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Adherence to angiotensin-converting enzyme inhibitor therapy for heart failure.

Bohachick, P and Burke, LE and Sereika, S and Murali, S and Dunbar-Jacob, J (2002) Adherence to angiotensin-converting enzyme inhibitor therapy for heart failure. Progress in cardiovascular nursing, 17 (4). 160 - 166. ISSN 0889-7204

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This study examined adherence to angiotensin-converting enzyme inhibitor therapy among 171 heart failure clinic patients. Adherence was monitored over a 3-month period with an electronic event monitor housed in a medication bottle cap, which recorded the date and time the cap was opened and closed. The average percentage of days that the prescribed number of doses (regimen adherence) was taken over the observation period was 84%. Seventy-one percent of patients showed 85%-100% adherence with their daily regimen; 19% exhibited less than 70% adherence. The overall high rates of adherence to angiotensin-converting enzyme inhibitor therapy observed among heart failure clinic patients is consistent with research that shows improved outcomes for patients managed in heart failure clinics. Electronic medication monitoring can be useful in identifying a substantial fraction of patients who are poorly adherent so that interventions to improve adherence can be targeted toward them. Additional research is needed to develop and test adherence-enhancing interventions. Copyright 2002 CHF, Inc.


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Item Type: Article
Status: Published
CreatorsEmailPitt UsernameORCID
Bohachick, P
Burke, LElbu100@pitt.eduLBU100
Sereika, Sssereika@pitt.eduSSEREIKA
Murali, S
Dunbar-Jacob, Jdunbar@pitt.eduDUNBAR
Date: 1 January 2002
Date Type: Publication
Journal or Publication Title: Progress in cardiovascular nursing
Volume: 17
Number: 4
Page Range: 160 - 166
DOI or Unique Handle: 10.1111/j.0889-7204.2002.01643.x
Schools and Programs: School of Nursing > Nursing
Refereed: Yes
ISSN: 0889-7204
MeSH Headings: Aged; Angiotensin-Converting Enzyme Inhibitors--therapeutic use; Data Interpretation, Statistical; Directly Observed Therapy--instrumentation; Female; Heart Failure--drug therapy; Humans; Male; Middle Aged; Patient Compliance--statistics & numerical data; Questionnaires; Self Administration--methods
PubMed ID: 12417831
Date Deposited: 18 Sep 2012 15:52
Last Modified: 02 Feb 2019 16:57


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