The AdHOC Study of older adults' adherence to medication in 11 countries.
نویسندگان
چکیده
OBJECTIVE Authors investigated, cross-nationally, the factors, including demographic, psychiatric (including cognitive), physical, and behavioral, determining whether older people take their prescribed medication. Older adults are prescribed more medication than any other group, and poor adherence is a common reason for non-response to medication. METHODS Researchers interviewed 3,881 people over age 65 who receive home care services in 11 countries, administering a structured interview in participants' homes. The main outcome measure was the percentage of participants not adherent to medication. RESULTS In all, 12.5% of people (N=456) reported that they were not fully adherent to medication. Non-adherence was predicted by problem drinking (OR=3.6), not having a doctor review their medication (OR=3.3), greater cognitive impairment (OR=1.4 for every one-point increase in impairment), good physical health (OR=1.2), resisting care (OR=2.1), being unmarried (OR=2.3), and living in the Czech Republic (OR=4.7) or Germany (OR=1.4). CONCLUSION People who screen positive for problem drinking and who have dementia (often undiagnosed) are less likely to adhere to medication. Therefore, doctors should consider dementia and problem drinking when prescribing for older adults. Interventions to improve adherence in older adults might be more effective if targeted at these groups. It is possible that medication-review enhances adherence by improving the doctor-patient relationship or by emphasizing the need for medications.
منابع مشابه
Medication Adherence Status and its related Factors among Older Adults in Yazd, Iran
Introduction: One of the main problems facing different societies in the world, including Iran, is population aging and its consequences. With individuals entering old age, the possibility of being afflicted with one or more chronic diseases increases, which in turn results in more use of medications and medication adherence. This study has examined medication adherence status and its related f...
متن کاملThe AdHOC study of Older Adults’ Adherence to Medication in Eleven Countries Claudia Cooper BM MRCPsych Iain Carpenter MD FRCP Cornelius Katona MD FRCPsych
متن کامل
Adherence to the Mediterranean diet and its related factors in elderly women in Shiraz
Introduction: The Mediterranean diet plays an essential role in maintaining older adults’ health and their quality of life (QOL). However, the older adults living in countries outside of the Mediterranean region face difficulties in adhering to the diet. This study aimed to investigate Mediterranean diet adherence and related factors among older women. Methods: This descriptive-analytical stud...
متن کاملMedication Adherence Among Elderly With Hypertension: Johnson Model-Based Program
Objectives Hypertension is the most common cause of stroke and kidney failure in the elderly and medication adherence is vital in controlling complications. This study aims to determine the effect of the Johnson model-based program on medication adherence among the elderly with hypertension. Methods & Materials The present study was a clinical trial that was performed on the elderly with hyper...
متن کاملEffect of an Educational Program based on Health Belief Model on Medication Adherence in Elderly Patients with Hypertension
Background: Aging population growth is accompanied by the risk of cardiovascular diseases and hypertension. Medication nonadherence is one of the problems affecting patients, especially elderly individuals with high blood pressure. Aim: The present study aimed to determine the effect of an educational program based on the Health Belief Model (HBM) on medi...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry
دوره 13 12 شماره
صفحات -
تاریخ انتشار 2005