Key result
Treatment inertia in elderly HF is driven by deficient capability, weakened motivation, and constrained opportunity.
Why the study?
Patient-level treatment inertia among elderly adults with chronic heart failure remains under-investigated, particularly in China where healthcare access, insurance policies, and literacy levels differ significantly.
Patient-level treatment inertia in elderly Chinese patients with chronic heart failure is driven by deficient capability, weakened motivation, and constrained opportunity, highlighting the need for culturally tailored, multi-level interventions.
Answers are grounded in this paper and cite their sources.
Patient-level barriers in elderly Chinese CHF patients warrant targeted literacy and support interventions; leaves open need for prospective trials before practice change.
Background: Treatment inertia in chronic heart failure (CHF) commonly refers to the failure to initiate or intensify evidence-based therapy in a timely manner and refers to delays, avoidance, or inadequate engagement by patients in evidence-based therapy. While the clinician or healthcare system level have been extensively studied, patient-level inertia among elderly adults remain under-investigated due to limited health literacy patient-related factors, particularly in China where healthcare access, insurance policies, and literacy levels differ significantly. Understanding the behavioral and contextual determinants of this phenomenon is crucial for improving disease management among aging populations. Purpose: Guided by the COM-B (capability-opportunity-motivation-behavior) framework, this qualitative study explored patient-level treatment inertia and its influencing factors among elderly Chinese patients with CHF, aiming to inform culturally tailored interventions. Methods: A descriptive phenomenological design was adopted. Semi-structured interviews were conducted with 14 hospitalized CHF patients aged ≥60 years from May to July 2024 in a tertiary hospital in Shandong Province. Data were analyzed using Colaizzi's seven-step method, following COREQ criteria for qualitative research reporting. Results: Three themes emerged: (1) deficient capability (insufficient symptom perception and low health literacy); (2) weakened motivation (multiple pressures, distrust in medical technology, limited engagement incentives); (3) constrained opportunity (insufficient family support and limited medical resources). Conclusion: Patient-level treatment inertia among elderly CHF patients arises from the interaction of cognitive, motivational, and systemic constraints. Enhancing health literacy, improving psychosocial motivation, and establishing family and community-based support systems may mitigate inertia and improve patient outcomes.
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Jiao et al. (2025) studied Chronic Heart Failure (n=14). Patient-level treatment inertia was evaluated on Behavioral and contextual determinants of treatment inertia. Patient-level treatment inertia among elderly patients with chronic heart failure is driven by deficient capability, weakened motivation, and constrained opportunity.
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