Tailored Information and Automated Reminding to Improve Medication Adherence in Spanish- and English-Speaking Elders Treated for Memory Impairment

Ownby, Raymond L.; Hertzog, Christopher; Czaja, Sara J.

doi:10.1080/07317115.2012.657294

Cited by 28 publications

(36 citation statements)

References 49 publications

(59 reference statements)

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“…Similar to previous studies (McCurry et al, 2010;Ownby et al, 2012), our report showed that a caregiver is likely to be a determinant in adherence to therapy in elderly patients with cognitive impairments. The assistance provided by the caregiver in this study, however, may not be typical, and therefore a focus on reducing the caregiver's burden may promote the use of such a device.…”

Section: Discussionsupporting

confidence: 77%

“…Simple reminders such as a medication reminder device (Holthe, 2004;Sather et al, 2007;Kamimura et al, 2012) or automated phone calls (Ownby et al, 2012) have been reported to improve medication adherence among elderly patients with cognitive impairment. Although human support could be essential for the use of this device, this issue has not been addressed.…”

Section: Introductionmentioning

confidence: 99%

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Glycemic control in a 79-year-old female with mild cognitive impairment using a medication reminder device: a case report

Kamimura

Ito

2014

International Psychogeriatrics

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A 79-year-old female with type 2 diabetes and mild cognitive impairment (Clinical Dementia Rating score of 0.5) was supported with medication with regard to the daily requirements using a medication reminder device. Use of this device not only improved her medication adherence, hemoglobin A1c level, and selfconfidence but also reduced caregiver's burden. For elderly patients with such diseases, loading the device with medication, providing advance notice before mechanical reminders for a short period after the device's activation, monitoring unused medication, and adjusting the timing of reminders according to users' daily routine, seemed to facilitate daily use of the device.

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Section: Discussionsupporting

confidence: 77%

Section: Introductionmentioning

confidence: 99%

Glycemic control in a 79-year-old female with mild cognitive impairment using a medication reminder device: a case report

Kamimura

Ito

2014

International Psychogeriatrics

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“…In a previous study, we used the TOFHLA with elderly patients who were being treated with medications for memory problems [15, 16]. In pilot testing of the study assessment battery, it became apparent that many elderly patients had difficulty with the cloze format of the TOFHLA reading comprehension, appearing to not understand the task even after multiple explanations and finding it difficult to produce responses even when able to choose from multiple available choices.…”

Section: Introductionmentioning

confidence: 99%

Differential Item Functioning Related to Age in the Reading Subtest of the Test of Functional Health Literacy in Adults

Ownby

Waldrop‐Valverde

2013

Journal of Aging Research

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Differential item functioning (DIF) occurs when items in a measure perform in ways that are different for members of a target group when the different performance is not related to the individual's overall ability to be assessed. DIF may arise for a number of reasons but is often evaluated in order to ensure that tests and measures are fair evaluations of a group's abilities. Based on observations when administering the test, we developed the hypothesis that some items on the reading comprehension subtest of the Test of Functional Health Literacy (TOFHLA) might be differentially more difficult for older adults and the elderly due to its use of the cloze response format, in which the participant is required to determine what word, when placed in a blank space in a sentence, will ensure that the sentence is intelligible. Others have suggested that the cloze response format may make demands on verbal fluency, an ability that is reduced with the increasing age. Our analyses show that age-related DIF may present in a nearly one-half of reading comprehension items of the TOFHLA. Results of this measure in older persons should be interpreted cautiously.

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“…They were then administered in the original study of health beliefs and medication adherence in elderly patients treated for memory disorders. 24 An aggregate score with items recoded so that less strongly held negative beliefs increased the total score was calculated, so that the sum of ratings reflected more positive beliefs about health status and efforts to maintain or improve health. In this small study (N = 24), it was found that the total score on the HBS was correlated with several variables potentially related to participants’ mood and cognition.…”

Section: Previous Development Of the Hbsmentioning

confidence: 99%

Negative and Positive Beliefs Related to Mood and Health

et al. 2014

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Objectives To observe whether elderly patients’ positive and negative beliefs about efforts improving or maintaining health are related to health and mood. Methods We developed a brief scale to assess these beliefs. Factor analysis was used to evaluate its dimensions, and the extent to which the scale’s dimensions mediate the relation between mood and self-reported health was explored. Results Analyses show that the scale reflects a general factor as well as 2 subscales that evaluate distinct but related positive and negative dimensions. The scale was not related to race, gender, or education, but showed modest relations to age. Scales were significantly related to mood, health status and health-related quality of life. Conclusions Both negative and positive beliefs mediated the relation between depression and self-reported health.

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Tailored Information and Automated Reminding to Improve Medication Adherence in Spanish- and English-Speaking Elders Treated for Memory Impairment

Cited by 28 publications

References 49 publications

Glycemic control in a 79-year-old female with mild cognitive impairment using a medication reminder device: a case report

Glycemic control in a 79-year-old female with mild cognitive impairment using a medication reminder device: a case report

Differential Item Functioning Related to Age in the Reading Subtest of the Test of Functional Health Literacy in Adults

Negative and Positive Beliefs Related to Mood and Health

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