A qualitative secondary data analysis of intentional and unintentional medication nonadherence in adults with chronic heart failure.

Details

• Personal Author:
  Dickson VV ; Riegel B ; Dickson VV ; Riegel B
• Description:
  Objective: To explore factors contributing to intentional and unintentional medication nonadherence in adults with chronic heart failure (HF). Background: Medication nonadherence is prevalent in HF but the factors contributing to it are not well understood. Methods: This secondary data analysis of qualitative data explored narrative accounts about medication adherence from four previous studies (N = 112). The Necessity-Concerns-Framework derived from the Common Sense Model (CSM) of Self-Regulation guided the interpretation of themes. Results: In this diverse sample (39% Black, 6% Hispanic, 63% male; mean age 59 +/- 15 years), 90% reported at least intermittent nonadherence. For many (60%), missing medication was unintentional but 27% reported intentional nonadherence. Four interconnected patterns of behavior emerged: 1) rarely nonadherent, 2) frequently nonadherent, 3) intentionally nonadherent, and 4) reformed nonadherent. Misperceptions about HF, beliefs, concerns, and contextual factors contributed to both intentional and unintentional nonadherence. Conclusion: Medication nonadherence is prevalent in HF and influenced by modifiable factors. [Description provided by NIOSH]
• Subjects:
  Behavior Biopharmaceutics Cardiovascular Diseases Cardiovascular System Chronic Disease Occupational Health Safety
• Keywords:
  Author Keywords: Common Sense Model; Heart Failure; Medication Adherence; Qualitative Symptoms; Self-care Heart Disease; Chronic Diseases; Behavior; Qualitative Analysis; Medical Treatment; Pharmaceuticals;
• ISSN:
  0147-9563
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article ; Journal Article
• Place as Subject:
  Maryland ; New York ; OSHA Region 2 ; OSHA Region 3 ; Pennsylvania
• CIO:
  National Institute for Occupational Safety and Health (NIOSH) ; National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health ; Workplace Safety & Health
• Location:
  North America ; North America
• Pages in Document:
  468-474
• Volume:
  45
• Issue:
  6
• NIOSHTIC Number:
  nn:20069110
• Citation:
  Heart Lung 2016 Nov-Dec; 45(6):468-474
• Contact Point Address:
  Barbara Riegel PhD, RN, FAHA, FAAN, University of Pennsylvania School of Nursing, 418 Curie Boulevard, Philadelphia, PA 19104-4217, United States
• Email:
  briegel@nursing.upenn.edu
• Federal Fiscal Year:
  2017
• Performing Organization:
  Johns Hopkins University
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  Heart & Lung: The Journal of Acute and Critical Care
• End Date:
  20280630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:7dc847c09aedf140bc731323e8446b4703641ae07d6ad9e7b7238120dab30b8f7dcaa9b938d34d035f87873a0fe7fec262d5d13dcaf290925445e82b6de3b57d
• Download URL:
  https://stacks.cdc.gov/view/cdc/248307/cdc_248307_DS1.pdf
• File Type:
  [PDF - 168.02 KB ]