Evaluation
depression, anxiety, mindfulness-related behaviors
THORACIC
The pre-intervention assessment took place one week before the beginning of the intervention. It consisted of a face-to-face consultation with the multidisciplinary team of the specialized clinics.At the time of the face-to-face consultation, the patient responded to the following data collection instruments: 1) Mini-mental state examination (Mini-Mental); 2) Perceived stress scale, 14 items (PSS-14); 3) Beck depression inventory, second version (BDI-II); 4) Minnesota living with HF questionnaire (MLHFQ); State-trait anxiety inventory (STAI) – STAI-T (trace) and STAI-E (state); Pittsburgh sleep quality index (PSQI); and the Brazilian version of Freiburg Mindfulness inventory (FMI-Br).The PSS-14 is a self-report scale measuring perceived stress, consisting of 14 items with scores ranging from 0 to 56. Higher scores indicate worse stress levels. The STAI trait or state is also a self-report scale with 20 items, with scores ranging from 20 to 80. High scores on their respective scales mean greater trait or state anxiety. The BDI-II is a self-assessment scale comprising 21 items with scores ranging from 0 to 63. Higher scores indicate more severe depression.The MLHFQ is a 21-item scale with a global score ranging from 0 to 105, with a lower score reflecting better quality of life. The PSQI assesses 7 sleep components with a global score of 0 to 21. Higher scores indicate worse sleep quality. The FMI-Br identifies the frequency with which the person experiences mindfulness-related behaviors. The score ranges from 14 to 56 points. Higher scores indicate the best perception of mindfulness.The 6MWT was also performed on this day by physiotherapy professionals who used the American Thoracic Society guideline, as well as blood collection for the analysis of inflammatory and neurohormonal panels by the INC laboratory.The post-intervention evaluation took place one week after the end of the intervention, including the initial protocols above. The control group received the usual multidisciplinary care of HF clinics. As these are research centers specializing in HF, patients were guaranteed continuity of care.A pilot study was carried out with 3 patients from the CICCV clinic external to the study, before the intervention itself, to evaluate the program’s feasibility and adjust the intervention methodology.