000042720 001__ 42720
000042720 005__ 20240318102656.0
000042720 037__ $$aETD
000042720 041__ $$aeng
000042720 245__ $$aMethamphetamine-associated heart failure: evaluating patient perceptions of barriers to medication adherence
000042720 260__ $$bOregon Health and Science University
000042720 269__ $$a2024-02-28
000042720 336__ $$aFinal project
000042720 502__ $$bD.N.P.
000042720 502__ $$gFamily Nurse Practitioner
000042720 520__ $$aMethamphetamine-Associated Heart Failure (MethHF) is a serious complication of methamphetamine use (MU) that is associated with more hospitalizations and greater morbidity and mortality than non-methamphetamine related heart failure (non-MethHF). Currently, regular adherence to guideline-directed medical therapy (GDMT) for heart failure can lead to the reversal of heart failure, even when complete abstinence of methamphetamine is not maintained. However, adhering to GDMT is challenging for patients with MethHF since they experience comorbidities including housing and financial instability, co-occurring mental illness, and reduced social support among others. This quality improvement project utilized the Model for Improvement framework to evaluate patient perceptions of barriers to medication adherence in those with MethHF at a heart failure clinic in the Portland metro area.
000042720 540__ $$fPublic Domain
000042720 542__ $$fIn copyright - single owner
000042720 650__ $$aHeart Failure$$019939
000042720 650__ $$aSubstance-Related Disorders$$032029
000042720 650__ $$aMedication Adherence$$038180
000042720 6531_ $$amethamphetamine-associated heart failure
000042720 6531_ $$amethamphetamine-associated cardiomyopathy
000042720 691__ $$aSchool of Nursing$$041370
000042720 7001_ $$aLee, Christine$$uOregon Health and Science University$$041354
000042720 8564_ $$940b27ba6-84e8-4569-a81e-55e9c14272f1$$s718027$$uhttps://digitalcollections.ohsu.edu/record/42720/files/Lee.Christine.2024.pdf
000042720 909CO $$ooai:digitalcollections.ohsu.edu:42720$$pstudent-work
000042720 980__ $$aTheses and Dissertations
000042720 981__ $$aPublished$$b2024-03-06