Heart failure & cardiomyopathies

Patient Perspectives on a Polypill Strategy for Heart Failure With Reduced Ejection Fraction: A Convergent-Parallel Mixed Methods Study Embedded in a Randomized Clinical Trial

Circ Popul Health OutcomesPublished Convergent-parallel mixed-methods study embedded in a randomised controlled trial

Authors' conclusion

In socioeconomically disadvantaged patients with heart failure with reduced ejection fraction, a polypill strategy demonstrated strong patient acceptability

Study context

Population
Participants and caregivers from the phase II POLY HF trial of an HFrEF polypill in Dallas, TX (socioeconomically disadvantaged)36 trial participants · 5 caregivers
Participants
41 participants
Primary endpoint
Barriers and facilitators to polypill use across individual, interpersonal and systems levels; medication burden and polypill preferences
Methodological detailsfocus groups, brief surveys, directed content analysis (socioecological framework), Six focus groups with participants from both polypill and usual care arms
  • Focus groups
  • Brief surveys
  • Directed content analysis (socioecological framework)
  • Six focus groups with participants from both polypill and usual care arms

Primary result

As reported in the abstract

Taking ≥6 medications
58%
Reporting missed doses
50.0%
Missed doses mainly due to forgetting
44%
Interest in a polypill approach
88.6%
Believed polypill would improve adherence
83%

Original publication

Patient Perspectives on a Polypill Strategy for Heart Failure With Reduced Ejection Fraction: A Convergent-Parallel Mixed Methods Study Embedded in a Randomized Clinical Trial. Circ Popul Health Outcomes. Published 10 November 2025. doi:10.1161/circoutcomes.125.012834

Summarised from the published abstract; every number is checked against it

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