title: Heart failure patient adherence: epidemiology, cause, and treatment.
abstract: Poor adherence to therapeutic regimens is a significant impediment to improving clinical outcomes in the HF population. Typical rates of adherence to prescribed medications, low-sodium diets, and aerobic exercise programs remain lower than that needed to decrease morbidity and mortality associated with HF. Factors contributing to poor adherence include multiple comorbidities, clinical depression, and decreased cognitive functioning. HF education and programs to enhance self-management skills have improved patient quality of life but have yet to decrease mortality or rehospitalization rates significantly. Telemonitoring to improve adherence behaviors and self-management interventions within broader HF management programs have demonstrated significant clinical improvements in this population.
authors.affiliation: UPMC Internal Medicine, UPMC Montefiore Hospital, University of Pittsburgh Medical Center, Pittsburgh, PA 15213, USA.
authors.forename: Paul S
authors.initials: PS
authors.lastname: Corotto
authors.forename: Melissa M
authors.initials: MM
authors.lastname: McCarey
authors.forename: Suzanne
authors.initials: S
authors.lastname: Adams
authors.forename: Prateeti
authors.initials: P
authors.lastname: Khazanie
authors.forename: David J
authors.initials: DJ
authors.lastname: Whellan
mesh_terms: D002317:Cardiovascular Agents / Q000191:economics / Q000627:therapeutic use; D015897:Comorbidity; D003863:Depression / Q000453:epidemiology; D004039:Diet, Sodium-Restricted / Q000523:psychology*; D019468:Disease Management; D015444:Exercise / Q000523:psychology*; D005252:Fees, Pharmaceutical; D006304:Health Status; D006333:Heart Failure / Q000453:epidemiology / Q000523:psychology / Q000628:therapy; D006801:Humans; D016743:Mental Competency; D010043:Outcome and Process Assessment, Health Care; D010349:Patient Compliance / Q000523:psychology / Q000706:statistics & numerical data; D010353:Patient Education as Topic / Q000458:organization & administration; D010359:Patient Readmission / Q000706:statistics & numerical data; D011788:Quality of Life; D012648:Self Care / Q000523:psychology; D017216:Telemedicine / Q000379:methods
chemical_list: D002317:Cardiovascular Agents