Cited by 240Medication Adherence and ComplianceHeart Failure Treatment and ManagementCardiac Health and Mental Health

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Relationship between psychosocial variables and compliance in patients with heart failure

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Evangelista, Lorraine S., Berg, Jill, Dracup, Kathleen·2001·Heart & Lung

DOI 10.1067/mhl.2001.116011

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Abstract

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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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
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
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 59
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
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 59
“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].”
Background
Sodium 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
“Adherence rates to SRD range from 22% to 55%, and nonadherence is a known antecedent to hospitalization (Evangelista et al., 2001; Michalsen et al.).”
Background
Unraveling 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
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
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
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
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
Heart failure patients with a lower educational level and better cognitive status benefit most from a self-management group programme
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 57
“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…”
Background
The 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
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
“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…”
Method
Demonstration of psychometric soundness of the Dietary Sodium Restriction Questionnaire in patients with heart failure
Bentley, 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
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
Older patients (age 65+) report better quality of life, psychological adjustment, and adherence than younger patients 5 years after heart transplant: A multisite study
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
Executive dysfunction is independently associated with reduced functional independence in heart failure
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
“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).”
Background
The 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
Factors Associated With Patient Delay in Seeking Care After Worsening Symptoms in Heart Failure Patients
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
“6% (20) 54% (182) 40% (135) 29 ± 52 27% (92) 45% (144) <0.”
Self‐efficacy: a useful construct to promote physical activity in people with stable chronic heart failure
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 49
An intervention to promote physical activity and self-management in people with stable chronic heart failure The Home-Heart-Walk study: study protocol for a randomized controlled trial
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
“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].”
Background
Self-reported recall and daily diary-recorded measures of weight monitoring adherence: associations with heart failure-related hospitalization
Jones, 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
“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…”
BackgroundMethod
Impact 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
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 45
“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.”
Result
Adherence Among Telemonitored Patients with Heart Failure to Pharmacological and Nonpharmacological Recommendations
Ramaekers, 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
Adherence to a Low-Sodium Diet in Patients With Heart Failure Is Best When Family Members Also Follow the Diet
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
Self Management, Symptom Monitoring and Associated Factors in People with Heart Failure Living in the Community
Gallagher, R. D. (2010) · European Journal of Cardiovascular Nursing · doi:10.1016/j.ejcnurse.2009.12.006 · Cited by 39
“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].”
Background
Alcohol and Drug Use in European University Health Science Students: Relationship with Self-Care Ability
Colomer-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 45
Utility of the Millon Behavioral Medicine Diagnostic to Predict Medication Adherence in Patients Diagnosed with Heart Failure
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
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
“; and (3) What longterm exercise advice would you give to a newly diagnosed heart failure patient?”
Background
Medication Adherence is a Mediator of the Relationship Between Ethnicity and Event-Free Survival in Patients With Heart Failure
Wu, 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
“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.”
Spiritual Well-Being, Spiritual Practices, and Depressive Symptoms among Elderly Patients Hospitalized with Acute Heart Failure
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
Prevention, screening, assessing and managing of non-adherent behaviour in people with rheumatic and musculoskeletal diseases: systematic reviews informing the 2020 EULAR points to consider
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
“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)
ORCID: Evangelista, Lorraine S.
Berg, Jill
Venue: Heart & Lung
Publisher: Elsevier BV
Published: 2001-07
Volume: 30
Issue: 4
Pages: 294-301
ISSN: 0147-9563 (ISSN-L)
DOI: 10.1067/mhl.2001.116011
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: cc-by
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
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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Relationship between psychosocial variables and compliance in patients with heart failure

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