.010), while those with cardiomyopathy preferred interventions for depression (70% vs 43%, p = 0.025) (Table 1). Conclusion: We found that people were highly interested in behavioral interventions to promote their well-being. However, preferences for wellness interventions differed by diagnosis. Findings can guide interventions tailored based on condition.