Impact of a SystemCHANGE™
Intervention on Medication Adherence in Older Adults With Heart Failure: A
Feasibility Study.
Abstract
The purpose of the
current study was to examine the feasibility and acceptability of a
SystemCHANGE™ intervention in improving medication adherence in older adults
with heart failure (HF). Adults age ≥50 years with HF who self-administered
diuretics were screened for 2 months using electronic monitoring to determine
baseline adherence scores. Participants were randomized into the SystemCHANGE™
or attention-control group if adherence scores were <88%. The SystemCHANGE™
intervention focuses on changing the individual's environment by including
medication taking into existing routines, receiving support from individuals
who impact routines, and using small experiments with feedback. Challenges were
noted by participants in using the electronic medication monitor technology
during the screening phase. Lessons learned from this study emphasize the need
to revise recruitment procedures and include multiple sites. Education and
counseling should be adapted to the cognitive level of the participant and
address technology challenges. [Journal of Gerontological Nursing,
https://www.blogger.com/blogger.g?blogID=7133329557719394967#editor/target=post;postID=8363865960137082036
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