Health Belief Model and CHF Diet Non-Compliance Presentation

This presentation addresses the critical issue of non-compliance with diet in individuals suffering from congestive heart failure (CHF). It highlights the negative health outcomes associated with poor dietary adherence, such as increased risk of cardiac arrest and stroke. The presentation introduces the Health Belief Model as a framework to improve patient behavior and health outcomes within the cardiology specialty unit. The model's three components—individual perceptions, modifying factors, and expected outcomes—are discussed in the context of promoting positive lifestyle changes, including adherence to diet and medication regimens. The presentation emphasizes the importance of health literacy in empowering patients and details evidence-based practices, such as health promotion programs and referrals to support services. Recommendations include conducting more health promotion programs, referrals to appropriate support systems for dietary monitoring, and clinical investigation tests to monitor metabolic function, ultimately aiming to improve overall patient health and reduce morbidity and mortality associated with CHF.

Non compliance of diet for
individuals with congestive
heart failure
: SUBMITTED BY:

Introduction:
 According to Gonzalez-Chica et al.
(2016), non compliance with diet and
medication in patients suffering from
heart failure contributes to poorer
health outcome and leads to
increases the probability of being
hospitalized.
 Poorer outcome associated with non-
compliance of diet include increased
probability of cardiac arrest or
suffering from a stroke that can
contribute to mortality.
 Empowering targeted audience with
health literacy and effective self-
management program can help to
acquire positive health outcome.

Nursing theory and relevance to
practice:
 The health belief model that was propounded by
Hochbaum and his colleagues in the year 1950s
intended to integrate positive health behaviour
among targeted patients so as to improve holistic
health outcome (Skinner, Tiro & Champion, 2015).
 The health belief model is based on three factors
that include, individual perceptions, modifying
factors and expected outcome
 Individual perception refers to the evaluation
perception of the people in relation to a disease
condition, modifying factors refer to undertaking
actions to improve the health behaviour of the
people and expected outcome refers to the
integration of change within the behaviour of the
targeted patients.
 My current area of practice include working in the
cardiology speciality unit and I would like to make
use of the health belief model to integrate positive
health behaviour among the targeted patients.

Impact on healthcare outcome:
 Inducing positive behavioural
change within affected patients
will help to improve holistic
health outcome and at the same
time would improve compliance
with diet and medication (Cajita,
Cajita & Han, 2016).
 This would subsequently prevent
probability of frequent
hospitalizations and would also
help to reduce the morbidity and
mortality associated with the
adverse outcome of congestive
heart failure.

Available evidence based
practice:
 The evidence base suggests that health literacy can help to
integrate positive changed within patient’s health behaviour.
 Positive health behaviour can help to comply with devised care
plan including adherence with diet and medication
 Health literacy helps to induce awareness among patients about
the existing health condition, the risk factors that trigger
deterioration of the symptoms and the behavioural changes that
can be incorporated so as to improve quality of living (Bos-
Touwen et al., 2015).
 Health literacy also helps to ensure patient safety and improve
overall patient outcome.

Integrating nursing model to
guide evidence based practice:
 The discussed health belief model could
be incorporated within the nursing
practice in order to improve patient
outcome.
 The targeted patients would be enrolled
under a health promotion program, where
in at the initial step their perception with
regard to the existing illness would be
evaluated. The nurse practitioner would
then administer health literacy such that
the patients would adapt positive lifestyle
changes such as adhere to the diet
routine, exercise and medication regimen
so as to acquire positive health outcome.
 It can be expected that this would
improve holistic health outcome and
transform health behaviour.

Conclusion:
 Therefore, to conclude it can be stated that the use of the health
belief model can help to integrate positive health behaviour
change among people suffering from congestive heart failure
who do not comply with diet routine and medication
management.
 Improved compliance with diet routine and medication
management can help to acquire positive health outcome.

Recommendations:
 Recommendations to improve compliance include the following
(Cajita, Cajita & Han, 2016):
 Conducting increased number of health promotion programs
 Referral to appropriate support programs that can ensure
monitoring of dietary intake and compliance
 Referral to clinical investigation tests to monitor the metabolic
functioning.

References:
Bos-Touwen, I., Jonkman, N., Westland, H., Schuurmans, M., Rutten, F., de
Wit, N., & Trappenburg, J. (2015). Tailoring of self-management
interventions in patients with heart failure. Current heart failure
reports, 12(3), 223-235.
Cajita, M. I., Cajita, T. R., & Han, H. R. (2016). Health literacy and heart
failure: a systematic review. The Journal of cardiovascular
nursing, 31(2), 121.
Gonzalez-Chica, D. A., Mnisi, Z., Avery, J., Duszynski, K., Doust, J.,
Tideman, P., ... & Stocks, N. (2016). Effect of health literacy on quality of
life amongst patients with ischaemic heart disease in Australian general
practice. PloS one, 11(3), e0151079.
Skinner, C. S., Tiro, J., & Champion, V. L. (2015). Background on the health
belief model. Health behavior: Theory, research, and practice, 75.

Thank you!!