Madison D Wahl, Donna Fishman, Sandra S Block, Kira N Baldonado, David S Friedman, Michael X Repka, Megan E Collins
A Comprehensive Review of State Vision Screening Mandates for Schoolchildren in the United States
Optometry and vision science : official publication of the American Academy of Optometry
prior reports documented extremely poor adherence evidencebased medications among south asian patients established chronic cardiovascular diseases treatment adherence considered part selfcare process determinants adequately explored explained among south asian patients chronic heart failure chf objective qualitatively ascertain determinants selfcare process among indian patients lived experience heart failure conducted indepth interviews audiorecorded among 22 purposively sampled patients living chronic heart failure diagnosed least 4 weeks prior interview 17 caregivers n 39 tertiary care teaching hospital southern india employed inductive analytical approach using charmazs constructivist grounded theory initial linebyline coding categorization followed memo writing reflexive analysis interviewing analyzing four eight twelve patients stage theoretical sampling carried reached thematic saturation used nvivo ver 12 analyze organize data mean age patients 61 years represented 5 indian states spoke seven languages distributed across socioeconomic strata literacy levels classified selfcare determinants 3 broad simple categories defined underlying themes namely negative determinants passivity entrenched beliefs negative affect lack knowledge financial difficulties fatalism intermediate factors patient expectations providerhospital hopping facilitators positive selfcare determinants intrinsic extrinsic facilitators gender cultural background patients upbringing appear shape determinants thereby affecting selfcare decision making chronic heart failure empirically described unique set selfcare determinants among indian chronic heart failure patients turn shaped economic sociocultural factors assessing addressing determinants clinical interactions multifactorial approaches may help improve selfcare among indian chf patients thus improving treatment adherence clinical outcomes