A qualitative study exploring the perceptions and motivations of patients with heart failure who transitioned from non-adherence to adherence

Sharon L. Myers, Elena O. Siegel, Dianne A Hyson, Julie T. Bidwell

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Management of heart failure (HF) involves complex self-care recommendations. Many patients have difficulty adhering to these recommendations, and mechanisms that support behavior change are poorly understood. Objective: The objective of this study was to explore the perceptions and motivations of individuals with HF who became adherent to HF treatment recommendations after being non-adherent. Methods: This was a qualitative descriptive study. Participants were recruited from cardiology clinics and completed a semi-structured interview on their experiences and motivations for self-care behavior change. Data was analyzed using thematic analysis. The sample size (n = 8) was sufficient to achieve saturation. Results: Five themes were identified: experiencing mortality, optimism and hope, making connections between behavior and health, self–efficacy, and the role of the clinician. The temporal chronological sequence of these themes across participants varied. Conclusions: This study adds to our current understanding of HF self-care by suggesting mechanisms that may enhance existing self-care interventions, and demonstrating the important role of the clinician.

Original languageEnglish (US)
Pages (from-to)817-823
Number of pages7
JournalHeart and Lung
Volume49
Issue number6
DOIs
StatePublished - Nov 1 2020

Keywords

  • Health Behavior
  • Heart failure
  • Hope
  • Qualitative research
  • Self-care
  • Self-efficacy

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine
  • Cardiology and Cardiovascular Medicine

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