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Enhancing adherence: Evaluating interventions for Heart Failure management in older adults
Mohamed Toufic El Hussein1, Simreen Dhaliwal2
1Professor and AgeCare Research Chair in Older Adults Health, School of Nursing and Midwifery, Faculty of Health, Community and Education, Mount Royal University. Clinical Associate, NP program, University of Alberta. Acute Care Nurse Practitioner Medical Cardiology, Coronary Care Unit -Rockyview General Hospital, 4825 Mount Royal Gate S.W., Calgary, AB, T3E 6K6, Canada.
Geriatric Nursing (New York, N.Y.)
|December 30, 2025
Summary
Improving heart failure (HF) management in older adults requires personalized care and technology. Key interventions include enhancing health literacy, mHealth apps, cardiac rehabilitation, and mobile reminders to boost medication adherence.
Area of Science:
- Gerontology
- Cardiology
- Health Services Research
Background:
- Heart failure (HF) management is complex, especially in older adults due to high rates of medication non-adherence.
- Non-adherence leads to increased hospital readmissions and healthcare expenditures.
- Integrated non-pharmacological and pharmacological strategies are vital for better HF outcomes.
Purpose of the Study:
- To conduct a scoping review of interventions aimed at improving heart failure management and adherence in older adults.
- To identify and map existing literature on strategies for enhancing HF care in this demographic.
Main Methods:
- A systematic search of peer-reviewed studies was conducted across PubMed, CINAHL, SCOPUS, and the Cochrane Library.
- The review included 13 studies after an initial screening of 511 articles.
Main Results:
- Four primary intervention themes emerged: enhancing health literacy, employing mHealth applications, implementing personalized cardiac rehabilitation, and utilizing scheduled mobile reminders.
- These interventions collectively aim to improve patient engagement and adherence to treatment plans.
Conclusions:
- Personalized care, technology-driven solutions, and clear communication are essential for effective HF management in older adults.
- Future research should expand language diversity in studies and explore the impact of comorbidities on intervention effectiveness.
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