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      The influence of reminder book to adherence of heart failure patients in Malang city

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          Abstract

          Background: Non-adherence to the recommended therapy causes patients with heart failure to experience recurrence of the disease. Reminder book on therapy adherence is very useful, because it assists in monitoring adherence to therapy carried out by patients while at home. Therefore, this study aims to determine the effect of the existence of a reminder book on adherence to therapy among patients with heart failure in a private hospital in Malang.

          Design and Methods: A pre-experiment design with one-group pre and posttest was used. The respondents were 18 patients that received counseling on the management of heart failure therapy while at home and were given a reminder book. Furthermore, the modified MMAS-8 scale was the study instrument used to measure adherence.

          Result: The results showed that most respondents were above the age of 65 with a treatment duration of 1 to 5 years. It was discovered that most of the respondents had never received information about heart failure therapy. Data analysis which was carried out using the Wilcoxon test with a p-value of 0.001, showed that there was a significant difference between respondents’ compliance before and after being given a reminder book.

          Conclusions: From this study, it was concluded that providing a reminder book has an effect on therapeutic adherence in patients with heart failure. Researchers recommend that hospitals should make use of this reminder as a tool to control or supervise outpatient therapy.

          Significance for public health

          The number of patients diagnosed with heart failure is increasing yearly, including rehospitalization rates. Adherence to therapy among patients with heart failure is important in preventing recurrence. One of the ways in improving adherence is the use of self-management techniques, such as independent monitor therapy. An example of this therapy is the use of a reminder book which helps to improve adherence and self-efficacy in patients with heart failure.

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          Most cited references25

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          Heart Disease and Stroke Statistics—2017 Update: A Report From the American Heart Association

          Emelia Benjamin, Michael Blaha, Stephanie Chiuve … (2017)
          Circulation, 135(10)
          Article 0 comments Cited 1409 times – based on 0 reviews     Review now
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            Medication Adherence Interventions Improve Heart Failure Mortality and Readmission Rates: Systematic Review and Meta‐Analysis of Controlled Trials

            Todd M Ruppar, Pamela Cooper, David R Mehr … (2016)
            Background Poor adherence to medications is a common problem among heart failure (HF) patients. Inadequate adherence leads to increased HF exacerbations, reduced physical function, and higher risk for hospital admission and death. Many interventions have been tested to improve adherence to HF medications, but the overall impact of such interventions on readmissions and mortality is unknown. Methods and Results We conducted a comprehensive search and systematic review of intervention studies testing interventions to improve adherence to HF medications. Mortality and readmission outcome effect sizes (ESs) were calculated from the reported data. ESs were combined using random‐effects model meta‐analysis methods, because differences in true between‐study effects were expected from variation in study populations and interventions. ES differences attributed to study design, sample, and intervention characteristics were assessed using moderator analyses when sufficient data were available. We assessed publication bias using funnel plots. Comprehensive searches yielded 6665 individual citations, which ultimately yielded 57 eligible studies. Overall, medication adherence interventions were found to significantly reduce mortality risk among HF patients (relative risk, 0.89; 95% CI, 0.81, 0.99), and decrease the odds for hospital readmission (odds ratio, 0.79; 95% CI, 0.71, 0.89). Heterogeneity was low. Moderator analyses did not detect differences in ES from common sources of potential study bias. Conclusions Interventions to improve medication adherence among HF patients have significant effects on reducing readmissions and decreasing mortality. Medication adherence should be addressed in regular follow‐up visits with HF patients, and interventions to improve adherence should be a key part of HF self‐care programs.
            Article 0 comments Cited 109 times – based on 0 reviews     Review now
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              Rehospitalization for heart failure: problems and perspectives.

              Mihai Gheorghiade, Muthiah Vaduganathan, Gregg C. Fonarow … (2013)
              With a prevalence of 5.8 million in the United States alone, heart failure (HF) is associated with high morbidity, mortality, and healthcare expenditures. Close to 1 million hospitalizations for heart failure (HHF) occur annually, accounting for over 6.5 million hospital days and a substantial portion of the estimated $37.2 billion that is spent each year on HF in the United States. Although some progress has been made in reducing mortality in patients hospitalized with HF, rates of rehospitalization continue to rise, and approach 30% within 60 to 90 days of discharge. Approximately half of HHF patients have preserved or relatively preserved ejection fraction (EF). Their post-discharge event rate is similar to those with reduced EF. HF readmission is increasingly being used as a quality metric, a basis for hospital reimbursement, and an outcome measure in HF clinical trials. In order to effectively prevent HF readmissions and improve overall outcomes, it is important to have a complete and longitudinal characterization of HHF patients. This paper highlights management strategies that when properly implemented may help reduce HF rehospitalizations and include adopting a mechanistic approach to cardiac abnormalities, treating noncardiac comorbidities, increasing utilization of evidence-based therapies, and improving care transitions, monitoring, and disease management. Copyright © 2013 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.
              Article 0 comments Cited 100 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): J Public Health Res
                Journal ID (publisher-id): JPHR
                Title: Journal of Public Health Research
                Publisher: PAGEPress Publications, Pavia, Italy
                ISSN (Print): 2279-9028
                ISSN (Electronic): 2279-9036
                Publication date (Electronic): 14 April 2021
                Publication date Collection: 15 April 2021
                Volume: 10
                Issue: 2
                Electronic Location Identifier: 2158
                Affiliations
                School of Nursing , Faculty of Medicine, Universitas Brawijaya , Malang, Indonesia
                Author notes
                School of Nursing, Faculty of Medicine, Universitas Brawijaya, Jl. Puncak Dieng, Kunci, Kalisongo, Kec. Dau, Malang, East Java 65151, Indonesia. Tel. +62.341569117- +62.341564755. hanie.fk@ 123456ub.ac.id

                Contributions: All the authors made a substantive intellectual contribution, have read and approved the final version of the manuscript and agreed to be accountable for all aspects of the work.

                Conflict of interest: The authors declare that they have no competing interests, and all authors confirm accuracy.

                Ethical Approval: This study was carried out after obtaining ethical permission from the Health Research Ethics Commission of the Faculty of Medicine, Universitas Brawijaya No. 336 / EC / KEPK-S1- PSIK / 12/2018.

                Conference presentation: Part of this study was presented at the 1 st International Nursing and Health Sciences Symposium, November 13 th to 15 th 2020, Brawijaya University, Malang, Indonesia.

                Article
                DOI: 10.4081/jphr.2021.2158
                PMC ID: 8129757
                PubMed ID: 33855392
                SO-VID: 1c470505-17c8-4b79-9136-e49e616939b8
                Copyright © ©Copyright: the Author(s)
                License:

                This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 20 January 2021
                Date accepted : 24 March 2021
                Page count
                Figures: 0, Tables: 3, Equations: 0, References: 25, Pages: 4
                Funding
                Funding: none
                Categories
                Subject: Article

                Keywords: reminder book,adherence to therapy,heart failure
                Data availability:
                Keywords: reminder book, adherence to therapy, heart failure

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