Abstract 377: A Systematic Review of Medication Adherence Among African American Heart Failure Patients

Background: Heart failure is a leading cause of death in the United States and a condition of particular concern for the African American population. Although effective treatments are available for the disease, medication adherence is a key determinant of survival. Objective: This systematic review examines articles from the last 15 years that research medication adherence and African American heart failure patients. Methods: A systematic review of the published literature was conducted to identify articles examining predictors and outcomes of medication adherence among African Americans and then using Sister Callista Roy’s Health Adaptation conceptual framework - physiological, self-concept, role function and interdependence. Results: This review identified 14 articles that met inclusion criteria, most of which focused on physiological predictors, noting that age and comorbid conditions such as dialysis status may play a role in medication adherence. Psychological, cultural and social determinants were also found to impact adherence behaviors. Conclusions: More research is needed to examine other components of the Health Adaptation model, especially socioeconomic and healthcare system level predictors.

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104INTERVENTIONS TO ENHANCE MEDICATION ADHERENCE IN OLDER HEART FAILURE PATIENTS - A SYSTEMATIC REVIEW

Age and Ageing ◽

10.1093/ageing/afx059.104 ◽

2017 ◽

Vol 46 (suppl_1) ◽

pp. i25-i26

Author(s):

R L Fulton ◽

T Kroll ◽

M E T McMurdo ◽

G J Molloy ◽

M D Witham

Keyword(s):

Heart Failure ◽

Systematic Review ◽

Medication Adherence ◽

Heart Failure Patients

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A systematic review of provider-and system-level factors influencing the delivery of cardiac rehabilitation for heart failure

BMC Health Services Research ◽

10.1186/s12913-021-07174-w ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Paulina Daw ◽

Thomas M. Withers ◽

Jet J. C. S. Veldhuijzen van Zanten ◽

Alexander Harrison ◽

Colin J. Greaves

Keyword(s):

Heart Failure ◽

Systematic Review ◽

Cardiac Rehabilitation ◽

Thematic Analysis ◽

System Level ◽

Future Research ◽

Heart Failure Patients ◽

Barriers And Enablers ◽

Factors Influencing ◽

Wide Range

Abstract Background There is a longstanding research-to-practice gap in the delivery of cardiac rehabilitation for patients with heart failure. Despite adequate evidence confirming that comprehensive cardiac rehabilitation can improve quality of life and decrease morbidity and mortality in heart failure patients, only a fraction of eligible patients receives it. Many studies and reviews have identified patient-level barriers that might contribute to this disparity, yet little is known about provider- and system-level influences. Methods A systematic review using narrative synthesis. The aims of the systematic review were to a) determine provider- and system-level barriers and enablers that affect the delivery of cardiac rehabilitation for heart failure and b) juxtapose identified barriers with possible solutions reported in the literature. A comprehensive search strategy was applied to the MEDLINE, Embase, PsycINFO, CINAHL Plus, EThoS and ProQuest databases. Articles were included if they were empirical, peer-reviewed, conducted in any setting, using any study design and describing factors influencing the delivery of cardiac rehabilitation for heart failure patients. Data were synthesised using inductive thematic analysis and a triangulation protocol to identify convergence/contradiction between different data sources. Results Seven eligible studies were identified. Thematic analysis identified nine overarching categories of barriers and enablers which were classified into 24 and 26 themes respectively. The most prevalent categories were ‘the organisation of healthcare system’, ‘the organisation of cardiac rehabilitation programmes’, ‘healthcare professional’ factors and ‘guidelines’. The most frequent themes included ‘lack of resources: time, staff, facilities and equipment’ and ‘professional’s knowledge, awareness and attitude’. Conclusions Our systematic review identified a wide range of provider- and system-level barriers impacting the delivery of cardiac rehabilitation for heart failure, along with a range of potential solutions. This information may be useful for healthcare professionals to deliver, plan or commission cardiac rehabilitation services, as well as future research.

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Association between sleep quality and self-care in adults with heart failure: A systematic review

European Journal of Cardiovascular Nursing ◽

10.1177/1474515120941368 ◽

2020 ◽

pp. 147451512094136 ◽

Cited By ~ 1

Author(s):

Valentina Spedale ◽

Michela Luciani ◽

Alessandro Attanasio ◽

Stefania Di Mauro ◽

Rosaria Alvaro ◽

...

Keyword(s):

Heart Failure ◽

Systematic Review ◽

Medication Adherence ◽

Sleep Quality ◽

Sleep Disturbance ◽

Self Care ◽

The Other ◽

Heart Failure Patients ◽

Meta Analyses

Background: Sleep disturbance is one of the most common symptoms among heart failure patients. Sleep disturbance reduces quality of life and leads to higher rates of mortality. It may affect the ability of patients to perform adequate self-care. Although some research has evaluated the association between sleep quality and heart failure self-care, a synthesis of the most recent available evidence is lacking. Aims: This systematic review aimed to assess the association between sleep quality and self-care in adults with heart failure. Methods: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses methodology was used. Medline, CINAHL, PsycINFO and SCOPUS were searched. Observational, case-control and cohort studies were considered. The quality of the studies was evaluated with the Joanna Briggs Institute’s Critical Appraisal Tools. Results: Six articles were included. Association between sleep quality and self-care was reported by three studies. One of these did not find an association between sleep disturbance and heart failure self-care, while the other two studies did. An association between sleep quality and medication adherence was reported by three studies. All three of these studies found associations between these two variables. Studies have measured similar but different constructs. Two studies assessed sleep quality, while four other studies measured excessive daytime sleepiness. Half of the studies examined self-care, while the other half measured medication adherence. Conclusions: Although the evidence should be strengthened, sleep quality seems to affect self-care in heart failure patients. The mechanism underlying the effect of sleep quality on heart failure self-care remains unclear. Future longitudinal interaction analyses could be useful to clarify this mechanism.

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