Psychological Factors and Treatment Adherence Behavior in Patients With Chronic Heart Failure

Schweitzer, Robert, Head, Kathryn B., & Dwyer, Jonathan (2007) Psychological Factors and Treatment Adherence Behavior in Patients With Chronic Heart Failure. Journal of Cardiovascular Nursing, 22(1), pp. 76-83.


Background: Chronic heart failure adversely affects 300,000 Australians. Symptom stabilization and prognosis are partially determined by patients following medical and lifestyle recommendations.

Methods: To test the hypothesis that depression, anxiety, and self-efficacy are independent predictors of such adherence, 115 predominately male (70.6%) volunteers with a mean age of 63 years were recruited from a major teaching hospital in Australia.

Results: Depression (Beck Depression Inventory score >10, 33.3%) failed to predict adherence. Trait anxiety (State-Trait Anxiety Inventory score >40, 31%) explained minimal variability regarding smoking and alcohol adherence. Self-efficacy strongly predicted adherence behavior.

Conclusions: Findings will assist cardiac nurses to prepare strategies to optimize adherence and quality of life while minimizing public health costs.

Impact and interest:

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40 citations in Web of Science®

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ID Code: 15004
Item Type: Journal Article
Refereed: Yes
Additional URLs:
ISSN: 0889-4655
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Copyright Owner: Copyright 2007 Lippincott Williams & Wilkins
Copyright Statement: This is the author-version of the work. The final, definitive version of this article has been published in the Journal, Journal of Cardiovascular Nursing 22(1):pp. 76-83, 2007 © < Lippincott, Williams & Wilkins.
Deposited On: 02 Oct 2008 00:00
Last Modified: 29 Feb 2012 13:26

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