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Key factors of the functional ability of older people to self-manage medications
Daily medication use can be affected by the gradual loss of functional ability. Thus, elderly patients are at risk for nonadherence due to functional decline, namely, decreases in cognitive skills and visual and manual dexterity. The main objective was to assess the ability of older people to self-m...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Nature Publishing Group UK
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8590057/ https://www.ncbi.nlm.nih.gov/pubmed/34772959 http://dx.doi.org/10.1038/s41598-021-01434-9 |
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author | Advinha, Ana Margarida Nunes, Carla de Barros, Carla Teixeira Lopes, Manuel José de Oliveira-Martins, Sofia |
author_facet | Advinha, Ana Margarida Nunes, Carla de Barros, Carla Teixeira Lopes, Manuel José de Oliveira-Martins, Sofia |
author_sort | Advinha, Ana Margarida |
collection | PubMed |
description | Daily medication use can be affected by the gradual loss of functional ability. Thus, elderly patients are at risk for nonadherence due to functional decline, namely, decreases in cognitive skills and visual and manual dexterity. The main objective was to assess the ability of older people to self-manage their medication and to identify the main predictors for unintentional nonadherence. A cross-sectional study was conducted (2014–2017) in community centers and pharmacies. Functional assessment was performed with the Portuguese versions of the Drug Regimen Unassisted Grading Scale (DRUGS-PT) and the Self-Medication Assessment Tool (SMAT-PT). A purposive sample including 207 elderly patients was obtained. To identify the main predictors, binary logistic regression was performed. The average DRUGS-PT score was slightly lower than that in other studies. On the SMAT-PT, the greatest challenge for patients was identifying medications by reading labels/prescriptions. The main difficulties identified were medication memorization and correct schedule identification. The scores were higher with the real regimen than with the simulated regimen, underlining the difficulties for patients in receiving new information. Regarding the predictors of an older individual’s ability to self-manage medications, two explanatory models were obtained, with very high areas under the curve (> 90%). The main predictors identified were cognitive ability, level of schooling and daily medication consumption. |
format | Online Article Text |
id | pubmed-8590057 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Nature Publishing Group UK |
record_format | MEDLINE/PubMed |
spelling | pubmed-85900572021-11-16 Key factors of the functional ability of older people to self-manage medications Advinha, Ana Margarida Nunes, Carla de Barros, Carla Teixeira Lopes, Manuel José de Oliveira-Martins, Sofia Sci Rep Article Daily medication use can be affected by the gradual loss of functional ability. Thus, elderly patients are at risk for nonadherence due to functional decline, namely, decreases in cognitive skills and visual and manual dexterity. The main objective was to assess the ability of older people to self-manage their medication and to identify the main predictors for unintentional nonadherence. A cross-sectional study was conducted (2014–2017) in community centers and pharmacies. Functional assessment was performed with the Portuguese versions of the Drug Regimen Unassisted Grading Scale (DRUGS-PT) and the Self-Medication Assessment Tool (SMAT-PT). A purposive sample including 207 elderly patients was obtained. To identify the main predictors, binary logistic regression was performed. The average DRUGS-PT score was slightly lower than that in other studies. On the SMAT-PT, the greatest challenge for patients was identifying medications by reading labels/prescriptions. The main difficulties identified were medication memorization and correct schedule identification. The scores were higher with the real regimen than with the simulated regimen, underlining the difficulties for patients in receiving new information. Regarding the predictors of an older individual’s ability to self-manage medications, two explanatory models were obtained, with very high areas under the curve (> 90%). The main predictors identified were cognitive ability, level of schooling and daily medication consumption. Nature Publishing Group UK 2021-11-12 /pmc/articles/PMC8590057/ /pubmed/34772959 http://dx.doi.org/10.1038/s41598-021-01434-9 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Article Advinha, Ana Margarida Nunes, Carla de Barros, Carla Teixeira Lopes, Manuel José de Oliveira-Martins, Sofia Key factors of the functional ability of older people to self-manage medications |
title | Key factors of the functional ability of older people to self-manage medications |
title_full | Key factors of the functional ability of older people to self-manage medications |
title_fullStr | Key factors of the functional ability of older people to self-manage medications |
title_full_unstemmed | Key factors of the functional ability of older people to self-manage medications |
title_short | Key factors of the functional ability of older people to self-manage medications |
title_sort | key factors of the functional ability of older people to self-manage medications |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8590057/ https://www.ncbi.nlm.nih.gov/pubmed/34772959 http://dx.doi.org/10.1038/s41598-021-01434-9 |
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