Relationship between psychosocial variables and compliance in patients with heart failure
Open accessAbstract
Objective The purpose of this study was to describe the socio-demographic, psychosocial, and social support variables that predict compliance to treatment regimens in HF patients.Design and setting Semistructured interviews were conducted on 82 patients at an outpatient heart failure clinic to gather data related to compliance behaviors. Five standardized instruments were used to gather data on patients' psychosocial health status and perceived social support.Results The overall compliance rate was 85.13 (10.01%). Higher levels of compliance (> 90%) were noted for follow-up appointments, medications, smoking, and alcohol cessation. Poor compliance was observed with dietary and exercise recommendations (71% and 53%, respectively). In a multivariate model, higher education, higher mental and physical health status and neuroticism independently contributed to 24% of the variance in overall compliance.Conclusion The study supports that HF patients had poor compliance with dietary and exercise regimens. Since following a dietary and exercise regimen has been demonstrated to reduce morbidity in this population, strategies to increase compliance should be rigorously pursued [corrected].
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Lower levels of pain or good pain control are associated with better medication adherence, improved ability to self-report symptoms and self-care, implying benefits beyond simply improved quality of life.
“Lower levels of pain or good pain control are associated with better medication adherence, improved ability to self‐report symptoms and self‐care implying benefits beyond simply improved QoL. 87 , 88”
From Prioritizing symptom management in the treatment of chronic heart failure (2020) · cites this paper as [88]
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“According to the data published by Ho et al(7) in the PREMIER study, MI patients without higher education were more likely to discontinue their medication, however according to other researchers, this factor was not relevant.(28,29) In our observation, the impact of”
ResultPrioritizing symptom management in the treatment of chronic heart failure
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BackgroundInfluentialIdentification of psychosocial factors of noncompliance in hypertensive patients
Hassan, N. B., Hasanah, C. I., Foong, K., Naing, L., Awang, R., Ismail, S. B., Ishak, A., Yaacob, L. H., Yusoff, H. M., Daud, A., et al. (2005) · Journal of Human Hypertension · doi:10.1038/sj.jhh.1001930 · Cited by 65 · see citing works
Holst, M., Willenheimer, R. B., Mårtensson, J., Lindholm, M., & Strömberg, A. (2006) · European Journal of Cardiovascular Nursing · doi:10.1016/j.ejcnurse.2006.06.006 · Cited by 64 · see citing works
“Self-care behaviour did not change significantly from baseline (31, [23-39]) to 12 month (29 [22,5-37]).”
BackgroundPatient-, Provider-, and System-Level Barriers to Heart Failure Care
McEntee, M. L., Cuomo, L. R., & Himmelfarb, C. D. (2009) · The Journal of Cardiovascular Nursing · doi:10.1097/jcn.0b013e3181a660a0 · Cited by 63 · see citing works
Bossola, M., Pepe, G., & Vulpio, C. (2018) · Journal of Renal Nutrition · doi:10.1053/j.jrn.2018.01.015 · Cited by 63 · see citing works
Self-care practices in women with diastolic heart failure
GARY, R. A. (2006) · Heart & Lung · doi:10.1016/j.hrtlng.2005.04.005 · Cited by 62 · see citing works
Should Torsemide Be the Loop Diuretic of Choice in Systolic Heart failure?
DiNicolantonio, J. J. (2012) · Future Cardiology · doi:10.2217/fca.12.54 · Cited by 62 · see citing works
“6 billion [49].”
Predictors of quality of life in patients with heart failure
Hwang, S., Liao, W., & Huang, T. (2013) · Japan Journal of Nursing Science · doi:10.1111/jjns.12034 · Cited by 61 · see citing works
Heart failure patients' perceptions on nutrition and dietary adherence
Heo, S., Lennie, T. A., Moser, D. K., & Okoli, C. T. C. (2009) · European Journal of Cardiovascular Nursing · doi:10.1016/j.ejcnurse.2009.05.005 · Cited by 61 · see citing works
Testing the psychometric properties of the Medication Adherence Scale in patients with heart failure
Wu, J. R., Chung, M. L., Lennie, T. A., Hall, L. A., & Moser, D. K. (2008) · Heart & Lung · doi:10.1016/j.hrtlng.2007.10.001 · Cited by 60 · see citing works
Patient-Reported Compliance in older age patients with chronic heart failure
Jankowska‐Polańska, B., Świątoniowska-Lonc, N., Sławuta, A., Krówczyńska, D., Dudek, K. D., & Mazur, G. J. (2020) · PLoS ONE · doi:10.1371/journal.pone.0231076 · Cited by 60 · see citing works
Depression in chronic heart failure: novel pathophysiological mechanisms and therapeutic approaches
Parissis, J., Fountoulaki, K., PARASKEVAIDIS, I. A., & Kremastinos, D. T. (2005) · Expert Opinion on Investigational Drugs · doi:10.1517/13543784.14.5.567 · Cited by 58 · see citing works
“Moreover, it seems likely that noncompliance to pharmacological and behavioural recommendations and lower levels of social support can affect outcomes in depressed patients with CHF [21-23].”
BackgroundSodium dietary restriction, knowledge, beliefs, and decision‐making behavior of older females
Sheahan, S. L., & Fields, B. (2008) · Journal of the American Academy of Nurse Practitioners · doi:10.1111/j.1745-7599.2008.00307.x · Cited by 58 · see citing works
“Adherence rates to SRD range from 22% to 55%, and nonadherence is a known antecedent to hospitalization (Evangelista et al., 2001; Michalsen et al.).”
BackgroundUnraveling the mechanisms for heart failure patients’ beliefs about compliance
van der Wal, M. H. L., Jaarsma, T., Moser, D. K., van Gilst, W. H., & van Veldhuisen, D. J. (2007) · Heart & Lung · doi:10.1016/j.hrtlng.2006.10.007 · Cited by 57 · see citing works
Self-care Behaviors in Indigent Patients With Heart Failure
Macabasco‐O’Connell, A., Crawford, M. H., Stotts, N. A., Stewart, A. L., & Froelicher, E. S. (2008) · The Journal of Cardiovascular Nursing · doi:10.1097/01.jcn.0000317427.21716.5f · Cited by 56 · see citing works
Long-Term Compliance With Nonpharmacologic Treatment of Patients With Heart Failure
Nieuwenhuis, M. M. W., Jaarsma, T., van Veldhuisen, D. J., Postmus, D., & van der Wal, M. H. L. (2012) · The American Journal of Cardiology · doi:10.1016/j.amjcard.2012.03.039 · Cited by 55 · see citing works
Heart Failure and Exercise: A Narrative Review of the Role of Self-Efficacy
Ha, F. J., Hare, D. L., Cameron, J. D., & Toukhsati, S. R. (2017) · Heart Lung and Circulation · doi:10.1016/j.hlc.2017.08.012 · Cited by 55 · see citing works
The Lived Experience of Adherence for Patients With Heart Failure
Scotto, C. J. (2005) · Journal of Cardiopulmonary Rehabilitation · doi:10.1097/00008483-200505000-00006 · Cited by 54 · see citing works
Smeulders, E. S. T. F., van Haastregt, J. C. M., Ambergen, T., Stoffers, J., Boyne, J. J., Uszko‐Lencer, N. H. M. K., Gorgels, A. P. M., der Bolt, C. L.-V., van Eijk, J. T. M., & Kempen, G. I. J. M. (2010) · Patient Education and Counseling · doi:10.1016/j.pec.2010.01.003 · Cited by 54 · see citing works
“The finding that lower educated persons benefited more from the programme may be explained by the fact that lower educated persons have less selfmanagement skills than their higher educated counterparts, so for them there may be more to learn with respect to, for example, disease-specific knowledge and healthy lifesty…”
BackgroundThe Pharmacist Role in Predicting and Improving Medication Adherence in Heart Failure Patients
Davis, E. M., Packard, K. A., & Jackevicius, C. A. (2014) · Journal of Managed Care Pharmacy · doi:10.18553/jmcp.2014.20.7.741 · Cited by 54 · see citing works
Type D Personality Predicts Poor Medication Adherence in Patients with Heart Failure in the USA
Wu, J. R., & Moser, D. K. (2013) · International Journal of Behavioral Medicine · doi:10.1007/s12529-013-9366-2 · Cited by 53 · see citing works
“Age [52], gender [52, 53], ethnicity [26, 54], education level [33, 55, 56], left ventricular ejection fraction (a measure of ventricular function) [26, 57], comorbidity [58, 59], and perceived social support [26, 60, 61], which might influence medication adherence, were collected as covariates from the medical record…”
MethodBentley, B., Lennie, T. A., Biddle, M., Chung, M. L., & Moser, D. K. (2008) · Heart & Lung · doi:10.1016/j.hrtlng.2008.05.006 · Cited by 52 · see citing works
Family Partnership Intervention
Clark, P. C., & Dunbar, S. B. (2003) · AACN Clinical Issues Advanced Practice in Acute & Critical Care · doi:10.1097/00044067-200311000-00008 · Cited by 51 · see citing works
Shamaskin‐Garroway, A., Rybarczyk, B. D., Wang, E., White‐Williams, C., McGee, E. C., Cotts, W., & Grady, K. L. (2012) · The Journal of Heart and Lung Transplantation · doi:10.1016/j.healun.2011.11.025 · Cited by 48 · see citing works
Alosco, M. L., Spitznagel, M. B., Raz, N., Cohen, R. A., Sweet, L. H., Colbert, L. H., Josephson, R., van Dulmen, M. H. M., Hughes, J. W., Rosneck, J., et al. (2013) · Journal of Clinical Nursing · doi:10.1111/jocn.12214 · Cited by 47 · see citing works
“Indeed, many IADLs consist of behaviors similar to those required for adherence to important HF treatment recommendations (i.e., dietary restriction, medication management) (Fitzgerald et al. 2011, Evangelista et al. 2001; Ni et al.,1999).”
BackgroundThe symptom of pain with heart failure: a systematic review
Godfrey, C., Harrison, M. B., Medves, J., & Tranmer, J. E. (2006) · Journal of Cardiac Failure · doi:10.1016/j.cardfail.2006.01.006 · Cited by 46 · see citing works
Nieuwenhuis, M. M. W., Jaarsma, T., van Veldhuisen, D. J., & van der Wal, M. H. L. (2011) · Journal of Cardiac Failure · doi:10.1016/j.cardfail.2011.04.004 · Cited by 46 · see citing works
“6% (20) 54% (182) 40% (135) 29 ± 52 27% (92) 45% (144) <0.”
Du, H., Everett, B., Newton, P. J., Salamonson, Y., & Davidson, P. M. (2011) · Journal of Clinical Nursing · doi:10.1111/j.1365-2702.2011.03983.x · Cited by 45 · see citing works
Du, H., Newton, P. J., Zecchin, R. P., Denniss, R., Salamonson, Y., Everett, B., Currow, D. C., Macdonald, P. S., & Davidson, P. M. (2011) · Trials · doi:10.1186/1745-6215-12-63 · Cited by 45 · see citing works
“Although physical activity is important and beneficial in the management of CHF, many individuals consider that adhering to physical activity recommendations is harder compared to implementing strategies related to medications, dietary modifications or fluid restriction [5].”
BackgroundJones, C. D., Holmes, G. M., DeWalt, D. A., Erman, B., Wu, J. R., Cené, C. W., Baker, D. W., Schillinger, D., Ruo, B., Bibbins-Domingo, K. B., et al. (2014) · BMC Cardiovascular Disorders · doi:10.1186/1471-2261-14-12 · Cited by 45 · see citing works
“HF self-care behaviors are frequently assessed through global self-reported measures, including the Self-Care of HF Index (SCHFI), [3] the revised Heart Failure SelfCare Behavioral Scale [15,16], the European HF Self-Care Behavioral Scale (EHFScB Scale), [4] and the Revised HF Compliance scale, [5,17] all of which con…”
BackgroundMethodImpact of Obesity on Quality of Life and Depression in Patients with Heart Failure
Evangelista, L. S., Moser, D. K., Westlake, C. A., Hamilton, M. A., Fonarow, G. C., & Dracup, K. (2006) · European Journal of Heart Failure · doi:10.1016/j.ejheart.2006.02.004 · Cited by 43 · see citing works
Medication and Dietary Compliance Beliefs in Heart Failure
Bennett, S. J., Lane, K. A., Welch, J. L., Perkins, S. M., Brater, D. C., & Murray, M. D. (2005) · Western Journal of Nursing Research · doi:10.1177/0193945905280253 · Cited by 43 · see citing works
“Poor compliance with dietary sodium restrictions is common (Bennett, Cordes, et al., 2000; Evangelista, Dracup, & Doering, 2000; Evangelista et al., 2001), and the results of the current study provide additional knowledge about the difficulties in following these restrictions.”
ResultRamaekers, B. L. T., Janssen-Boyne, J. J., Gorgels, A. P. M., & Vrijhoef, H. J. (2009) · Telemedicine Journal and e-Health · doi:10.1089/tmj.2009.0160 · Cited by 42 · see citing works
Chung, M. L., Lennie, T. A., Mudd‐Martin, G., & Moser, D. K. (2013) · The Journal of Cardiovascular Nursing · doi:10.1097/jcn.0000000000000089 · Cited by 42 · see citing works
Gallagher, R. D. (2010) · European Journal of Cardiovascular Nursing · doi:10.1016/j.ejcnurse.2009.12.006 · Cited by 39 · see citing works
“For instance, adherence to medication regimens and medical appointments is closest to optimal [18], ranging from 34% to 98% for medications [19–24], and from 80% to 98% for appointments [22,23].”
BackgroundColomer-Pérez, N., Chover‐Sierra, E., Navarro-Martínez, R., Andriusevičienė, V., Vlachou, E. D., & Cauli, O. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16245042 · Cited by 42 · see citing works
Farrell, K. A., Shen, B., Mallon, S. M., Penedo, F. J., & Antoni, M. H. (2011) · Journal of Clinical Psychology in Medical Settings · doi:10.1007/s10880-010-9217-0 · Cited by 41 · see citing works
Long-term exercise adherence in patients with heart failure: A qualitative study
Warehime, S., Dinkel, D. M., Alonso, W., & Pozehl, B. (2020) · Heart & Lung · doi:10.1016/j.hrtlng.2020.08.016 · Cited by 42 · see citing works
“; and (3) What longterm exercise advice would you give to a newly diagnosed heart failure patient?”
BackgroundWu, J. R., Lennie, T. A., Jong, M. J. D., Frazier, S. K., Heo, S., Chung, M. L., & Moser, D. K. (2009) · Journal of Cardiac Failure · doi:10.1016/j.cardfail.2009.10.017 · Cited by 40 · see citing works
“A number of investigators reported no differences in medication adherence based on race/ethnicity.(32,64,67,68) However, in 3 studies,(27,65,66) African-American participants were less adherent than Caucasian participants.”
Whelan-Gales, M. A., Griffin, M. T. Q., Maloni, J. A., & Fitzpatrick, J. J. (2009) · Geriatric Nursing · doi:10.1016/j.gerinurse.2009.04.001 · Cited by 39 · see citing works
Ritschl, V., Stamm, T., Aletaha, D., Bijlsma, J. W. J., Böhm, P., Dragoi, R. G., Dures, E. K., Estévez‐López, F., Gossec, L., Iagnocco, A., et al. (2020) · RMD Open · doi:10.1136/rmdopen-2020-001432 · Cited by 39 · see citing works
“115 The majority of tools do not have a proper description or testing of their metric properties available, except for the Heart Failure Compliance Questionnaire, 119 the Adherence to Exercise Scale for Older Patients (AESOP) 120 and The Proble-matic Experiences of Therapy Scale 121 ; however, none of these scales are…”
Method
- Authors
- Evangelista, L. S., Berg, J., & Dracup, K.
- Affiliations
- California State University Los Angeles (US)
- University of California, Los Angeles (US)
- University of California, San Francisco (US)
- Venue
- Heart & Lung
- Publisher
- Elsevier BV
- Published
- 2001-07
- Volume
- 30
- Issue
- 4
- Pages
- 294-301
- ISSN
- 0147-9563 (ISSN-L)
- OpenAlex
- W2171011852
- Cited by
- 240
- References
- 29
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 4 · 2023: 5 · 2022: 7 · 2021: 2 · 2020: 13 · 2019: 10 · 2018: 5 · 2017: 14 · 2016: 7 · 2015: 9 · 2014: 13 · 2013: 14 · 2012: 19
- FWCI
- 5.36
- Type
- journal article
- Language
- en
- Open access
- green
- escholarship.org
- Licence
- Locations
- Heart & Lung (publishedVersion)
- PubMed (publishedVersion)
- eScholarship (California Digital Library) (submittedVersion, cc-by)
- Topics
- Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Failure Treatment and Management
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Keywords
- heart failure, medication adherence, psychosocial factors, social support, perceived social support, neuroticism, health status, educational attainment, dietary adherence, exercise adherence, smoking cessation, alcohol cessation, follow-up visits
- MeSH terms
- Adult, Aged, Aged, 80 and over, Diet Therapy, Educational Status, Exercise Therapy, Female, Health Status, Heart Failure, Humans, Male, Mental Health, Middle Aged, Patient Compliance, Population Surveillance, Social Support, Socioeconomic Factors, Los Angeles, Reproducibility of Results, Multivariate Analysis, Patient Satisfaction
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