liu.seSearch for publications in DiVA
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Self-reported versus true adherence in heart failure patients: a study using the Medication Event Monitoring System
University of Groningen, Netherlands .
Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
University of Groningen, Netherlands .
University of Groningen, Netherlands .
2012 (English)In: NETHERLANDS HEART JOURNAL, ISSN 1568-5888, Vol. 20, no 7-8, 313-319 p.Article in journal (Refereed) Published
Abstract [en]

Adherence to (non)pharmacological treatment is important in heart failure (HF) patients, since it leads to better clinical outcome. Although self-reported and objectively measured medication adherence in HF patients have been compared in previous studies, none of these studies have used an evidence-based cutpoint to differentiate between adherence and non-adherence. In 37 HF patients (mean age 68 +/- 10 years, 27 % female, 40 % NYHA functional class III-IV), medication (ACEi/ARB) adherence was objectively measured using the Medication Event Monitoring System (MEMS). Adherence to and importance of taking medication was also assessed by self-report using the Revised HF Compliance Questionnaire. All patients reported that adherence was (highly) important to them and that they always took their medication as prescribed (i.e. 100 % adherence). However, when measured by the MEMS, only 76 % of all patients were adherent. Non-adherent patients more often had a complex medication regimen (78 % vs. 21 %, P less than .01), more often depressive symptoms (75 % vs. 29 %, P = .04) and a shorter history of HF (8 vs. 41 months, P = .04), compared with adherent patients. Medication adherence measured by the MEMS was remarkably lower than self-reported adherence. Given the evidence of its importance, further efforts are needed to improve adherence to the pharmacological regimen in HF patients.

Place, publisher, year, edition, pages
Springer Verlag (Germany) , 2012. Vol. 20, no 7-8, 313-319 p.
Keyword [en]
Adherence; Compliance; Heart failure; Medication event monitoring system; Self-report
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-80694DOI: 10.1007/s12471-012-0283-9ISI: 000306736500005OAI: oai:DiVA.org:liu-80694DiVA: diva2:547834
Available from: 2012-08-29 Created: 2012-08-29 Last updated: 2012-08-31

Open Access in DiVA

fulltext(303 kB)614 downloads
File information
File name FULLTEXT01.pdfFile size 303 kBChecksum SHA-512
9bbb0db264eafebf90cf63dc7b471e6e3d66f644b4aa44b8cd954c5eb6390dbaafa9259eaae26dd0dc135303107c544d496613925e8937631410e2b6f9f95251
Type fulltextMimetype application/pdf

Other links

Publisher's full text

Authority records BETA

Jaarsma, Tiny

Search in DiVA

By author/editor
Jaarsma, Tiny
By organisation
Health, Activity, CareFaculty of Health Sciences
Medical and Health Sciences

Search outside of DiVA

GoogleGoogle Scholar
Total: 614 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
urn-nbn

Altmetric score

doi
urn-nbn
Total: 286 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf