Factors influencing medication adherence in patients with heart failure

Wu, Jia Rong; Moser, Debra K.; Lennie, Terry A.; Peden, Ann R.; Chen, Yu Chang; Heo, Seongkum

doi:10.1016/j.hrtlng.2007.02.003

Cited by 92 publications

(70 citation statements)

References 43 publications

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“…3,6,31 Our study showed a large proportion of patients with HF who had a reduced EF were taking a β-blocker (68%) and an ACEI or ARB (87%). Most patients receiving β-blocker therapy were taking metoprolol, a β-blocker proven to reduce mortality in patients with HF.…”

mentioning

confidence: 80%

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Medication Adherence Among Community-Dwelling Patients With Heart Failure

Dunlay

Eveleth

Shah

et al. 2011

Mayo Clinic Proceedings

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mentioning

confidence: 80%

“…A study of 16 patients with HF found that patients took an average of 11.1 medications daily. 31 Most took medications at least twice daily, and one-quarter took medications 4 times daily. However, this study was limited by its very small sample size, and medication data were based on self-report alone.…”

Section: Burden Of Medicationsmentioning

confidence: 99%

Medication Adherence Among Community-Dwelling Patients With Heart Failure

Dunlay

Eveleth

Shah

et al. 2011

Mayo Clinic Proceedings

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“…8 The therapy related factor that influences medication adherence is multiple medications needed throughout the day (52.5%). 22 Also patients who did not have adequate knowledge about their medication regimen were more likely to be non adherent. 23 Many patients consciously choose not to fill a prescription or not to take their medicines as prescribed.…”

Section: Conflict Of Interestmentioning

confidence: 99%

Assessment of Factors Associated with Low Adherence to Pharmacotherapy in Elderly Patients

Roy¹,

Sajith²,

Bansode³

2017

JYP

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Objective: To assess factors associated with low adherence to pharmacotherapy in elderly patients. Methods: A prospective cross sectional observational study was conducted in Bharati Hospital and Research Centre, Pune over a period of 6 months. A total of 240 Elderly patients (≥60 years), taking 4 or more medications daily for any medical illness or illnesses were enrolled in the study. The details like age, gender, educational and employment status, physical activity, social history, past medical and medication history, current medications were noted in self pre designed patient pro forma. The medication adherence was assessed by using Brief Medication Questionnaire (BMQ). Results: The assessment of the patient's responses to the four scale BMQ showed that out of 240 patients, only 5.8% patients were adherent in regimen scale, 60% were adherent in belief scale, 15% were adherent in recall scale and 37.5% were adherent in access scale. Complexity of medication regimen (74.1%) was the main barrier to medication adherence. More than half of patients were unable to name their medications (68.3%). The main reason for non adherence would be related to patient related factors such as lack of knowledge about the disease (63.3%), inadequate knowledge regarding therapy (60%), taking so many pills at the same time (51.7%), forgetfulness (50.84%), difficulty in remembering to take all the pills (48.3%) and difficulty on refilling in time (20.0%). Conclusion: Various factors associated with medication nonadherence were complexity of medication regimen, lack of knowledge about the disease and therapy, difficulty in remembering to take medications and taking so many pills at the same time.

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“…35 Further, positive patient-provider relationships are associated with greater adherence to the medication regimens. 36 Age, sex, race, and lack of access to transportation contribute to socioeconomic factors that affect medication adherence. 35 Lack of support and finances are often cited as factors that influence adherence.…”

Section: Factors Of Medication Adherencementioning

confidence: 99%

“…39,40 The therapy-related factors that influence adherence include difficulty swallowing large pills, inconvenience of urinary frequency while on diuretics, and multiple medications needed throughout the day. 36 As the number of pills taken per day is increased, medication adherence increases. 41,42 Also, patients are more likely to skip a dose when they experience side effects.…”

Section: Factors Of Medication Adherencementioning

confidence: 99%

Improving medication adherence of patients with chronic heart failure: challenges and solutions

Shah¹,

Simms²,

Barksdale³

et al. 2015

RRCC

Self Cite

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Heart failure is a chronic debilitating illness that affects 5.7 million Americans. The financial burden of heart failure in the US toppled $31 billion in 2012, which is one of the highest among all chronic medical conditions. Medication adherence is a major component of heart failure self-care behaviors. Therefore, medication non-adherence is associated with more emergency department visits, frequent rehospitalizations, and higher medical cost. Medication adherence rates have varied from 10% to 98% depending on the definition and measurement used to assess and analyze adherence. Many factors contribute to medication non-adherence such as lack of support, finances, absent of symptoms, cognitive decline, adverse reactions, depression, poor attention span, poor knowledge about medication, multiple medications, difficulty swallowing large pills, and inconveniences of urinary frequency with diuretics. Researchers have explored various strategies such as the use of pharmacists, nurses, telemedicine, and interdisciplinary teams to provide interventions to improve medication adherence in heart failure. Health care providers should continue to provide education, constantly reinforce the importance of taking medication as prescribed, and when feasible, utilize one of the successful evidence-based strategies to increase adherence.

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Factors influencing medication adherence in patients with heart failure

Cited by 92 publications

References 43 publications

Medication Adherence Among Community-Dwelling Patients With Heart Failure

Medication Adherence Among Community-Dwelling Patients With Heart Failure

Assessment of Factors Associated with Low Adherence to Pharmacotherapy in Elderly Patients

Improving medication adherence of patients with chronic heart failure: challenges and solutions

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