Mind Your Heart: Exploring Feasibility, Acceptability, and Preliminary Effects of Phone-Delivered Mindfulness Training on Medication Adherence in Outpatients With Chronic Heart Failure.
Elena Salmoirago-Blotcher, Kristen Walaska, Dyuti Trivedi and 5 others
PMID 35067596WHAT IT FOUND
In outpatients with chronic heart failure, phone-delivered mindfulness training was feasible and acceptable, but did not improve medication adherence; objectively measured adherence dropped from 73% to 58%.
Key findings
01Participants had 100% retention at 3 months and 97% rated the phone mindfulness program enjoyable or very enjoyable.
02Objective medication adherence decreased from 73% to 58%, while self-reported adherence did not change.
03Walking distance increased from 350 meters to 378 meters, but the study had no control group.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
There was no control group, so changes could be due to time, regression, or unmeasured factors rather than mindfulness training. The study stopped early because of the pandemic and did not reach the planned 50 participants, so secondary outcomes were underpowered. Two of 33 consented participants never started, so the analyzed sample was 31. Participants were mostly well educated and had no baseline depression, so results may not apply to less educated patients or those with depression. Only one medication was monitored for objective adherence. Study staff and participants were not masked.
Declared interests
The supplied metadata lists NIH extramural research support. The article text provided does not include a conflicts of interest declaration.
The easy way to misread this
Do not read this as evidence that phone mindfulness improves heart failure medication adherence. Objective adherence decreased from 73% to 58%, and the study had no control group, so the change cannot be attributed to the intervention.