Older adults’ strategies to prevent episodic medication non-adherence: results from a qualitative study

Dworakowska, Anna; Aniszewska, Adrianna; Kozłowska−Wojciechowska, Małgorzata

doi:10.1007/s41999-018-00156-y

Cited by 2 publications

(2 citation statements)

References 12 publications

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“…The study found that highly self-aware participants employed multiple strategies to continue adhering to their medication, such as adjusting their medication with ART. This finding is similar to a previous study that found geriatric patients adjusted their medication according to their daily activities (Dworakowska et al, 2019 ). The study also found that some participants dealt with stigma by changing the bottle of their ART to a bottle of vitamins, allowing them to take their medication without worrying about stigma.…”

Section: Discussionsupporting

confidence: 92%

Self-awareness as the key to successful adherence to antiretroviral therapy among people living with HIV in Indonesia: A grounded theory study

et al. 2023

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Background: Adherence to antiretroviral therapy (ART) continues to pose a significant challenge for people living with HIV (PLWH). Non-adherence to ART can have far-reaching implications for patient well-being, particularly in increasing the risk of opportunistic infections when medication is not taken as prescribed. Objective: This study aimed to develop a theoretical model that explains how PLWH in Indonesia adhere to their ART regimen and the strategies they follow to maintain adherence. Methods: The study used a grounded theory approach. Data were collected through face-to-face in-depth interviews with 21 PLWH who had been taking ART for six months or more at a non-governmental organization (NGO) in Jakarta, Indonesia, between July 2019 and November 2019. Theoretical sampling was used, and the data analysis method of Corbin and Strauss was utilized, including open coding, axis coding, and selective coding. Results: Three stages were identified as a process of adherence to the ART regimen: 1) initiating ART, 2) missing the connection, and 3) taking control. Self-awareness was identified as the central core theme describing the ART adherence process. Conclusion: Having adequate self-awareness to take ART regularly is crucial to improving adherence to ART. Moreover, social support from one’s spouse and family members can help patients maintain adherence. Therefore, self-awareness and support systems should be included as components in nursing interventions when starting ART therapy. In addition, nurses can help identify potential support persons and provide information related to ART therapy.

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Section: Discussionsupporting

confidence: 92%

Self-awareness as the key to successful adherence to antiretroviral therapy among people living with HIV in Indonesia: A grounded theory study

et al. 2023

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“…In this approach, pharmacists play a vital role in the healthcare system and can substantially contribute to improve adherence and the value of pharmacotherapy, (4,24) as well as to incorporate medication habits into the patients' daily schedule and routine. (25) The WHO concluded improving patients' adherence may have a greater effect on health than any other improvement in therapy. (18) From the reports obtained in the interviews, the device facilitated the self-management of pharmacotherapy, and gave a feeling of greater autonomy and independence to the older adults, which contributes to a better perception regarding themselves and their quality of life in the aging process.…”

Section: ❚ Discussionmentioning

confidence: 99%

The use of an electronic medication organizer device with alarm to improve medication adherence of older adults with hypertension

Vieira

Reis

Ramos

et al. 2021

Einstein (São Paulo)

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Objective: To examine whether the use of a monthly electronic medication organizer device equipped with an alarm clock, called Electronic System for Personal and Controlled Use of Medications (Supermed), improves medication adherence of older adults with hypertension. Methods: This is a quali-quantitative, prospective, before-and-after study performed with 32 older adult patients with diagnosis of hypertension, who were recruited at a Primary Care Unit in Brazil. Results: The main outcome measures were improvement of medication adherence and blood pressure control after intervention with Supermed. Regarding medication adherence, 81.2% of patients were "less adherent" in the pre-intervention period, and 96.9% were "more adherent" in the post-intervention period. This means that 78.1% of patients changed from "less adherent" to "more adherent" after the intervention with Supermed (p<0.001). The mean systolic and diastolic blood pressure differences between intervention day and post-intervention were 18.5mmHg (p<0.0001) and 4.3mmHg (p<0.007), respectively, and the differences between mean systolic and diastolic blood pressure between pre-intervention and post-intervention were 21.6mmHg (p<0.001) and 4.7mmHg (p<0.001) respectively. Conclusion: The use of Supermed significantly improved self-reported medication adherence and blood pressure control in a hypertensive older adult population.

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Older adults’ strategies to prevent episodic medication non-adherence: results from a qualitative study

Cited by 2 publications

References 12 publications

Self-awareness as the key to successful adherence to antiretroviral therapy among people living with HIV in Indonesia: A grounded theory study

Self-awareness as the key to successful adherence to antiretroviral therapy among people living with HIV in Indonesia: A grounded theory study

The use of an electronic medication organizer device with alarm to improve medication adherence of older adults with hypertension

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