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Cutoff Value of Phase Angle by Bioelectrical Impedance Analysis at Admission as a Prognostic Factor in Patients with Acute Heart Failure
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Medication Adherence and Its Associated Factors Among Outpatients with Heart Failure

Anan S Jarab1,2, Walid A Al-Qerem3, Hanan Walid Hamam1

  • 1Department of Clinical Pharmacy, Faculty of Pharmacy, Jordan University of Science and Technology, Irbid, 22110, Jordan.

Patient Preference and Adherence
|May 15, 2023
PubMed

Insights

Poor medication adherence is common in heart failure patients. Interventions should target those with low education, on anticoagulants, or not on statins or ACEI/ARBs to improve outcomes.

Area of Science:

  • Cardiology
  • Pharmacology
  • Public Health

Background:

  • Medication adherence is crucial for effective heart failure (HF) management.
  • Poor adherence to HF medications significantly hinders desired health outcomes.
  • Identifying non-adherence factors is key to developing targeted interventions.

Purpose of the Study:

  • To assess medication adherence rates among heart failure patients in Jordan.
  • To identify factors associated with medication non-adherence in this population.

Main Methods:

  • A cross-sectional study was conducted in Jordanian outpatient cardiology clinics (August 2021-April 2022).
  • Data collected via medical records and questionnaires included socio-demographics, biomedical, disease, and medication characteristics.
  • Medication adherence was measured using the 4-item Morisky Medication Adherence Scale; multinomial logistic regression analyzed non-adherence factors.

Main Results:

  • 92.5% of 427 HF patients exhibited low to moderate medication adherence.
  • Higher education and absence of side effects correlated with moderate adherence.
  • Use of statins or ACEIs/ARBs was linked to higher adherence; non-use of anticoagulants also predicted better adherence.

Conclusions:

  • Low medication adherence is prevalent in Jordanian heart failure patients.
  • Intervention programs should focus on improving patient perception of medications.
  • Targeting interventions for patients with low education, on anticoagulants, or not on statins/ACEIs/ARBs is recommended.
Abstract

Keywords:
Jordanheart failureinterventionmedication adherencemedication concernsmedication necessity

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