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Adherence behavior in the prevention and treatment of cardiovascular disease

Nancy Houston Miller1

  • 1Stanford Cardiac Rehabilitation Program, Stanford University School of Medicine, Palo Alto, California, USA. nhm@stanford.edu

Journal of Cardiopulmonary Rehabilitation and Prevention
|December 24, 2011
PubMed

Insights

Improving adherence to cardiovascular disease treatments requires a comprehensive approach addressing patient, provider, and system factors. Strategies like motivational interviewing and quality improvement initiatives enhance patient behavior change for better health outcomes.

Area of Science:

  • Cardiology
  • Health Behavior Change
  • Healthcare Systems

Background:

  • Adherence to treatment is crucial for managing cardiovascular disease (CVD).
  • Barriers to adherence exist within patient, provider, and healthcare system domains.
  • Effective CVD management necessitates addressing lifestyle factors like exercise, diet, and medication, alongside smoking cessation.

Purpose of the Study:

  • To explore the multifaceted nature of adherence in cardiovascular disease management.
  • To identify key strategies for improving patient adherence to treatment plans.
  • To highlight the role of healthcare systems and professionals in supporting behavior change.

Main Methods:

  • Review of adherence factors across patient, provider, and system levels.
  • Integration of cognitive/behavioral health behavior change principles.
  • Application of communication strategies like motivational interviewing and coaching.
  • Emphasis on continuous quality improvement initiatives within healthcare systems.

Main Results:

  • Adherence is an interplay between patient, provider, and system elements.
  • Cognitive/behavioral strategies and communication techniques enhance adherence.
  • System-level improvements increase the success rate of behavior change interventions.
  • Cardiac rehabilitation programs are pivotal in supporting patient behavior change.

Conclusions:

  • A multi-domain approach is essential for improving adherence in cardiovascular disease.
  • Healthcare professionals in cardiac rehabilitation can significantly impact patient adherence.
  • Integrating behavioral science and quality improvement is key to successful patient outcomes.

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