ArticleArquivos brasileiros de cardiologia2016
Association between Spirituality and Adherence to Management in Outpatients with Heart Failure.
Article in Arquivos brasileiros de cardiologia, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 3 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
30 citing papers in PubMed, 3 syntheses or guidelines pooled it, 108 citations in OpenAlex.
- The Role of Depression on Treatment Adherence in Patients with Heart Failure-a Systematic Review of the Literature.Current cardiology reports · 2022Pooled it
- The Association Between Religiosity, Spirituality, and Medication Adherence Among Patients with Cardiovascular Diseases: A Systematic Review of the Literature.Journal of religion and health · 2022Pooled it
- Updated Cardiovascular Prevention Guideline of the Brazilian Society of Cardiology - 2019.Arquivos brasileiros de cardiologia · 2019Guideline
- Spirituality-Based Intervention in Hypertension: EFfects on Blood PrEssure and EndotheliaL Function-FEEL Trial Results.Global heart · 2025Trial
- Associations Between Religiosity, Symptoms, and the Quality of End of Life for Cardiovascular Disease Patients.Circulation reports · 2026Article
- Spiritual Well-Being of Heart Failure Patients in Türkiye: Its Relationship with Symptom Control and Medication Adherence.Journal of religion and health · 2026Article
- Spiritual well-being and quality of life among newly diagnosed Palestinian women with breast cancer: a prospective study.Scientific reports · 2026Article
- Posttraumatic growth theory as a framework for heart failure self-care intervention design.Frontiers in psychology · 2026Article
- The Relationship Between Spiritual Well-Being and Treatment Compliance in Adult Patients with Type 2 Diabetes in Northwestern Türkiye.Journal of religion and health · 2025Article
- Positive Psychology Insights on the Effects of Spirituality on Shared Decision-Making in Patients with Chronic Heart Failure: The Chain-Mediated Effects of Benefit-Finding and Decision Self-Efficacy.Healthcare (Basel, Switzerland) · 2025Article
- SPIRITUALITY AND MEDICATION ADHERENCE AMONG HYPERTENSIVES ATTENDING THE FAMILY MEDICINE CLINIC OF A NIGERIAN TERTIARY INSTITUTION: ANY MEETING POINT?Annals of Ibadan postgraduate medicine · 2025Article
- Effects of Ramadan on clinical visits at a primary health center in a Rohingya refugee camp in Bangladesh.PLOS global public health · 2025Article
- Update of the Situation-specific Theory for health management in heart failure: Delphi study.Revista latino-americana de enfermagem · 2025Article
- Spirituality and Cardiovascular Disease: Valuing Cultural Sensitivity in Cardiology.Arquivos brasileiros de cardiologia · 2025Article
- Predictive role of spiritual health, resilience, and mental well-being in treatment adherence among hemodialysis patients.BMC nephrology · 2024Article
- Psychometric Properties of the Polish Version of the FACIT-Sp-12: Assessing Spiritual Well-Being Among Patients with Chronic Diseases.Medical science monitor : international medical journal of experimental and clinical research · 2023Article
- Brazilian Adults' Hope and Spirituality in Preoperative Heart Surgery: A Cross-Sectional Study.Brazilian journal of cardiovascular surgery · 2023Article
- Spiritual Well-Being and Its Association with Coronary Artery Disease.Journal of religion and health · 2022Article
- Self-Efficacy, Social Activity, and Spirituality in the Care of Elderly Patients with Polypharmacy in Germany-A Multicentric Cross-Sectional Study within the HoPES3 Trial.Healthcare (Basel, Switzerland) · 2021Article
- Position Statement on Hypertension and Spirituality - 2021.Arquivos brasileiros de cardiologia · 2021Article
Corrections and comments
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Authors and funding
9 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSpirituality may influence how patients cope with their illness.
objectivesWe assessed whether spirituality may influence adherence to management of outpatients with heart failure.
methodsCross sectional study enrolling consecutive ambulatory heart failure patients in whom adherence to multidisciplinary treatment was evaluated. Patients were assessed for quality of life, depression, religiosity and spirituality utilizing validated questionnaires. Correlations between adherence and psychosocial variables of interest were obtained. Logistic regression models explored independent predictors of adherence.
resultsOne hundred and thirty patients (age 60 ± 13 years; 67% male) were interviewed. Adequate adherence score was observed in 38.5% of the patients. Neither depression nor religiosity was correlated to adherence, when assessed separately. Interestingly, spirituality, when assessed by both total score sum (r = 0.26; p = 0.003) and by all specific domains, was positively correlated to adherence. Finally, the combination of spirituality, religiosity and personal beliefs was an independent predictor of adherence when adjusted for demographics, clinical characteristics and psychosocial instruments.
conclusionSpirituality, religiosity and personal beliefs were the only variables consistently associated with compliance to medication in a cohort of outpatients with heart failure. Our data suggest that adequately addressing these aspects on patient's care may lead to an improvement in adherence patterns in the complex heart failure management.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.