Relationship between psychosocial variables and compliance in patients with heart failure

Evangelista, Lorraine S.; Berg, Jill; Dracup, Kathleen

doi:10.1067/mhl.2001.116011

Cited by 212 publications

(284 citation statements)

References 14 publications

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“…10,[14][15][16] In addition, our study showed that long-term compliance with a particular recommendation does not automatically indicate compliance with other recommendations. This suggests that compliance with the different lifestyle recommendations require different skills from patients.…”

Section: Discussionmentioning

confidence: 93%

“…Additionally, older patients tended to be more often noncompliant, which suggests that older patients may have less energy or experience more physical symptoms, which in turn might affect their ability to comply. 10,20 HF symptoms and NYHA class were not associated with compliance with exercise. This indicates that physical symptoms and limitations related to factors such as older age and comorbidity possibly play a larger role in noncompliance with exercise than physical limitations related to HF itself.…”

Section: Discussionmentioning

confidence: 97%

“…When patients had 1 missing value on a specific recommendation during the total follow-up period, this missing Compliance with recommendations on a sodium-restricted diet, fluid restriction, exercise, and daily weighing was measured using the Revised Heart Failure Compliance Scale. 10 Compliance was measured on a 5-point scale (0 = never; 1 = seldom; 2 = half of the time; 3 = mostly; 4 = always). Two HF nurses, experienced in the field of compliance, assessed face validity of the Dutch version of the scale.…”

mentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 97%

mentioning

confidence: 99%

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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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“…There were no significant gender differences regarding quality of life. Self-care behaviour did not change significantly from baseline (31, [23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39]) to 12 month (29 [22,). There were no gender differences in self-care behaviour measured by the EHFScBS between baseline and 12 months.…”

Section: Study Patientsmentioning

confidence: 99%

Telephone Follow-Up of Self-Care Behaviour after a Single Session Education of Patients with Heart Failure in Primary Health Care

Holst

Willenheimer

Mårtensson

et al. 2007

European Journal of Cardiovascular Nursing

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Background: Improved self-care behaviour is a goal in educational programmes for patients with heart failure, especially in regard to daily self-weighing and salt and fluid restriction. Aims: The objectives of the present study were to: (1) describe self-care with special regard to daily self-weighing and salt and fluid restriction in patients with heart failure in primary health care, during one year of monthly telephone follow-up after a single session education, (2) to describe gender differences in regard to self-care and (3) to investigate if self-care was associated with health-related quality of life. Methods: The present analysis is a subgroup analysis of a larger randomised trial. After one intensive educational session, a primary health care nurse evaluated 60 patients (mean age 79 years, 52% males, 60% in New York Heart Association class III–IV) by monthly telephone follow-up during 12 months. Results: The intervention had no effect on quality of life measured by EuroQol 5D and no significant associations were found between quality of life and self-care behaviour. Self-care behaviour measured by The European Self-care Behaviour Scale remained unchanged throughout the study period. No significant gender differences were shown but women had a tendency to improve adherence to daily weight control between 3- and 12 months. Conclusion: The self-care behaviour and quality of life in patients with heart failure did not change during one year of monthly telephone follow-up after a single session education and this indicates a need for more extensive interventions to obtain improved self-care behaviour in these patients.

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“…20 Internal consistency of the instrument was tested using Cronbach's α (.68). For the Dutch version of the scale, two HF nurses experienced in the field of compliance assessed face validity.…”

Section: Methodsmentioning

confidence: 99%

Factors Associated With Patient Delay in Seeking Care After Worsening Symptoms in Heart Failure Patients

Nieuwenhuis¹,

Jaarsma²,

Veldhuisen³

et al. 2011

Journal of Cardiac Failure

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Relationship between psychosocial variables and compliance in patients with heart failure

Cited by 212 publications

References 14 publications

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

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

Telephone Follow-Up of Self-Care Behaviour after a Single Session Education of Patients with Heart Failure in Primary Health Care

Factors Associated With Patient Delay in Seeking Care After Worsening Symptoms in Heart Failure Patients

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