Korean Circulation Journal

The Korean Society of Cardiology (대한심장학회)
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Interventions for Adherence Improvement in the Primary Prevention of Cardiovascular Diseases: Expert Consensus Statement

  • Sang Hyun Ihm (Division of Cardiology, Department of Internal Medicine and Catholic Research Institute for Intractable Cardiovascular Disease, College of Medicine, The Catholic University of Korea) ;
  • Kwang-Il Kim (Department of Internal Medicine, Seoul National University Bundang Hospital) ;
  • Kyung Jin Lee (Heartwell Clinic) ;
  • Jong Won Won (Seoul One Internal Medicine) ;
  • Jin Oh Na (Cardiovascular Center, Korea University Guro Hospital, Korea University College of Medicine) ;
  • Seung-Woon Rha (Cardiovascular Center, Korea University Guro Hospital, Korea University College of Medicine) ;
  • Hack-Lyoung Kim (Division of Cardiology, Department of Internal Medicine, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul National University College of Medicine) ;
  • Sang-Hyun Kim (Division of Cardiology, Department of Internal Medicine, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul National University College of Medicine) ;
  • Jinho Shin (Division of Cardiology, Department of Internal Medicine, Hanyang University College of Medicine)
  • Received : 2021.06.29
  • Accepted : 2021.11.10
  • Published : 2022.01.01
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Abstract

In primary prevention for cardiovascular diseases, there are significant barriers to adherence including freedom from symptoms, long latency for therapeutic benefits, life-long duration of treatment, and need for combined lifestyle changes. However, to implement more systematic approaches, the focus on adherence improvement needs to be shifted away from patient factors to the effects of the treatment team and healthcare system. In addition to conventional educational approaches, more patient-oriented approaches such as patient-centered clinical communication skills, counseling using motivational strategies, decision-making by patient empowerment, and a multi-disciplinary team approach should be developed and implemented. Patients should be involved in a program of self-monitoring, self-management, and active counseling. Because most effective interventions on adherence improvement demand greater resources, the health care system and educational or training system of physicians and healthcare staff need to be supported for systematic improvement.

Keywords

Acknowledgement

Delegated members from the Korean Society of Cardiology (Seung-Woon Rha), Korean Association of Clinical Cardiology (Kyung Jin Lee, Jong Won Won), Korean Society of Hypertension (Sang Hyun Ihm, Kwang-il Kim, Jinho Shin), Korean Society of Cardiometabolic Syndrome (Sang-Hyun Kim, Hack-Lyoung Kim), and Korean Society of Lipid and Atherosclerosis (Jin Oh Na).

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