The DOI matches its Crossref record; 28 of the 29 references it cites were found in a registry or an index.
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 QoL. 87 , 88”
From Prioritizing symptom management in the treatment of chronic heart failure (2020) · cites this paper as [88]
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“lower rate of medication adherence, a key aspect of self-management.(10) The symptom of pain in the HF population would therefore engender further decompensation and would clearly be detrimental.”
BackgroundThirst Trajectory and Factors Associated With Persistent Thirst in Patients With Heart Failure
Waldréus, N., van der Wal, M. H. L., Hahn, R. G., van Veldhuisen, D. J., & Jaarsma, T. (2014) · Journal of Cardiac Failure · doi:10.1016/j.cardfail.2014.06.352 · Cited by 36
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MethodMedication Adherence and Heart Failure
Riles, E. M., Jain, A. V., & Fendrick, A. M. (2014) · Current Cardiology Reports · doi:10.1007/s11886-013-0458-z · Cited by 35
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Factors affecting adherence to rehabilitation in Iranian stroke patients: A qualitative study
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“Previous research has found that psychosocial health and physical health are related.(19,20) Moore et al(21) found that some cardiac patients rationalized that fitting exercise into their life was too difficult due to physical problems, being too busy, or inclement weather.”
BackgroundMing, L. C., Hassali, M. A., Shafie, A. A., Awaisu, A., Hadi, M. A., & Al-Haddad, M. (2011) · Journal of Public Health · doi:10.1007/s10389-011-0415-5 · Cited by 32
“The frequency of these adverse effects is quite high, between 5 and 6%, and previous findings documented adverse reactions as the major barrier to adherence (Evangelista et al. 2001); therefore, proper counseling should be given and stress placed on the importance of continuous adherence to these medications.”
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“lower SES impacted negatively on MCS and KCCQ overall scores [23], and education determined aspects of HRQOL [11,15,26] or compliance [63], in patients with heart failure.”
BackgroundInterpretability of the European Heart Failure Self-care Behaviour scale
Wagenaar, K. P., Broekhuizen, B. D., Rutten, F. H., Strömberg, A., van Stel, H. F., Hoes, A. W., & Jaarsma, T. (2017) · Patient Preference and Adherence · doi:10.2147/ppa.s144915 · Cited by 34
“Unfortunately, in our data, we did not have information on other appropriate anchors, for example, measures closer to the concept of self-care, like compliance to HF treatment regimens.(1,29) Therefore, we could not incorporate these measures in our analysis.”
MethodFactors Associated With Enrollment and Adherence in Outpatient Cardiac Rehabilitation in Japan
Endo, N., Goto, A., Suzuki, T., Matsuda, S., & Yasumura, S. (2015) · Journal of Cardiopulmonary Rehabilitation and Prevention · doi:10.1097/hcr.0000000000000103 · Cited by 31
Are Heart Failure and Coronary Artery Bypass Surgery Patients Meeting Physical Activity Guidelines?
Yates, B. C., Pozehl, B., Kupzyk, K. A., Epstein, C. M., & Deka, P. (2016) · Rehabilitation Nursing · doi:10.1002/rnj.257 · Cited by 32
“Patients report reluctance to initiate exercise due to a lack of skills for exercise and a fear of increasing PA with a “bad heart” (Evangelista et al., 2001).”
BackgroundDepression and health behaviors in women with Peripartum Cardiomyopathy
Rosman, L., Salmoirago‐Blotcher, E., Cahill, J., Wuensch, K. L., & Sears, S. F. (2017) · Heart & Lung · doi:10.1016/j.hrtlng.2017.05.004 · Cited by 29
Study of adherence to exercise in heart failure: the HEART camp trial protocol
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“Patients identify lack of motivation [5,6,8,9], lack of energy [5,6,8], and the presence of physical symptoms as the primary reasons for non-adherence to exercise [5,6,8-10].”
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“For example, depression and lack of motivation and energy affect adherence to exercise prescriptions in patients with heart failure [9,10], impair physical activity in patients after bypass surgery or myocardial infarction [11], as well as in healthy adult populations [12].”
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“Adherence for pharmacological and non-pharmacological prescriptions and depression are measured by respectively the Heart Failure Compliance Questionnaire (HFCQ) (Evangelista et al., 2001) and the Hospital Anxiety and Depression Scale (HADS) (Zigmond and Snaith, 1983).”
MethodSavarese, G., Lindberg, F., Cannata, A. N., Adamo, M., Ambrosio, G., Ameri, P., Anker, M. S., Bäck, M., Bayés‐Genís, A., Gal, T. B., et al. (2025) · European Journal of Heart Failure · doi:10.1002/ejhf.70090 · Cited by 31
The Relationship Between Spirituality and Compliance in Patients With Heart Failure
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Identifying and Treating Depression in Patients With Heart Failure
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The Psychosocial Aspects of Heart Failure
Artinian, N. T. (2003) · AJN American Journal of Nursing · doi:10.1097/00000446-200312000-00014 · Cited by 25
Validity of the Turkish version of the European Heart Failure Self-Care Behavior Scale
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“Inadequate self-care commonly seen in patients with HF is usually observed as incompliance to the treatment plan and the failure to cope with the increased symptoms (22-24).”
BackgroundSelf-Management Decision Influences in Heart Failure
Hicks, F. D., & Holm, K. (2003) · Clinical Nursing Research · doi:10.1177/1054773803238741 · Cited by 24
Gingele, A. J., Ramaekers, B. L. T., Rocca, H. B., Weerd, G. D., Kragten, J. A., van Empel, V. P. M., van der Weg, K., Vrijhoef, H. J., Gorgels, A. P. M., Cleuren, G. V. J., et al. (2019) · Netherlands Heart Journal · doi:10.1007/s12471-019-01323-x · Cited by 23
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Adherence to treatment in patients with Behçet's disease
Khabbazi, A., Shayan, F. K., Ghojazadeh, M., Kavandi, H., Hajialiloo, M., Manesh, K. E., & Kolahi, S. (2017) · International Journal of Rheumatic Diseases · doi:10.1111/1756-185x.13109 · Cited by 21
Oosterom-Calo, R., Velde, S. J. T., Stut, W. J. J., & Brug, J. (2015) · JMIR Research Protocols · doi:10.2196/resprot.4282 · Cited by 19
“Despite the potential benefits, HF patients report insufficient rates of physical activity [7,8].”
Medication Adherence and Its Associated Factors Among Outpatients with Heart Failure
Jarab, A. S., Al-Qerem, W. A., Hamam, H., Alzoubi, K. H., Heshmeh, S. A., Mukattash, T. L., & Alefishat, E. A. (2023) · Patient Preference and Adherence · doi:10.2147/ppa.s410371 · Cited by 18
The Body of Knowledge on Compliance in Heart Failure Patients
Nieuwenhuis, M. M. W., van der Wal, M. H. L., & Jaarsma, T. (2011) · The Journal of Cardiovascular Nursing · doi:10.1097/jcn.0b013e3181e27a2d · Cited by 18
“The subscales sodium restriction and fluid restriction of the Revised Heart Failure Compliance Scale were used to assess the level of importance of and difficulty with compliant behavior regarding sodium and fluid restriction.(24) Patients were asked how important it was for them to follow a sodium and fluid restricti…”
MethodSewagegn, N., & Fekadu, S. (2015) · Journal of Pharmaceutical Care & Health Systems · doi:10.4172/2376-0419.s4-001 · Cited by 18
“Poor adherence to self-care behaviour results in increased morbidity and mortality rates, decreased quality of life and increased health care costs associated with increased outpatient care and increased rates of hospital readmission [3-7].”
BackgroundResultSelf-Care Behaviors in Heart Failure
Cavalcante, Á. M. R. Z., Lopes, C. T., Brunori, E. H. F. R., Swanson, E., Moorhead, S. A., Bachion, M. M., & de Barros, A. L. B. L. (2017) · International Journal of Nursing Knowledge · doi:10.1111/2047-3095.12170 · Cited by 17
“…˚Arestedt, Mårtens-son, Dracup, & Strömberg, 2009; Jaarsma, Strömberg, Mårtensson, & Dracup, 2003), Heart Failure Compliance Questionnaire (Evangelista, Berg, & Dracup, 2001), Stanford Heart Failure Food Intake Checklist (DeBusk, 1996), Dietary Sodium Restriction Questionnaire (Bentley,…”
Santesmases‐Masana, R., Paz, L. G., Martínez-Esparza, E. H., Kostov, B., & Navarro-Rubio, M. D. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16091625 · Cited by 17
“Anxiety and depression in patients with heart failure are associated with less physical activity, unhealthier diets and reduced treatment adherence [15].”
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“Compliance in treatment of HF has been shown to differ regarding different aspects of overall compliance [23].”
BackgroundUsing Growth Mixture Modeling to Identify Classes of Sodium Adherence in Adults With Heart Failure
Creber, R. M., Lee, C. S., Lennie, T. A., Topaz, M., & Riegel, B. J. (2013) · The Journal of Cardiovascular Nursing · doi:10.1097/jcn.0b013e3182834191 · Cited by 17
“Other authors found low-sodium diet adherence rates to be about 28% or 29%.(11,12) The findings from this study offer a different perspective from that of population-average adherence.”
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Factors Related to Treatment Compliance Among Patients With Heart Failure
Sen, H. T. N., Linh, T. T. T., & Trang, D. T. K. (2020) · Ramathibodi Medical Journal · doi:10.33165/rmj.2020.43.2.239889 · Cited by 16
“Patients were noted as “compliance” if they got at least 4 out of 6 recommendations.(20) The Cronbach’s alpha of this scale was 0.”
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Telemonitoring in patients with heart failure: Is there a long-term effect?
Gingele, A. J., Rocca, H. B., Ramaekers, B. L. T., Gorgels, A. P. M., Weerd, G. D., Kragten, J. A., van Empel, V. P. M., Brandenburg, V. M., Vrijhoef, H. J., Cleuren, G. V. J., et al. (2017) · Journal of Telemedicine and Telecare · doi:10.1177/1357633x17747641 · Cited by 16
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“…possibilities, including skewed response bias to please clinicians (Adams, Soumerai, Lomas, & Ross-Degnan, 1999), strong social support networks that assist in medication management (Evangelista et al., 2001), or even poor insight of deficits (e.g., anosognosia; Leicht, Berwig, & Gertz, 2010).”
BackgroundMethodInfluentiald’Almeida, K. S. M., Souza, G. C., & Silva, E. R. R. D. (2012) · LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) · Cited by 16
Galdeano, L. E., Rossi, L. A., & Dantas, R. A. S. (2010) · International Journal of Nursing Terminologies and Classifications · doi:10.1111/j.1744-618x.2010.01155.x · Cited by 15
“…and its treatment and their educational level in influencing the effectiveness of self-care behaviors and therapeutic compliance (Artinian, Magnan, Sloan, & Lange, 2002; Evangelista, Berg, & Dracup, 2001; Ivarsson, Larsson, Lührs, & Sjöberg, 2007; Jaarsma et al., 2000; Rockwell & Riegel, 2001).”
Psychological Responses and Adherence to Exercise in Heart Failure
Duncan, K. A., Pozehl, B., Hertzog, M. A., & NORMAN, J. F. (2013) · Rehabilitation Nursing · doi:10.1002/rnj.106 · Cited by 15
Rurality and event-free survival in patients with heart failure
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BackgroundEmotional Functioning Drives Quality of Life in Men with Heart Failure
Corvera‐Tindel, T., Doering, L. V., Roper, J. M., & Dracup, K. (2009) · Progress in Cardiovascular Nursing · doi:10.1111/j.1751-7117.2009.00026.x · Cited by 15
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“, 2004), and serious – in one study (Evangelista et al., 2001).”
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Yayehd, K., Damorou, F., Mottoh, M. P., Tchérou, T., Johnson, A., Pessinaba, S., Tété, Y., & Diziwiè, A. M. (2012) · Annales de Cardiologie et d Angéiologie · doi:10.1016/j.ancard.2012.03.005 · Cited by 17
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“Furthermore, adherence to exercise interventions in patients with CHF remains poor; it appears to be even more difficult to achieve than dietary changes and consistent drug therapy 8 .”
BackgroundLuttik, M. L., Brons, M., Jaarsma, T., Hillege, H. L., Hoes, A. W., Jong, R. D., Linssen, G. C. M., Lok, D. J. A., Berger, M. Y., & van Veldhuisen, D. J. (2012) · Netherlands Heart Journal · doi:10.1007/s12471-012-0284-8 · Cited by 12
“Revised Heart Failure Compliance Questionnaire [30]”
Alakhali, K. M., Daniel, P. S., Noohu, A. M., & Sirajudeen, S. A. (2013) · Europe PMC (PubMed Central) · Cited by 12
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“Patients with HF perceive adherence to an exercise regimen as being more challenging than cessation of alcohol and tobacco use.(8) Furthermore, daily activity patterns are relatively stable over a 6- to 24-month period of time, especially among those with low daily activity levels.”
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Practice of self-care behaviours and associated factors among patients with heart failure
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Personal and social factors regarding medical non-compliance in cardiac failure patients.
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“Self-care subcategory, such as patients’ knowledge to low-sodium diet [20, 28], patients controlled their impulsivity of eating high-sodium foods (willpower) [34], incentive to follow a sodium diet (motivation) [27, 32, 34].”
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“, 1998a); and because neuroticism has a negative influence on adherence to medical treatment in cardiac and other patients (Evangelista et al., 2001; Glazer et al., 2002).”
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“Artinian et al. (2003) and Evangelista et al. (2001) reported that most patients complied and were taking advised drugs and visiting the doctor’s office regularly.”
BackgroundPsychological Distress and Self-Care Engagement: Healing After a Cardiac Intervention
Medved, M. I., & Piran, N. (2011) · Women & Health · doi:10.1080/03630242.2011.556699 · Cited by 8
Clinical Predictors of Adherence to Exercise Training Among Individuals With Heart Failure
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“Patients with better mental health are more adherent to self-care recommendations due to unaltered thinking ability and positive attitude towards health maintenance [53].”
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“Depressive symptoms in HF patients have been associated with increased mortality and morbidity [22, 23].”
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Assessment of compliance in cardiovascular patients in Nishter Hospital, Multan, Pakistan
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BackgroundSOCIODEMOGRAPHIC FACTORS’ INFLUENCE ON ADHERENCE TO ANTIHYPERTENSIVE MEDICATION
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“In studies conducted with cardiac patients, the level of adherence to salt restriction was low [8,25-27].”
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Metadata
- 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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