Enhancing adherence: Evaluating interventions for Heart Failure management in older adults

• Personalized and technology-driven interventions are crucial for improving HF management and outcomes. • Noncompliance with HF treatment can be attributed to a lack of clear communication from medical staff and insufficient out-of-hospital care. • Technology, particularly mobile health applications, offers scalable solutions to enhance patient engagement and adherence. Management of heart failure (HF) is challenging, particularly because of the high rates of medication non-adherence among older adults. This leads to increased hospital readmission and healthcare costs. To address these challenges, a combination of non-pharmacological strategies, such as lifestyle changes and targeted pharmacological interventions, is crucial for improving the outcomes and reducing the burden of HF. This scoping review aims to map out existing literature and highlight the interventions used for HF management to enhance adherence in the older adult population. This scoping review examined peer-reviewed studies from PubMed, CINAHL, SCOPUS, and the Cochrane Library databases The search yielded 511 articles, of which 13 were included in the final review. After examining all the studies, four key aspects emerged: increasing health literacy, utilizing mHealth applications, personalized cardiac rehabilitation, and scheduled mobile reminders. This study found that personalized care, technology-driven interventions and clear communication from healthcare professions are crucial for improving HF management and outcomes. Future studies should focus on broadening language inclusion and investigate the interplay between HF and comorbid conditions to enhance applicability of interventions.