Medication Regimen Complexity and Low Adherence in Older Community-Dwelling Adults With Substantiated Self-Neglect.

J Appl Gerontol 2019 Jun 23;38(6):866-883. Epub 2017 Jun 23.

2 McGovern Medical School, The University of Texas Health Science Center at Houston, Housten, USA.

Objective: Determine whether medication regimen complexity predicts medication adherence levels in a sample of community-dwelling adults 65 years and older with Adult Protective Services-substantiated self-neglect.

Methods: A cross-sectional analysis of baseline data ( N = 31 participants) from a pilot intervention to increase medication adherence among the target group was performed. The Medication Regimen Complexity Index (MRCI) and the 8-item Morisky Medication Adherence Scale (MMAS-8)™ were the primary independent and dependent measures, respectively. A multivariable linear regression analysis, adjusting for potential confounders, was conducted to estimate the association between complexity and adherence.

Results: Regimen complexity was high (mean MRCI = 19.6) and adherence was low (mean MMAS = 5.1). Even after controlling for confounders, increased complexity was significantly associated with lower adherence.

Discussion: Older community-dwelling adults who self-neglect have complex medication regimens that contribute to low medication adherence. Medication regimen complexity may be a modifiable contributor to low adherence that can be targeted by future interventions to reduce self-neglect and its consequences.

Download full-text PDF

Source
http://dx.doi.org/10.1177/0733464817714565DOI Listing
June 2019
13 Reads

Publication Analysis

Top Keywords

regimen complexity
20
medication adherence
16
medication regimen
16
community-dwelling adults
12
medication
9
low adherence
8
older community-dwelling
8
adherence
7
complexity
7
complex medication
4
adherence scale
4
mmas-8™ primary
4
scale mmas-8™
4
self-neglect complex
4
adults self-neglect
4
dependent measures
4
adherencediscussion older
4
independent dependent
4
morisky medication
4
primary independent
4

References

(Supplied by CrossRef)

Similar Publications