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Lumped-Parameter and Finite Element Modeling of Heart Failure with Preserved Ejection Fraction
Published on: February 13, 2021
Heart failure patient adherence: epidemiology, cause, and treatment
Paul S Corotto1, Melissa M McCarey, Suzanne Adams
1UPMC Internal Medicine, UPMC Montefiore Hospital, University of Pittsburgh Medical Center, Pittsburgh, PA 15213, USA.
Heart Failure Clinics
|November 22, 2012
Summary
Improving adherence to heart failure (HF) treatments is crucial. Telemonitoring and self-management programs show promise in enhancing adherence and improving clinical outcomes for HF patients.
Area of Science:
- Cardiology
- Health Services Research
Background:
- Poor adherence to prescribed medications, diets, and exercise negatively impacts heart failure (HF) clinical outcomes.
- Low adherence rates persist despite educational and self-management programs, failing to significantly reduce HF morbidity, mortality, or rehospitalization.
- Comorbidities, depression, and cognitive decline are key factors contributing to non-adherence in HF patients.
Purpose of the Study:
- To evaluate the effectiveness of telemonitoring and self-management interventions in improving adherence behaviors for heart failure (HF) patients.
- To assess the impact of enhanced self-management interventions within comprehensive HF management programs on clinical outcomes.
Main Methods:
- Implementation of telemonitoring systems to track and encourage adherence to therapeutic regimens.
- Integration of self-management support programs within broader heart failure (HF) management strategies.
- Assessment of adherence behaviors and clinical outcomes in the HF population.
Main Results:
- Telemonitoring interventions demonstrated significant improvements in adherence behaviors.
- Enhanced self-management interventions within broader HF programs led to significant clinical improvements.
- Current HF education and self-management programs have not yet significantly decreased mortality or rehospitalization rates.
Conclusions:
- Telemonitoring is a promising tool for improving adherence in heart failure (HF) patients.
- Integrated self-management interventions within HF programs yield significant clinical benefits.
- Further research is needed to translate improved adherence into reduced HF mortality and rehospitalization.
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