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European Heart Journal Advance Access originally published online on November 28, 2005
European Heart Journal 2006 27(4):379-381; doi:10.1093/eurheartj/ehi664
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© The European Society of Cardiology 2005. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Patient-related factors of compliance in heart failure: some new insights into an old problem

Anna Strömberg1,2,*

1Department of Cardiology, Linköping University Hospital, Faculty of Health Sciences, Linköpings Universitet, Linköping, Sweden
2Department of Medicine and Care, Faculty of Health Sciences, Linköpings Universitet, Linköping, Sweden

* Corresponding author. Fax: +46 13-123285. E-mail address: annst@imv.liu.se

This editorial refers to ‘Compliance in heart failure patients: the importance of knowledge and beliefs’{dagger} by M.H.L. van der Wal et al., on page 434

The first 10% of the full text of this article appears below.

Introduction

During the last decades, heart failure treatment has improved rapidly. There are now a number of drugs recommended along with non-pharmacological interventions such as changes in lifestyle and monitoring of symptoms to improve mortality and morbidity in patients with heart failure.1 Many patients suffering from chronic heart failure need life-long treatment, and if the effects seen in clinical trials have to be replicated, patients must be prescribed treatment according to guidelines.1 Further, patients must follow the prescribed treatment.

Definition of compliance

The phenomenon of how patients follow treatment was at first known as compliance. Sackett and Haynes defined compliance, almost 25 years ago, as ‘the extent to which a person's behaviour (in terms of taking medications, following diets or executing other life-style changes) coincides with medical or health advice’.2 Later on, the term compliance was criticized for implying paternalism. Health care professionals dictated terms and . . . [Full Text of this Article]

The issues of non-compliance
Knowledge and beliefs
Motivation and adaptation
Limitations of self-reported compliance
Heart failure management programmes
Taking compliance one step further
Conclusion

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Related articles in EHJ:

Compliance in heart failure patients: the importance of knowledge and beliefs
Martje H.L. van der Wal, Tiny Jaarsma, Debra K. Moser, Nic J.G.M. Veeger, Wiek H. van Gilst, and Dirk J. van Veldhuisen
EHJ 2006 27: 434-440. [Abstract] [Full Text]  



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