Medication literacy: A conceptual model

Pantuzza, Laís Lessa Neiva; Nascimento, Elizabeth do; Ribeiro, Kennedy Crepalde; Botelho, Stephanie Ferreira; Martins, Maria Auxiliadora Parreiras; Veloso, Ronara Camila de Souza Groia; Vieira, Liliana Batista; Reis, Adriano Max Moreira

doi:10.1016/j.sapharm.2021.06.003

Cited by 25 publications

(27 citation statements)

References 19 publications

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“…Furthermore, based on the overall findings of the literature review, the following themes were added to the assessment instrument: the patient's knowledge about his/her disease and its therapy (to understand a medication's indication, therapy goals and potential outcomes, Neiva Pantuzza et al, 2022), the knowledge about his/her medication, the understanding of the effects of the medication on the health outcome, the ability/skill to take the medication and her/ his knowledge of how to store and prepare the medication (Diedrich et al, 2021;Fitch et al, 2001;Gentizon et al, 2021;King et al, 2011;Pouliot et al, 2018).…”

Section: Data Collectionmentioning

confidence: 99%

“…While concepts of health literacy differ, medication management as a sub-concept plays a role in different models (Sorensen et al, 2012). By improving health literacy, and therewith medication literacy, patients are encouraged to participate in their healthcare to the best of their abilities, for example by actively contributing to their medication therapy (LeBlanc & Choi, 2015) to avoid medication errors and improve medication safety (Kickbusch et al, 2013;Neiva Pantuzza et al, 2022).…”

Section: Backg Rou N Dmentioning

confidence: 99%

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Development of a medication literacy assessment instrument (MELIA) for older people receiving home care

Gnägi

Zúñiga

Brunkert

et al. 2022

Journal of Advanced Nursing

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Aim: To develop a consensus-based instrument [MELIA] to assess the medication literacy of older home care patients to ultimately optimize medication safety.Design: This study was part of the project 'Study of Medication Safety in Home Care' (doMESTIC), which took place from 2016 to 2020 in Switzerland. The development process for the medication literacy assessment instrument encompassed six steps.Method: First, a scoping literature search was conducted in the Pubmed, CINAHL, EMBASE and Cochrane Library databases as 2) a basis for the development of assessment items. This was followed by 3) a cognitive interview with home care patients and 4) the first round of a Delphi process. Then, 5) a focus group interview with home care experts was conducted before 6) the second Delphi round. The project took place between August 2020 and June 2021. With these different steps, perspectives of both patients and various home care and medication safety experts were included in the development of the assessment instrument. Results:A detailed instrument consisting of 20 items as well as a 7-item short version were developed. The short version is intended for efficient preliminary screening to identify patients at high risk for medication management-related problems. Conclusion: Medication literacy in patients 65 years and older receiving professional home care is a key issue in preventing medication errors. A targeted assessment, starting with an efficient short version of MELIA, allows for prioritization of patients for interventions to optimize medication safety while ensuring their independence as much as possible. Impact: Systematic assessment of patients' medication literacy helps to provide them with targeted and individual support in their medication management to avoid medication errors and increase patient safety. The development of MELIA is a first step in providing an assessment instrument specifically for the home care setting. Patient or public contribution: Patient participation was an integral part of the instrument development. The initial 23 items were optimized based on cognitive interviews with four home care patients. The next steps of the instrument development were based on feedback of health care professionals-encompassing advance practice

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Section: Data Collectionmentioning

confidence: 99%

Section: Backg Rou N Dmentioning

confidence: 99%

Development of a medication literacy assessment instrument (MELIA) for older people receiving home care

Gnägi

Zúñiga

Brunkert

et al. 2022

Journal of Advanced Nursing

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“…Patients with a higher level of ML usually had better medication compliance ( 5 , 6 ). On the contrary, patients with limited ML may have problems understanding medication information and undergo more frequent re-hospitalization, emergency department visits, and serious adverse drug events ( 5 , 7 – 9 ). In addition, previous studies have found that most medication-related adverse events would be preventable with better medication literacy ( 10 , 11 ).…”

Section: Introductionmentioning

confidence: 99%

Status and influencing factors of medication literacy among Chinese caregivers of discharged children with Kawasaki disease

Zhang

Wang²,

Cai³

et al. 2022

Front. Public Health

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BackgroundThe information on medication literacy among Chinese caregivers of discharged children with Kawasaki disease (KD) is unknown. We aimed to investigate the status of medication literacy among caregivers of discharged children with KD and evaluate the influencing factors of medication literacy.MethodsFrom March 2020 to February 2021, 106 caregivers with a KD child were recruited for the present study. We collected the sociodemographic characteristics of the KD caregivers using structured interviews. The medication literacy of the KD caregivers was assessed by the Chinese version of Medication Literacy Assessment. KD patients' demographic and clinical data were obtained from the medical records. The multiple logistic regression was performed to identify factors associated with medication literacy.Results(1) The average medication literacy score was 4.91 ± 1.51. (2) Most of the Chinese KD caregivers had insufficient medication literacy (≤ 5 scores), and only 39.2% of the caregivers had adequate medication literacy (>5 scores). (3) The multiple logistic regression shows that education level, monthly income, and duration of hospitalization are the independent influencing factors on the medication literacy of KD caregivers.ConclusionThere is preliminary evidence that medication literacy among KD caregivers is low and needs improvement. A higher level of education, higher income, and longer duration of hospitalization were influencing factors of adequate medication literacy.

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“…Medication literacy is a new concept in the field of medicine that was proposed in recent years; it is defined as “the degree to which individuals can obtain, comprehend, communicate, calculate and process patient-specific information about their medications to make informed medication and health decisions in order to safely and effectively use their medications, regardless of the mode by which the content is delivered (e.g., written, oral and visual)” ( 17 , 18 ). Medication literacy reflects the specific literacy competencies required to act on medication-related information ( 19 ). Our research team has conducted a series of exploratory studies on the medication literacy of hypertensive patients, which showed that knowledge, attitude, skills and behavior are the four core elements of hypertensive patients' medication literacy, and each domain is essential and critical for processing medication information and correct medication use ( 20 – 23 ).…”

Section: Introductionmentioning

confidence: 99%

“…The improvement of medication literacy could help reduce non-adherence to treatments, enabling patients to participate more fully in their medication therapy ( 23 , 30 ). In recent years, some studies have investigated the medication literacy level of hypertensive patients and found that the medication knowledge level among the older adult group was lower than that of other age groups ( 19 , 21 , 22 ). The prevalence of inadequate levels of literacy is high among older adults, making them more susceptible to medication errors ( 31 ).…”

Section: Introductionmentioning

confidence: 99%

Association between social support and medication literacy in older adults with hypertension

Shen

Shi

Zhong

2022

Front. Public Health

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BackgroundReduced physical function and reduced social networks place older adults with hypertension at high risk for medication-related harm. Medication literacy is one of the preventable factors that affect the success of drug therapy for hypertension. However, little is known about the level of medication literacy and its influencing factors in older adults with hypertension.ObjectiveThe purpose of this study was to investigate the levels of social support and medication literacy, and the association between them in older Chinese adult patients with hypertension.MethodsA total of 362 older adult patients with hypertension were investigated using a demographic characteristics questionnaire, the Chinese Medication Literacy Scale for Hypertensive Patients (C-MLSHP) and the Social Support Rating Scale (SSRS). Pearson correlation analysis, canonical correlation analysis (CCA) and hierarchical linear regression were used to analyse the relationship between social support and medication literacy.ResultsOur results showed that the mean scores for the C-MLSHP and the SSRS for older adult patients with hypertension were 23.89 (SD = 4.66) and 39.22 (SD = 5.53), respectively. The results of the Pearson correlation analysis suggested that the score for social support was positively correlated with the score for medication literacy (r = 0.431, P < 0.01). The results of CCA demonstrate that older adult patients with hypertension who had more subjective (rs = 0.682) and objective support (rs = 0.817) performed better in knowledge (rs = 0.633), skills (rs = 0.631) and behavior literacy (rs = 0.715). Hierarchical linear regression indicated that two dimensions of subjective support (B = 0.252, P < 0.001) and objective support (B = 0.690, P < 0.001) in social support were found to be independent predictors of medication literacy (R2 = 0.335, F = 19.745, P < 0.001).ConclusionSocial support is positively associated with medication literacy in older Chinese adult patients with hypertension. The study highlights the importance of social support in promoting medication literacy among older adult patients with hypertension.

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Medication literacy: A conceptual model

Cited by 25 publications

References 19 publications

Development of a medication literacy assessment instrument (MELIA) for older people receiving home care

Development of a medication literacy assessment instrument (MELIA) for older people receiving home care

Status and influencing factors of medication literacy among Chinese caregivers of discharged children with Kawasaki disease

Association between social support and medication literacy in older adults with hypertension

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