Determinants of Medication Adherence Among Iranian Elderly Patients with Chronic Diseases

Taheri-Kharameh, Zahra; Khoshravesh, Sahar; Noori, Roghayeh; Abdolmalaki, Mahsa; Bakhshi, Mohammad

doi:10.5812/jjcdc.68310

Cited by 7 publications

(6 citation statements)

References 19 publications

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“…In relation to age group, the result of this study projected that non-adherence to glaucoma medications among the elderly participants have represented a 2013) reported that the rates of non-adherence to medication is high among older adults over the age of 60 years compared to any other age groups and increased gradually with advanced age where the glaucoma prevalence increases dramatically with age which may result in intensely the elderly population with glaucoma-related visual disability. (18,19,49,52,53) In addition, Al-Mansouri, Kanaan, Gamra, Khandekar, Hashim Al Qahtani, & Ahmed,(2011) revealed that glaucoma and different visual disabilities among subjected aged 40-49 years were not available as the visual acuity for the blindness and low vision study focused on the subjects 50 years or older. In other words, subjects among the age group of 60 years and older had a significantly higher risk of glaucoma compared with subjects in the 40-59 years age group (P =0.00001).…”

Section: Discussionmentioning

confidence: 99%

Impact of Self-Efficacy Theory on Improving Adherence of Older Adults Patients With Glaucoma’s Medication

Abou-El-Soud¹,

Mohamed²

2020

JHMN

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Purpose: This study was aimed to measure the impact of self-efficacy theory to improve medication adherence among older adults’ patients with glaucoma. Methodology: A quasi-experimental design was used to investigate the study hypotheses. Study Sample: A total of 284 older adults with glaucoma were screened to select non-adherent patients with medication. The recruited study sample was (152) who are non-adherent with glaucoma medication divided equally into (76 study group) and (76 control group). Setting: the study was conducted at the outpatient clinics of Ophthalmology at University Hospital, Shebin El-Kom, Egypt. Tools: three tools were used for the purpose of data collection (I) Bio-socio-demographic characteristics questionnaire; (II) Medication Adherence Rating Scale (III) Glaucoma Medication Self-Efficacy Scale. Findings: The findings revealed that the mean age of the studied sample was 74.86+4.63 (non-adherent to medication). Patients age and presence of more than three multiple chronic illnesses with poly-medications are the highest risk factors of adherence to medications (OR = 10.9; 95% CI 6.8 -16.32, P = 0.000); (OR = 12.6; 95% CI 8.2 -18.4, P = 0.000) and (OR = 13.2; 95% CI 7.4 -19.8, P = 0.000) respectively. Participants who received the intervention program showed a significant improvement in their self-efficacy in overcoming medication adherence barriers compared to the control group. An improvement of the self-efficacy in their ability in carrying out glaucoma medication correctly compared to the control group was shown by highly statistically significant differences between total mean scores at (t =3.426, P =.001; t =17.174, P=.000; t =18.141, P=.000) respectively. The intervention program of glaucoma medication management had a positive impact on the patients’ outcomes compared to the control group. There is a statistically significant difference between patients’ feelings and thoughts pre and post-intervention was detected. Unique contribution to theory, practice and policy: The findings confirm the effectiveness of an intervention/educational program based on self-efficacy theory in terms of improving glaucoma medication adherence among older adults. Glaucoma’s medication principles should be discussed at regular intervals based on patients' needs and the barriers they are facing.

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Section: Discussionmentioning

confidence: 99%

Impact of Self-Efficacy Theory on Improving Adherence of Older Adults Patients With Glaucoma’s Medication

Abou-El-Soud¹,

Mohamed²

2020

JHMN

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“…G*power (version 3.1.2) software (franz faul, universitat Kiel, Germany) was used to determine the sample size. based on a previous report [17], the minimum sample size was estimated to be 318 people, for two-tailed tests, α = 0.05, 95% confidence level, a possibility of 10% loss and an expected frequency of patient errors of 71%.…”

Section: Study Design and Populationmentioning

confidence: 99%

Medication adherence, medication beliefs and social support among illiterate and low-literate community-dwelling older adults with polypharmacy

Ghassab-Abdollahi,

NADRIAN,

Shaseb

et al. 2023

fmpcr

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Background. polypharmacy can be an area of concern for the older population. a set of internal and external factors determine the degree of adherence to treatment in older adults. Objectives. We aimed to investigate whether medication belief and social support, taking into account the role of socio-demographic and clinical factors, are predictors of medication adherence among illiterate, low-literate community-dwelling older adults with polypharmacy. Material and methods. a cross-sectional study was conducted in the health centres of tabriz-iran in 2022. the data was collected using the socio-demographic and clinical questionnaires, Morisky, Green and levine's adherence scale, belief about Medicines Questionnaire (bMQ) and the Multidimensional scale of perceived social support (Mspss). hierarchical Multiple linear regression analysis was used to identify medication adherence predictors based on a conceptual framework. Results. the final sample size was 318 people. the results showed that age, education years, medication satisfaction, side effects of medications, doctor checkups, medication belief and social support were significant predictors of medication adherence. the necessity part of medication belief had a negative significant relationship, and the concern part had a positive significant relationship with medication adherence. Conclusions. a strong belief along with sufficient social support could be a good predictor of medication adherence. the results showed that elementary education has a positive relationship with people's medication adherence, even among low-literacy populations. the development of literacy movement programmes within communities to promote primary education among illiterate older adults is recommended. our findings also highlight the importance of improving patient-physician communication skills and clear communication in the formation of patients' behaviour.

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“…There is little information about the rate of adherence with the treatment regimen in HF patients in Iran. In one study [11], 60.3% of patients and in another study [12], 71.4% of patients had poor self-reported medication adherence. Adherence to treatment in HF is a multidimensional phenomenon influenced by the interplay of several factors, such as socioeconomic factors (age, gender, race, and lack of access to transportation), health care system-related factors (inadequate education of health care providers in chronic diseases, shortened time of visits by the physician, and lack of insurance support), patient-related factors (forgetfulness, improvement or reduction of symptoms, and knowledge deficiency), condition-related factors (severity of illness and depression), and therapy-related factors (side effects and the number of medications taken during the day) [9,[13][14][15].…”

Section: Introductionmentioning

confidence: 96%

Designing and Testing a Treatment Adherence Model Based on the Roy Adaptation Model in Patients With Heart Failure: Protocol for a Mixed Methods Study (Preprint)

Shariatpanahi¹,

Farahani²,

Rafii³

et al. 2019

Preprint

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BACKGROUND Adherence to treatment is an important factor to decrease repeated and costly hospitalization owing to heart failure (HF). The explanation and prediction of medication adherence and other lifestyle recommendations in chronic diseases, including HF, are complex. Theories lead to a better understanding of complex situations as well as the process of changing behavior and explain the reasons for the existence of a problem. OBJECTIVE The aim of this study is to report a protocol for a mixed methods study setting out to investigate the empirical validity of the Roy Adaptation Model as a conceptual framework for explaining and predicting adherence to treatment in patients with HF in Iran. METHODS This mixed methods study consists of an exploratory sequential design to be conducted in 2 phases. The first phase involves identifying the factors associated with treatment adherence in patients with HF through content analysis of the literature and elucidating the perception of participants in the context of Iranian health care where the model of adherence to treatment is designed based on the Roy Adaptation Model. The second phase addresses the interrelationships among variables in the model through a descriptive study using structural equation modeling. Finally, following the summarization and separate interpretation of the qualitative findings and quantitative results, a decision is made about the extent to and ways in which the results of the quantitative stage can be generalized or tested for the qualitative findings. RESULTS Content analysis of the literature in part 1 of the first phase was completed in 2017. Collection and analysis of qualitative data in part 2 of the first phase will be completed soon. The results are expected to be submitted for publication in 2019. Then, the second phase—the quantitative study—will be conducted. CONCLUSIONS The results of this study will provide valuable information about the empirical validity of the Roy Adaptation Model as a conceptual framework for explaining and predicting adherence to treatment in patients with HF, which, to date, have received little attention. The results can be used as a guide for nursing practice and care provision to patients with HF and also to design and implement effective interventions to improve treatment adherence in these patients. INTERNATIONAL REGISTERED REPOR DERR1-10.2196/13317

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Determinants of Medication Adherence Among Iranian Elderly Patients with Chronic Diseases

Cited by 7 publications

References 19 publications

Impact of Self-Efficacy Theory on Improving Adherence of Older Adults Patients With Glaucoma’s Medication

Impact of Self-Efficacy Theory on Improving Adherence of Older Adults Patients With Glaucoma’s Medication

Medication adherence, medication beliefs and social support among illiterate and low-literate community-dwelling older adults with polypharmacy

Designing and Testing a Treatment Adherence Model Based on the Roy Adaptation Model in Patients With Heart Failure: Protocol for a Mixed Methods Study (Preprint)

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