Volume 28, Issue 3 (7-2020)                   Avicenna J Nurs Midwifery Care 2020, 28(3): 193-204 | Back to browse issues page

XML Persian Abstract Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Aghamohammadi M, Khatiban M, Soltanian A, Khalili Z. Comparison of the Effect of Two Teach-Back Training and Pictorial Training Methods on Medication Adherence in Heart Failure Patients. Avicenna J Nurs Midwifery Care 2020; 28 (3) :193-204
URL: http://nmj.umsha.ac.ir/article-1-2142-en.html
Comparison of the Effect of Two Teach-Back Training and Pictorial Training Methods on Medication Adherence in Heart Failure Patients
Maryam Aghamohammadi1 , Mahnaz Khatiban2 , Alireza Soltanian3 , Zahra Khalili * 4
1- MSc, Student Research Center, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran
2- Professor, Mother & Child Care Research Center, Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran
3- Professor, Department of Statistics, Faculty of Health, Hamadan University of Medical Sciences, Hamadan, Iran
4- Faculty Member, Research Center for Chronic Disease Care, Department of Medical Surgical Nursing, Faculty of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran , zkhalili90@yahoo.com
Abstract:   (4379 Views)
Background & Aim: Medicinal nonadherence prevents the achievement of therapeutic goals in cardiovascular patients. Training is essential to increase medicinal adherence. Therefore, the present study compared the effect of two teach-back and pictorial training methods on the medication adherence in heart failure patients.
Methods: This quasi-experimental study was performed on 210 heart failure patients in Hamadan Heart Hospital in 2019. Patients were selected by convenience sampling and randomly assigned to one of three groups of Teach-back, pictorial, and control training. Training sessions were held in three sessions on three consecutive days. Data were collected using demographic and medication adherence questionnaire (MMAS-8) before, immediately and 6 weeks after training. ANOVA, ANCOVA and Repeated measures ANOVA statistical tests were used.
Results: There was no statistically significant difference between the three groups in medicinal adherence at baseline. Immediately after training, medication adherence was significantly higher in teach-back and pictorial groups than the control group (P<0.001), but there was no difference between teach back group and the pictorial group (P=0.123). Six weeks after training, medicinal adherence was significantly higher in teach-back group compared to the control and pictorial group (P<0.001). There was no significant difference between the two methods at different levels of education (P>0.05).
Conclusion: Teach-back training helps maintain medicinal adherence in heart failure patients. Therefore, it is recommended that nurses use this training method to improve medicinal adherence in these patients.
Keywords: Heart Failure, Medication Adherence, Education
Persian Full-Text [PDF 564 kb]   (1551 Downloads) |   |   Extended Abstract (HTML)  (1297 Views)  
Type of Study: Original Research | Subject: Nursing
Received: 2020/02/4 | Accepted: 2020/04/13 | Published: 2020/05/30
References
1. WHO. Cardiovascular diseases Geneva: World Health Organization; 2019 [Available from: https://www.who.int/health-topics/cardiovascular-diseases#tab=tab_1.
2. Fihn SD, Blankenship JC, Alexander KP, Bittl JA, Byrne JG, Fletcher BJ, et al. 2014 ACC/AHA/AATS/PCNA/SCAI/STS focused update of the guideline for the diagnosis and management of patients with stable ischemic heart disease: A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines, and the American Association for Thoracic Surgery, Preventive Cardiovascular Nurses Association, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. Journal of Thoracic and Cardiovascular Surgery. 2015;149(3):e5-e23.
3. DiMatteo MR, Giordani PJ, Lepper HS, Croghan TW. Patient adherence and medical treatment outcomes a meta-analysis. Medical care. 2002:794-811. [DOI:10.1097/00005650-200209000-00009] [PMID]
4. Lawrence D, Miller JH, Flexner CW. Medication Adherence. The Journal of Clinical Pharmacology. 2017;57(4):422-7. [DOI:10.1002/jcph.862] [PMID]
5. Naderi SH, Bestwick JP, Wald DS. Adherence to drugs that prevent cardiovascular disease: meta-analysis on 376,162 patients. The American journal of medicine. 2012;125(9):882-7. e1. [DOI:10.1016/j.amjmed.2011.12.013] [PMID]
6. Zhang Y, Wu S-H, Fendrick AM, Baicker K. Variation in medication adherence in heart failure. JAMA internal medicine. 2013;173(6):468-70. [DOI:10.1001/jamainternmed.2013.2509] [PMID] [PMCID]
7. Kharameh ZT, Khoshravesh S, Noori R, Abdolmalaki M, Bakhshi M. Determinants of medication adherence among Iranian elderly patients with chronic diseases. Jundishapur Journal of Chronic Disease Care. 2018;7(3). [DOI:10.5812/jjcdc.68310]
8. Seyedfatemi N, Zeinali E, Bahremand M, Mehran A, Zeinali M. The Relationship Between Medication Adherence and Coping Skills in Patients With Heart Failure. Avicenna Journal of Nursing and Midwifery Care. 2019;27(2):89-96. [DOI:10.30699/sjhnmf.27.2.89]
9. Dianati M, Taghadosi M. Medication adherence rate and related factors in patients with acute coronary syndrome after discharge from Shahid Beheshti Hospital in Kashan during 2017-2018. KAUMS Journal (FEYZ). 2019;23(2):201-8.
10. Zare S, Shams M, Fararouei M, Shariatinia S. Antihypertensive Drugs Adherence in Heart Disease Patients Referring to the Imam Reza Clinic in Shiraz. Sadra Medical Sciences Journal. 2018;6(2):151-60.
11. Ataee M, Ahmadi-Jouybari T, Hosseini SN, Ahmadi E, Emdadi S, Farhadian M, et al. Self-care in Cardiovascular Patients: a Cross-Sectional Study in Hamadan County, the west of Iran. Journal of Biology and Today's World. 2014;3(4):68-72. [DOI:10.15412/J.JBTW.01030403]
12. Napolitano F, Napolitano P, Angelillo IF, Group CW. Medication adherence among patients with chronic conditions in Italy. The European Journal of Public Health. 2015;26(1):48-52. [DOI:10.1093/eurpub/ckv147] [PMID]
13. Bahonar A, Sarrafzadegan N, Kelishadi R, Shirani S, Ramezani MA, Taghdisi MH, et al. Association of socioeconomic profiles with cardiovascular risk factors in Iran: the Isfahan Healthy Heart Program. International journal of public health. 2011;56(1):37-44. [DOI:10.1007/s00038-010-0125-8] [PMID]
14. Downey LV, Zun LS. Assessing adult health literacy in urban healthcare settings. J Natl Med Assoc. 2008;100(11):1304-8. [DOI:10.1016/S0027-9684(15)31509-1]
15. Panagiotakos DB, Pitsavos C, Chrysohoou C, Vlismas K, Skoumas Y, Palliou K, et al. The effect of clinical characteristics and dietary habits on the relationship between education status and 5-year incidence of cardiovascular disease: the ATTICA study. European journal of nutrition. 2008;47(5):258. [DOI:10.1007/s00394-008-0720-0] [PMID]
16. Van Riet EE, Hoes AW, Wagenaar KP, Limburg A, Landman MA, Rutten FH. Epidemiology of heart failure: the prevalence of heart failure and ventricular dysfunction in older adults over time. A systematic review. European journal of heart failure. 2016;18(3):242-52. [DOI:10.1002/ejhf.483] [PMID]
17. Yap AF, Thirumoorthy T, Kwan YH. Medication adherence in the elderly. Journal of Clinical Gerontology and Geriatrics. 2016;7(2):64-7. [DOI:10.1016/j.jcgg.2015.05.001]
18. Seyedoshohadaee M, Babaeeyan Kshtelee F, Seyyed Fatemi N, Saravi M, Haghani H. The Effect of Self-Care Education on the Resilience of the Patients With Heart Failure. JCCNC. 2018;4(3):165-72. [DOI:10.32598/jccnc.4.3.165]
19. Alligood M. Nursing Theory: Utilization and Application. 5th ed. United States: Mosby; 2014.
20. Ahmadi A, Soori H, Mehrabi Y, Etemad K, Samavat T, Khaledifar A. Incidence of acute myocardial infarction in Islamic Republic of Iran: a study using national registry data in 2012. Eastern Mediterranean health journal. 2015;21(1):5-12. [DOI:10.26719/2015.21.1.5] [PMID]
21. Javadzade SH, Sharifirad G, Radjati F, Mostafavi F, Reisi M, Hasanzade A. Relationship between health literacy, health status, and healthy behaviors among older adults in Isfahan, Iran. Journal of education and health promotion. 2012;1. [DOI:10.4103/2277-9531.100160] [PMID] [PMCID]
22. McCormack L, Thomas V, Lewis MA, Rudd R. Improving low health literacy and patient engagement: A social ecological approach. Patient Educ Couns. 2017;100(1):8-13. [DOI:10.1016/j.pec.2016.07.007] [PMID]
23. Dinh TTH, Bonner A, Clark R, Ramsbotham J, Hines S. The effectiveness of the teach-back method on adherence and self-management in health education for people with chronic disease: a systematic review. JBI Database System Rev Implement Rep. 2016;14(1):210-47. [DOI:10.11124/jbisrir-2016-2296] [PMID]
24. Negarandeh R, Mahmoodi H, Noktehdan H, Heshmat R, Shakibazadeh E. Teach back and pictorial image educational strategies on knowledge about diabetes and medication/dietary adherence among low health literate patients with type 2 diabetes. Prim Care Diabetes. 2013;7(2):111-8. [DOI:10.1016/j.pcd.2012.11.001] [PMID]
25. Dinh TTH, Clark R, Bonner A, Hines S. The effectiveness of health education using the teach-back method on adherence and self-management in chronic disease: a systematic review protocol. JBI Database System Rev Implement Rep. 2013;11(10):30-41. [DOI:10.11124/jbisrir-2013-900]
26. Ghanbari A, Nourozi Tabrizi K, Dalvandi A, Kavari SH, Noroozi M. Effect of an educational program based on the teach-back method on adherence to treatment regimen in dialysis patients with end stage renal disease referred to Sina Hospital during 2015-2016. Iranian Journal of Rehabilitation Research in Nursing. 2017;4(1):24-30.
27. Oliveira-Filho AD, Barreto-Filho JA, Neves SJF, Lyra Junior DPd. Association between the 8-item Morisky Medication Adherence Scale (MMAS-8) and blood pressure control. Arquivos brasileiros de cardiologia. 2012;99(1):649-58. [DOI:10.1590/S0066-782X2012005000053] [PMID]
28. Mehrtak M, Hemmati A, Bakhshzadeh A. Health Literacy and its Relationship with the medical, dietary Adherence and exercise in Patients with Type II Diabetes mellitus. Journal of Health Literacy. 2018;3(2):137-44.
29. Awuah-Asamoah M. Effects of Teach-Back Method of Education on Knowledge of Heart Failure Self-Care Management and Post-Discharge Knowledge Retention: George Washington University; 2019.
30. Boyde M, Peters R, New N, Hwang R, Ha T, Korczyk D. Self-care educational intervention to reduce hospitalisations in heart failure: a randomised controlled trial. European Journal of Cardiovascular Nursing. 2018;17(2):178-85. [DOI:10.1177/1474515117727740] [PMID]
31. Dinh H, Bonner A, Ramsbotham J, Clark R. Self‐management intervention using teach‐back for people with heart failure in Vietnam: A cluster randomized controlled trial protocol. Nursing & health sciences. 2018;20(4):458-63. [DOI:10.1111/nhs.12534] [PMID]
32. Riegel B, Moser DK, Buck HG, Dickson VV, Dunbar SB, Lee CS, et al. Self‐care for the prevention and management of cardiovascular disease and stroke: A scientific statement for healthcare professionals from the American Heart Association. Journal of the American Heart Association. 2017;6(9):e006997. [DOI:10.1161/JAHA.117.006997] [PMID] [PMCID]
33. Khajavi A, Moeini M, Shafiei D. The Impact of a Web-Based Family-Oriented Supportive Education Program in Adher-ence to Treatment of The Heart Failure Patients After Discharge From Hospital; A Randomized Clinical Trial. Journal of Clinical Nursing and Midwifery. 2018;7(3):286-95.
34. Vollmer WM, Owen-Smith AA, Tom JO, Laws R, Ditmer DG, Smith DH, et al. Improving adherence to cardiovascular disease medications with information technology. The American journal of managed care. 2014;20(11 Spec No 17):SP502.
35. Kazemi Majd R, Hosseini M, Safi MH, Norouzi K, Hoseinzadeh S. The Effect of Self-care Education Based on Short Message Service on Self-efficacy and Adherence to the Medication Regimen in Adolescents with Epilepsy Referred to Iran Epilepsy Association of in 2016. Journal of Nursing Education (JNE). 2017;6(4).
36. Jeffery RA, To MJ, Hayduk-Costa G, Cameron A, Taylor C, Van Zoost C, et al. Interventions to improve adherence to cardiovascular disease guidelines: a systematic review. BMC family practice. 2015;16(1):147. [DOI:10.1186/s12875-015-0341-7] [PMID] [PMCID]
37. Shariatinia S. Antihypertensive Drugs Adherence in Heart Disease Patients Referring to the Imam Reza Clinic in Shiraz. 2018.
38. Zeinali e, zeinali m, bahremand m. The Association Between Medication Adherence and Coping Sterategies in Chronic Heart Failure Patients. Avicenna Journal of Nursing and Midwifery Care. 2019;27(2). [DOI:10.30699/sjhnmf.27.2.89]
Add your comments about this article : Your username or Email:
CAPTCHA
Send email to the article author

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | Avicenna Journal of Nursing and Midwifery Care

Designed & Developed by : Yektaweb