SystemCHANGE™ Intervention on Medication Adherence in Older Adults With Heart Failure

Impact of SystemCHANGE™ Intervention on Medication Adherence in Older Adults With Heart Failure: A Pilot RCT

The purpose of this pilot RCT study is to evaluate the acceptability and feasibility of a SystemCHANGE™ intervention to improve medication adherence in older adults with heart failure. The intervention focuses on changing the individual's environment by incorporating medication taking into existing routines using small experiments with feedback, and receiving support from people who impact routines.

Inclusion Criteria:

• age 50 years or older
• HF diagnosis confirmed by their physician utilizing their most recent ejection fraction
• prescribed diuretics
• self-administering medications
• able to open an electronic cap
• able to speak, hear and understand English
• not hospitalized,
• no cognitive impairment as determined by a score of 4 or greater on the 6-item mini-mental status exam.