Patient treatment preferences for heart failure medications: A mixed methods study

Katy E. Trinkley, Michael G. Kahn, Larry A. Allen, Heather Haugen, Miranda E. Kroehl, Chen Tan Lin, Daniel C. Malone, Daniel D. Matlock

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction: Consideration of patient preferences for guideline-directed medical therapies (GDMT) for heart failure with reduced ejection fraction (HFrEF) may help improve major gaps in prescribing and adherence. This study aimed to identify the range and relative priority of factors influencing patients’ decisions to take HFrEF medications. Materials and Methods: This was a convergent mixed methods study of patients with HFrEF. Focus groups were conducted to identify a list of factors followed by individuals rating and ranking the influence of each factor on their decision to take a medication. Using thematic analysis, we summarized preferences into categories. Results: Two focus groups with 13 participants reported 22 factors. Of the factors, “keeping you alive” was most commonly ranked in the top three (seven participants), followed by “communication and understanding” (six participants). Factors were summarized into six categories (listed in order of patient-reported influence): 1) demonstrated improvements in quality of life and longevity, 2) decreased risk of hospitalization, 3) opportunity for shared decision-making and trust in provider, 4) absence of adverse events, 5) affordability, and 6) convenience of taking and absence of interference with daily life. Conclusion: Patients prioritize treatment benefits and being informed more than risks, cost and inconvenience of taking HFrEF medications.

Original languageEnglish (US)
Pages (from-to)2225-2230
Number of pages6
JournalPatient Preference and Adherence
Volume14
DOIs
StatePublished - 2020
Externally publishedYes

Keywords

  • Heart failure
  • Medication preferences
  • Patient preferences
  • Treatment preferences

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Social Sciences (miscellaneous)
  • Pharmacology, Toxicology and Pharmaceutics (miscellaneous)
  • Health Policy

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