Medication Adherence Among Community-Dwelling Patients With Heart Failure

Background and Purpose: The psychometric properties of the Kansas City Cardiomyopathy Questionnaire (KCCQ) have been examined primarily in community-dwelling patients with heart failure (HF). The objective of this research was to examine the properties of the KCCQ administered to patients hospitalized with HF (N = 233). Methods: Confirmatory factor analysis, Cronbach’s alphas, and correlations were performed to examine the scale’s dimensions, reliability, and validity. Results: Confirmatory factor analysis indicated a 5-factor solution (63.6% of the variance). The Cronbach’s alpha levels were greater than .70, except for the self-efficacy dimension (.60). Convergent validity was not verified between the KCCQ and several illness severity measures. Conclusions: The psychometric properties of the KCCQ may be different based on the population in which the KCCQ is administered, which may have clinical implications.

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A multi-component, family-focused and literacy-sensitive intervention to improve medication adherence in patients with heart failure–A randomized controlled trial

Heart & Lung ◽

10.1016/j.hrtlng.2019.05.011 ◽

2019 ◽

Vol 48 (6) ◽

pp. 507-514 ◽

Cited By ~ 1

Author(s):

Jia-Rong Wu ◽

Barbara Mark ◽

George J. Knafl ◽

Sandra B. Dunbar ◽

Patricia P. Chang ◽

...

Keyword(s):

Heart Failure ◽

Randomized Controlled Trial ◽

Medication Adherence ◽

Controlled Trial ◽

Improve Medication Adherence ◽

Randomized Controlled ◽

Patients With Heart Failure

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Health literacy and adherence to treatment of patients with heart failure

Revista da Escola de Enfermagem da USP ◽

10.1590/s1980-220x2017039803447 ◽

2019 ◽

Vol 53 ◽

Cited By ~ 2

Author(s):

Monica Isabelle Lopes Oscalices ◽

Meiry Fernanda Pinto Okuno ◽

Maria Carolina Barbosa Teixeira Lopes ◽

Ruth Ester Assayag Batista ◽

Cassia Regina Vancini Campanharo

Keyword(s):

Heart Failure ◽

Medication Adherence ◽

Health Literacy ◽

White Women ◽

Patient Adherence ◽

Functional Health ◽

Cross Sectional ◽

Adherence To Medication ◽

Patients With Heart Failure ◽

Medical Questionnaire

ABSTRACT Objective: To relate the level of functional health literacy with adherence and barriers to non-adherence, rehospitalization, readmission and death in patients with heart failure. Method: A cross-sectional, analytical study with patients admitted to the emergency room with a diagnosis of heart failure. Literacy was assessed by the Newest Vital Sign. Patient adherence to medication treatment and barriers to non-compliance were assessed 90 days after discharge by the Morisky-Green test and the Brief Medical Questionnaire, respectively. Results: 100 patients participated in the study. The mean age was 63.3 years (± 15.2), with a predominance of white women. Medication adherence was low in 41.1% of participants, of which 55.9% presented inadequate literacy. Re-hospitalization and death were present in patients with inadequate literacy (p<0.001). Conclusion: The low level of literacy was directly related to lower adherence and the presence of barriers to medication adherence, as well as higher rehospitalization rates and death.

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Type D Personality Predicts Poor Medication Adherence in Patients with Heart Failure in the USA

International Journal of Behavioral Medicine ◽

10.1007/s12529-013-9366-2 ◽

2013 ◽

Vol 21 (5) ◽

pp. 833-842 ◽

Cited By ~ 27

Author(s):

Jia-Rong Wu ◽

Debra K. Moser

Keyword(s):

Heart Failure ◽

Medication Adherence ◽

Type D Personality ◽

Type D ◽

Patients With Heart Failure ◽

The Usa ◽

Poor Medication Adherence

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Medication adherence and its predictors among patients with heart failure

Nursing and Midwifery Studies ◽

10.4103/nms.nms_9_17 ◽

2018 ◽

Vol 7 (2) ◽

pp. 81 ◽

Cited By ~ 1

Author(s):

Vida Shafipour ◽

SeyedehSomayeh Amininasab ◽

HamidehAzimi Lolaty ◽

Mahmood Moosazadeh

Keyword(s):

Heart Failure ◽

Medication Adherence ◽

Patients With Heart Failure

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Association of depression and anxiety with adherence in primary care patients with heart failure—cross-sectional results of the observational RECODE-HF cohort study

Family Practice ◽

10.1093/fampra/cmaa042 ◽

2020 ◽

Vol 37 (5) ◽

pp. 695-702 ◽

Cited By ~ 1

Author(s):

Marion Eisele ◽

Malte Harder ◽

Anja Rakebrandt ◽

Sigrid Boczor ◽

Gabriella Marx ◽

...

Keyword(s):

Heart Failure ◽

Primary Care ◽

Cohort Study ◽

Psychological Distress ◽

Medication Adherence ◽

Failure Diagnosis ◽

Cross Sectional ◽

Factors Associated ◽

Patients With Heart Failure ◽

Heart Failure Diagnosis

Abstract Background Psychological distress has a negative impact on the prognosis and quality of life for patients with heart failure. We investigated the association between psychological distress and the patients’ adherence to medical treatment (medication adherence) and self-care advice (lifestyle adherence) in heart failure. We further examined whether there are different factors associated with low medication compared to low lifestyle adherence. Method This secondary analysis of the RECODE-HF cohort study analyzed baseline data of 3099 primary care heart failure patients aged 74 ± 10 years, 44.5 % female. Using multivariable regression, factors relating to medication and lifestyle adherence were investigated in order to estimate the extent to which these factors confound the association between psychological distress and adherence. Results Psychological distress was significantly associated with poorer medication adherence but not with lifestyle adherence after controlling for confounders. We identified different factors associated with medication compared to lifestyle adherence. A higher body mass index, a less developed social network, living alone, fewer chronic co-morbidities and unawareness of the heart failure diagnosis were only related to lower lifestyle adherence. Higher education was associated with poorer medication adherence. Male sex, younger age, lower self-efficacy and less familiar relation with the general practitioner were common factors associated with both lower medication and lifestyle adherence. Conclusion Promising factors for increasing medication adherence (reduction of psychological distress) and lifestyle adherence (explaining the patient his/her heart failure diagnosis more than once and increase in the patients’ self-efficacy), which were found in this cross-sectional study, must be further investigated in longitudinal studies.

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Mediated effects of insomnia, psychological distress and medication adherence in the association of eHealth literacy and cardiac events among Iranian older patients with heart failure: a longitudinal study

European Journal of Cardiovascular Nursing ◽

10.1177/1474515119873648 ◽

2019 ◽

Vol 19 (2) ◽

pp. 155-164 ◽

Cited By ~ 7

Author(s):

Chung-Ying Lin ◽

Maryam Ganji ◽

Mark D Griffiths ◽

Marie Ernsth Bravell ◽

Anders Broström ◽

...

Keyword(s):

Quality Of Life ◽

Heart Failure ◽

Psychological Distress ◽

Medication Adherence ◽

Older Patients ◽

Longitudinal Design ◽

Cardiac Events ◽

Ehealth Literacy ◽

Patients With Heart Failure

Background: Given the importance of improving health for patients with heart failure, the present study examined the temporal associations between eHealth literacy, insomnia, psychological distress, medication adherence, quality of life and cardiac events among older patients with heart failure. Methods: With a longitudinal design older patients with echocardiography verified heart failure ( N=468; 50.4% New York Heart Association class II, mean age 69.3±7.3 years; 238 men) in need of cardiac care at seven Iranian university outpatient clinics went through clinical examinations and completed the following questionnaires at baseline: eHealth literacy scale (eHEALS, assessing eHealth literacy); 5-item medication adherence report scale (MARS-5, assessing medication adherence); Minnesota living with heart failure questionnaire (MLHFQ, assessing quality of life); insomnia severity index (ISI, assessing insomnia); and hospital anxiety and depression scale (HADS, assessing psychological distress). All the patients completed the ISI and HADS again 3 months later; and the MARS-5 6 months later. Also, their cardiac events were collected 18 months later. Three mediation models were then conducted. Results: eHealth literacy had direct and indirect effects (through insomnia and psychological distress) on medication adherence and quality of life. Moreover, eHealth literacy had protecting effects on cardiac events (hazard ratio (HR) 0.53; 95% confidence interval (CI) 0.37, 0.65) through the mediators of insomnia (HR 0.19; 95% CI 0.15, 0.26), psychological distress (HR 0.08; 95% CI 0.05, 0.12) and medication adherence (HR 0.05; 95% CI 0.04, 0.08). Conclusion: As eHealth literacy was a protector for patients with heart failure, healthcare providers may plan effective programmes to improve eHealth literacy for the population. Additional benefits of improving eHealth literacy in heart failure may be decreased insomnia and psychological distress, improved quality of life, as well as decreased cardiovascular events.

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