Assessment of the elderly’s functional ability to manage their medication: a systematic literature review

Advinha, Ana Margarida; Lopes, Manuel José; Martins, Sofia Oliveira

doi:10.1007/s11096-016-0409-z

Cited by 32 publications

(23 citation statements)

References 37 publications

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“…These data indicated that even a mild cognitive dysfunction has a negative impact on drug adherence, thus reinforcing the need to assess cognitive function in all very old patients. To test cognitive function, several validated tools have been proposed, which have been reviewed by Advinha et al (73). The tool called DRUGS was the most widely used assessment instrument in the screened studies (74).…”

Section: Cognitive Dysfunction Adherence and Hypertension Control Inmentioning

confidence: 99%

Hypertension and Drug Adherence in the Elderly

Burnier

Polychronopoulou

Wuerzner

2020

Front. Cardiovasc. Med.

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Section: Cognitive Dysfunction Adherence and Hypertension Control Inmentioning

confidence: 99%

Hypertension and Drug Adherence in the Elderly

Burnier

Polychronopoulou

Wuerzner

2020

Front. Cardiovasc. Med.

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“…When considering medication regimen complexity (MRC), there is so far no clear definition for it [4,5]. However, it has already been shown that the number of drugs is only one of the relevant factors to consider, and that, in addition, dosage form, dosage frequency and administration instructions also have to be considered [6][7][8][9][10][11][12][13][14]. Furthermore, there is also no agreement about the reference instrument for MRC determination [4,5].…”

Section: Introductionmentioning

confidence: 99%

Pharmacists’ Role in Older Adults’ Medication Regimen Complexity: A Systematic Review

Falch

Alves

2021

IJERPH

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Medication regimen complexity (MRC) may influence health outcomes, such as hospitalisation, hospital readmission and medication adherence. Pharmacists have been referred to as health professionals with the opportunity to act on MRC reduction. This study aimed to investigate pharmacists’ role in studies about older adults’ medication regimen complexity. A literature search was performed in PubMed, Web of Science and the Cochrane Library—CENTRAL—up to October 2019. Out of 653 potentially relevant studies, 17 articles met the inclusion criteria for this review. Most studies used the 65-item medication regimen complexity index (MRCI) to assess medication complexity. Pharmacists’ role was mainly confined to data collection. It seems that pharmacists’ active role in older adults’ medication complexity has not been studied in depth so far. However, the few existing interventional ones suggest that, after previous training, regimen simplification is feasible.

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“…The decline in an older adult’s ability to self-manage medications and increase in risk of medication errors, adverse drug events, placement in assisted living and hospitalization are well recognized in published literature [ 25 , 26 , 27 , 28 ]. Therefore, several instruments have been developed to examine a patient’s functional and cognitive capacity to manage medications, using the patient’s own medications or simulated medication regimen and tasks [ 29 , 30 , 31 , 32 ]. These instruments enable clinicians to examine both physical and cognitive skills in their older adults.…”

Section: Introductionmentioning

confidence: 99%

Development and Content Validation of an Instrument to Measure Medication Self-Management in Older Adults

et al. 2021

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Background: For older adults, the capacity to self-manage medications may be limited by several factors. However, currently available tools do not permit a comprehensive assessment of such limitations. The Domain Specific Limitation in Medication Management Capacity (DSL-MMC) was developed to address this need. This study aimed to establish the face and content validity of the DSL-MMC. Methods: The DSL-MMC tool consisted of 4 domains and 12 sub-domains with 42 items including: 1. physical abilities (vision, dexterity, hearing); 2. cognition (comprehension, memory, executive functioning); 3. medication regimen complexity (dosing regimen, non-oral administration, polypharmacy); and 4. access/caregiver (prescription refill, new prescription, caregiver). Pharmacists assessed each item for relevance, importance, readability, understandability, and representation. Items with content validity index (CVI) scores of <0.80 for relevance were examined for revision or removal. Results: Twelve pharmacists participated in the study. CVI scores for relevance and importance of domains were 1.0; of the sub-domains, two were below 0.80. Among the 42 items, 35 (83%) and 30 (71%) maintained CVI scores above 0.80 for relevance and importance, respectively. Five items were removed, three were merged and seven were modified due to low CVI scores and/or feedback. Conclusion: The DSL-MMC has been validated for content.

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Assessment of the elderly’s functional ability to manage their medication: a systematic literature review

Abstract: Background The evaluation of the elderly's ability to manage medication through

Cited by 32 publications

References 37 publications

Hypertension and Drug Adherence in the Elderly

Hypertension and Drug Adherence in the Elderly

Pharmacists’ Role in Older Adults’ Medication Regimen Complexity: A Systematic Review

Development and Content Validation of an Instrument to Measure Medication Self-Management in Older Adults

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