International Journal of Clinical Pharmacy

, Volume 34, Issue 4, pp 618–625 | Cite as

Exploring the beliefs of heart failure patients towards their heart failure medicines and self care activities

  • Matthew PercivalEmail author
  • W. Neil Cottrell
  • Rohan Jayasinghe
Research Article


Aim To identify Heart Failure patients’ beliefs towards their medications and how these beliefs relate to adherence. Method Patients attending a multi-disciplinary, community based heart failure clinic on the Gold Coast, Australia were interviewed using a questionnaire composed of fours parts: repertory grid technique; Beliefs About Medicines Questionnaire (BMQ); Medicines Adherence Reporting Scale (MARS); demographic details. Patients were divided into those categorised as adherent (MARS score ≥ 23) and those categorised as non-adherent (MARS score < 23). Necessity beliefs scores from BMQ and the frequency of statements generated from the repertory grid portion of the questionnaire were compared between these two groups. Results Forty-three patients were interviewed with a mean age (±SD) of 64 (±17) years and thirty-six (83.7 %) were male. Thirty-seven (86.0 %) patients were categorised as adherent; the remaining six (14.0 %) as non-adherent. The 43 patients generated a total of 262 statements about their medicines. The three most common themes identified were Related to fluid (36.6 %), Helps the heart (31.7 %) and Related to weight (13.7 %). There was a significantly higher median necessity score in the adherent group compared to the non adherent group (22.0 vs. 19.5, p = 0.0272). Patients with a strong necessity score also had significantly higher self reported adherence compared to patients with a strong concerns score (21.5 vs. 18.0, p = 0.006). Conclusion This study suggests that patients with heart failure possessing a strong belief in the necessity of their treatment regimen are more likely to demonstrate better adherence.


Adherence Australia Beliefs Heart failure Medications Repertory grid 



The research study comprised a component of a Masters in clinical pharmacy degree and as such, was undertaken without any funding.

Conflicts of interest



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Copyright information

© Springer Science+Business Media B.V. 2012

Authors and Affiliations

  • Matthew Percival
    • 1
    Email author
  • W. Neil Cottrell
    • 2
  • Rohan Jayasinghe
    • 3
  1. 1.Queensland HealthRobina Health PrecinctRobinaAustralia
  2. 2.Pharmacy Australia Centre of ExcellenceWoolloongabbaUSA
  3. 3.Cardiology DepartmentGold Coast Hospital Southport CampusSouthportAustralia

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