Background Adherence was defined by WHO as "the extent to which a person"s behavior (taking medication, following a diet, and/or executing lifestyle changes) corresponds with agreed recommendations from a health care provider". ¹ It also stated that more than fifty percent of the drugs prescribed, dispensed or sold worldwide were used in a wrong way. ² Adherence and compliance are often used interchangeably but there is difference between these two terms which make adherence is the preferred terminology by some authors: adherence emphasizes the patient-provider relationship, requires motivation and competence on behalf of the patient, allows for open dialogue and addresses underlying reasons contributing to non-adherence, and continued follow-up is an essential component of the plan. While compliance deals with patient in a parental way and does not incorporate a "therapeutic relationship", represents actual adoption of lifestyle change behaviors and medication-taking, focuses on what the patient is "told to do" and whether they comply or not, and does not incorporate follow-up to assess patient progress. 3 In the literature, the rates of non-adherence around the world range from 7.1 to 66.2% as adherence represents significant challenges. 4 The rate of medication adherence at a range of 38-57% with an average rate of less than 45% in older Populations. 5 As 33-50% of patients do not adhere to their medication regimens as prescribed. 6 Furthermore, one-half of filled prescriptions in daily clinical practice are incorrectly taken. 7 Non adherence to hypertensive treatment was 9.0% in United States and Scotland, 54.2% in Palestine,
Background. Empowering the elderly by education programs can decrease medication problems, morbidity, and mortality. Methods. A cross-sectional study to identify trends and baseline medication management among the elderly in nursing homes followed by an interventional study (tailored educational programme) offered within the same population followed by reassessment of the same medication management domains. Results. There was no effect regarding nursing home participants’ medication knowledge before and after intervention, while there were variable degrees of significant statistical differences in how the participants obtain and take their medications as well as their total deficiency scores before and after intervention. Other domains were also variably affected. Conclusion. It is vital to ensure that patients have sufficient knowledge regarding their medications and how to handle and administer them. Different domains may variably be affected by educational programmes mainly due to preassessment deficits. Educational programmes need to be tailored according to the requirements of the population targeted.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.