Potential contributing factors to noncompliance with dietary sodium restriction in patients with heart failure

Neily, Jennifer B.; Toto, Kathleen H.; Gardner, Elizabeth B.; Rame, J. Eduardo; Yancy, Clyde W.; Sheffield, Michael A.; Dries, Daniel L.; Drazner, Mark H.

doi:10.1067/mhj.2002.119380

Cited by 78 publications

(64 citation statements)

References 16 publications

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“…Neily et al 20 demonstrated that without specific instruction, many patients do not possess the knowledge base to follow a dietary sodium restriction, but this can be improved with dietary education. Linne and coauthors 21 showed that a pharmacist-led, interactive-CD education program resulted in significant improvement in knowledge questionnaire scores in heart failure patients.…”

Section: Discussionmentioning

confidence: 99%

Discharge Education Improves Clinical Outcomes in Patients With Chronic Heart Failure

et al. 2005

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Background-Although interventions combining patient education and postdischarge management have demonstrated benefits in patients with chronic heart failure, the benefit attributable to patient education alone is not known. We hypothesized that a patient discharge education program would improve clinical outcomes in patients with chronic heart failure. Methods and Results-We conducted a randomized, controlled trial of 223 systolic heart failure patients and compared the effects of a 1-hour, one-on-one teaching session with a nurse educator to the standard discharge process. Subjects were contacted by telephone at 30, 90, and 180 days to collect information about clinical events, symptoms, and self-care practices. The primary end point of the study was the total number of days hospitalized or dead in the 180-day follow-up period. Subjects randomized to receive the teaching session (nϭ107) had fewer days hospitalized or dead in the follow-up period (0 and 10 days, median and 75th percentiles) than did controls (nϭ116, 4 and 19 days; Pϭ0.009).Patients receiving the education intervention had a lower risk of rehospitalization or death (relative risk, 0.65; 95% confidence interval, 0.45 to 0.93; Pϭ0.018). Costs of care, including the cost of the intervention, were lower in patients receiving the education intervention than in control subjects by $2823 per patient (Pϭ0.035). Conclusions-The addition of a 1-hour, nurse educator-delivered teaching session at the time of hospital discharge resulted in improved clinical outcomes, increased self-care measure adherence, and reduced cost of care in patients with systolic heart failure.

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Section: Discussionmentioning

confidence: 99%

Discharge Education Improves Clinical Outcomes in Patients With Chronic Heart Failure

et al. 2005

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“…Researchers suggested that lack of knowledge is a key barrier in diet adherence. 28,30 For example, Neily et al 30 found that 86% of HF patients were not aware of a SRD guideline, 42% could not determine sodium content from a nutrition label, and 56% could not distinguish high and low sodium foods. Similarly, in our study, most patients had a difficulty selecting low sodium foods in store and in restaurants.…”

Section: Discussionmentioning

confidence: 99%

Gender Differences in Adherence to the Sodium-Restricted Diet in Patients With Heart Failure

Chung

Moser

Lennie

et al. 2006

Journal of Cardiac Failure

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Background-Despite the importance of the sodium restricted diet (SRD) to heart failure (HF) management, patient adherence is poor. Little is known about gender differences in adherence or factors that affect patients' ability to follow SRD recommendations. The purposes of this study were to determine whether there were gender differences in (1) adherence to the SRD; (2) knowledge about SRD and HF self-care; and (3) perceived barriers to following the SRD.

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“…Although knowledge alone does not ensure compliance 16 , it has nevertheless been confirmed as an important determinant of compliance in the HF literature. [17][18][19][20] An explanation for low compliance with weighing could be that many HF patients do not recognize the importance of daily weighing to check for fluid retention. 16 Also, having a stable weight over a longer period of time is another reason why patients weigh themselves less often.…”

Section: Discussionmentioning

confidence: 99%

“…A score of ≥16 indicates the presence of depressive symptoms. To differentiate between patients with moderate or severe depressive symptoms, the following cut-off scores of the CES-D were used: 0-15 (no depressive symptoms), [16][17][18][19][20][21][22][23] (moderate depressive symptoms), and ≥24 (severe depressive symptoms). 9 Compliance with recommendations on a sodium-restricted diet, fluid restriction, exercise, and daily weighing was measured using the Revised Heart Failure Compliance Scale.…”

Section: Methodsmentioning

confidence: 99%

Long-Term Compliance With Nonpharmacologic Treatment of Patients With Heart Failure

Nieuwenhuis

Jaarsma

Veldhuisen

et al. 2012

The American Journal of Cardiology

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The aim of this study was to examine long-term compliance with non-pharmacological treatment of patients with heart failure (HF) and its associated variables. Data of 648 hospitalized HF patients (mean age 69±12 years; 38% female; mean left ventricular ejection fraction [LVEF] 33±14%) were analyzed. Compliance was assessed by means of self-report at baseline and 1, 6, 12, and 18 months after discharge. Patients completed questionnaires on depressive symptoms, HF knowledge, and physical functioning at baseline. Logistic regression analyses were performed to examine independent associations with low long-term compliance. From baseline to 18 months at follow-up, long-term compliance with diet and fluid restriction ranged from 77%-91% and 72%-89% respectively. In contrast, compliance with daily weighing (34%-85%) and exercise (48%-64%) was lower. Patients who were in New York Heart Association (OR 3.55,), and less physical functioning (OR 0.99, were associated with low compliance with exercise. In conclusion, long-term compliance with exercise and daily weighing was lower than long-term compliance with advice on diet and fluid restriction. Although knowledge on HF and being offered educational support positively affected compliance with weighing and fluid restriction, these variables were not related to compliance with exercise. Therefore, new approaches to help HF patients stay physically active are needed. Key-words:Adherence; Compliance; Heart Failure; Non-Pharmacological Treatment. 3Although it has been well established, most studies on determinants of compliance in patients with heart failure (HF) are cross-sectional, or focus solely on compliance with 1 specific non-pharmacological recommendation. Data on temporal trends in compliance with cardiovascular medication have been reported previously 1 , but little is known about long-term compliance with non-pharmacological treatment (i.e., sodium-restricted diet, fluid restriction, daily weighing, and exercise) and its determinants. Noncompliance with non-pharmacological treatment is related to adverse outcomes 2 and lower quality of life. 3 It is therefore vital to identify those patients who are at risk for noncompliance over a longer period of time, especially since studies have shown that noncompliance is a problem in the HF population. 4 It has been suggested that compliance with a specific recommendation might be a marker for compliance with other recommendations or lifestyle changes. 5 Unfortunately, direct comparisons of compliance with different recommendations in the same study population are not available. The present study aims to address this gap by examining long-term compliance with nonpharmacological recommendations and by assessing variables associated with long-term compliance. MethodsThe study employed a descriptive, prospective design and used data from the COACH (Coordinating study evaluating Outcomes of Advising and Counseling in Heart failure) study.COACH was a randomized, multi-center, controlled study in which 1023 HF patient...

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Potential contributing factors to noncompliance with dietary sodium restriction in patients with heart failure

Cited by 78 publications

References 16 publications

Discharge Education Improves Clinical Outcomes in Patients With Chronic Heart Failure

Discharge Education Improves Clinical Outcomes in Patients With Chronic Heart Failure

Gender Differences in Adherence to the Sodium-Restricted Diet in Patients With Heart Failure

Long-Term Compliance With Nonpharmacologic Treatment of Patients With Heart Failure

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