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• Non‐adherence to recommended treatment is common in patients with heart failure and is associated with poor outcomes.

• Personal beliefs as well as experiences with medications and illness could influence medication use.

• Perception regarding barrier to medication use was a stronger predictor of non‐adherence than demographic or clinical variables.

• Patients who were non‐adherent to nonpharmacological management of heart failure were more likely to be non‐adherent to their medications.

• Regimen complexity should not be considered in isolation when strategies for addressing adherence issues are designed.

To identify the health beliefs and patient characteristics associated with medication non‐adherence in patients attending a heart failure outpatient clinic.

A survey was administered to 350 consenting clinic …