Abstract P157: Awareness of Heart Failure, Blood Pressure Management and Self-Efficacy: The Research Goes Red for Women Registry

Background: Heart failure (HF) is increasing in the U.S., and awareness is needed for prevention. Hypertension is the leading cause of HF, and adherence to antihypertensive medication is critical for reducing HF risk. Self-efficacy positively influences health-promoting behaviors. Objectives: Assess HF awareness, test associations with antihypertensive medication adherence and self-efficacy. Methods: We leveraged data from participants enrolled in the American Heart Association’s Research Goes Red registry, an online platform powered by Verily. Three surveys ascertained HF awareness, blood pressure management, and self-efficacy. HF awareness scores were calculated based on correct answers to five HF questions. Chi-squared and Kruskal-Wallis tests determined associations between survey domains and participant characteristics. Results: 2,320 women took the HF awareness survey, 678 the blood pressure management survey, and 755 the self-efficacy survey. Participants were predominantly non-Hispanic White (78%) with a median age 51 (IQR: 39, 62). The median HF awareness score was 4 out of 5 (IQR: 4, 5). Participants with high HF awareness vs low were more likely to be older (p<0.001), non-Hispanic White (p<0.001), and less likely to smoke (p<0.001) or have depression (p=0.03). 89% of hypertensive participants reported medication adherence, which was not associated with HF awareness or self-efficacy. Participants with greater self-efficacy vs less were more likely to have higher HF awareness score (p=0.04), be older (p=0.01) and less likely to have depression (p=0.01). Conclusion: Women’s awareness of HF and adherence to antihypertensive medication in this cohort was high. Depression and younger age may be important factors affecting both women’s awareness of HF and confidence in managing their chronic disease medication plans. Hispanic, non-Hispanic Black, and young women may benefit from increased education on and awareness of HF