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Patient-Reported Selective Adherence to Heart Failure Self-Care Recommendations: A Prospective Cohort Study: The Atlanta Cardiomyopathy Consortium
dc.creator | Marti, C. N. | en |
dc.creator | Georgiopoulou, V. V. | en |
dc.creator | Giamouzis, G. | en |
dc.creator | Cole, R. T. | en |
dc.creator | Deka, A. | en |
dc.creator | Tang, W. H. W. | en |
dc.creator | Dunbar, S. B. | en |
dc.creator | Smith, A. L. | en |
dc.creator | Kalogeropoulos, A. P. | en |
dc.creator | Butler, J. | en |
dc.date.accessioned | 2015-11-23T10:39:00Z | |
dc.date.available | 2015-11-23T10:39:00Z | |
dc.date.issued | 2013 | |
dc.identifier | 10.1111/j.1751-7133.2012.00308.x | |
dc.identifier.issn | 15275299 | |
dc.identifier.uri | http://hdl.handle.net/11615/30755 | |
dc.description.abstract | Simultaneous adherence with multiple self-care instructions among heart failure (HF) patients is not well described. Patient-reported adherence to 8 recommendations related to exercise, alcohol, medications, smoking, diet, weight, and symptoms was assessed among 308 HF patients using the Medical Outcomes Study Specific Adherence Scale questionnaire (0="never" to 5="always," maximum score=40). A baseline cumulative score of ≥32/40 (average ≥80%) defined good adherence. Clinical events (death/transplantation/ventricular assist device), resource utilization, functional capacity (6-minute walk distance), and health status (Kansas City Cardiomyopathy Questionnaire [KCCQ]) were compared among patients with and without good adherence. The mean follow-up was 2.0±1.0years, and adherence ranged from 26.3% (exercise) to 89.9% (medications). A cumulative score indicating good adherence was reported by 35.7%, whereas good adherence with every behavior was reported by 9.1% of patients. Good adherence was associated with fewer hospitalizations (all-cause 87.8 vs 107.6; P=.018; HF 29.6 vs 43.8; P=.007) and hospitalized days (all-cause 422 vs 465; P=.015; HF 228 vs 282; P<.001) per 100-person-years and better health status (KCCQ overall score 70.1±24.6 vs 63.8±22.8; P=.011). Adherence was not associated with clinical events or functional capacity. Patient-reported adherence with HF self-care recommendations is alarmingly low and selective. Good adherence was associated with lower resource utilization and better health status. © 2012 Wiley Periodicals, Inc. | en |
dc.source.uri | http://www.scopus.com/inward/record.url?eid=2-s2.0-84872794932&partnerID=40&md5=6190a56b89fecf89d9ee3e0360852d01 | |
dc.subject | alcohol | en |
dc.subject | aldosterone antagonist | en |
dc.subject | angiotensin receptor antagonist | en |
dc.subject | beta adrenergic receptor blocking agent | en |
dc.subject | dipeptidyl carboxypeptidase inhibitor | en |
dc.subject | diuretic agent | en |
dc.subject | hydralazine | en |
dc.subject | isosorbide dinitrate | en |
dc.subject | adult | en |
dc.subject | alcohol consumption | en |
dc.subject | article | en |
dc.subject | body weight | en |
dc.subject | controlled clinical trial | en |
dc.subject | controlled study | en |
dc.subject | death | en |
dc.subject | defibrillator pacemaker | en |
dc.subject | diet | en |
dc.subject | exercise | en |
dc.subject | female | en |
dc.subject | health care utilization | en |
dc.subject | health status | en |
dc.subject | heart ejection fraction | en |
dc.subject | heart failure | en |
dc.subject | heart transplantation | en |
dc.subject | hospitalization | en |
dc.subject | human | en |
dc.subject | major clinical study | en |
dc.subject | male | en |
dc.subject | patient compliance | en |
dc.subject | priority journal | en |
dc.subject | questionnaire | en |
dc.subject | rating scale | en |
dc.subject | self care | en |
dc.subject | self report | en |
dc.subject | smoking | en |
dc.subject | symptom | en |
dc.subject | ventricular assist device | en |
dc.subject | walking | en |
dc.subject | Follow-Up Studies | en |
dc.subject | Georgia | en |
dc.subject | Humans | en |
dc.subject | Middle Aged | en |
dc.subject | Prospective Studies | en |
dc.subject | Quality of Life | en |
dc.subject | Questionnaires | en |
dc.title | Patient-Reported Selective Adherence to Heart Failure Self-Care Recommendations: A Prospective Cohort Study: The Atlanta Cardiomyopathy Consortium | en |
dc.type | journalArticle | en |
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