Educating older adults to avoid harmful self-medication

Strickler, Zoe; Lin, Carolyn A.; Rauh, Christian; Neafsey, Patricia J.

doi:10.1179/cih.2008.1.1.110

Cited by 12 publications

(6 citation statements)

References 16 publications

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“…An animated clock enables the accurate selection of time of medication and dosage (For a complete description of the database and interface, see Strickler and colleagues). 31 …”

Section: Trial Design and Methodsmentioning

confidence: 99%

Reducing adverse self-medication behaviors in older adults with the Next Generation Personal Education Program (PEP-NG): Design and methodology

Neafsey¹

2009

PPA

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A randomized controlled efficacy trial targeting older adults with hypertension is providing a tailored education intervention with a Next Generation Personal Education Program (PEP-NG) in primary care practices in New England. Ten participating advanced practice registered nurses (APRNs) completed online knowledge and self-efficacy measures pre-onsite training and twice more after completing a continuing education program. Patient participants self-refer in response to study recruitment brochures and posters. Twenty-four participants from each APRN practice (total N = 240) are randomly assigned by the PEP-NG software to either control (data collection and four routine APRN visits) or tailored intervention (PEP-NG interface and four focused APRN visits) conditions. Patients access the PEP-NG interface via wireless tablet and use a stylus to answer demographic, knowledge, and self-efficacy questions as well as prescription and over-the-counter self-medication practice questions. The PEP-NG analyzes patient-reported information and delivers tailored educational content. Patients’ outcome measures are self-reported antihypertensive medication adherence, blood pressure, knowledge and self-efficacy concerning potential adverse self-medication practices, adverse self-medication behavior “risk” score and satisfaction with the PEP-NG and APRN provider relationship. APRN outcome measures are knowledge and self-efficacy concerning adverse self-medication practices, self-efficacy for communicating with older adults and satisfaction with the PEP-NG. Time–motion and cost–benefit analyses will be conducted.

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“…An animated clock enables the accurate selection of time of medication and dosage (For a complete description of the database and interface, see Strickler and colleagues). 31 …”

Section: Trial Design and Methodsmentioning

confidence: 99%

Reducing adverse self-medication behaviors in older adults with the Next Generation Personal Education Program (PEP-NG): Design and methodology

Neafsey¹

2009

PPA

Self Cite

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“…Further, for older adults, trends in miniaturization make screens harder to read and buttons and touch screens harder to use. Aside from visual disorders, hearing loss, and cognitive impairment, less wellknown changes with age may also make it difficult for older people to use such technology (Strickler, Lin, Rauh, & Neafsey, 2008). Older adults may have trouble discriminating between colors and have greater difficulty with glare.…”

Section: What Is Knownmentioning

confidence: 99%

Promoting Safe and Effective Use of OTC Medications: CHPA-GSA National Summit

et al. 2014

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Research on the ways older people use prescription medications (Rx) is a mainstay of the gerontological literature because use of Rx medications is common, and appropriate use is central to effective management of chronic disease. But older adults are also major consumers of over-the-counter (OTC) medications, which can be equally significant for self-care. Nearly half of older adults aged 75-85, for example, are regular users of an OTC product. Ensuring that consumers safely and effectively use OTC products is critical in order to minimize potential drug-drug interactions and unintentional misuse. Yet we know surprisingly little about the ways older adults select OTC medications and decide when to start or stop use, how older people actually take these medications, or how involved clinicians and family members are in older adult OTC behavior. Research in this area is critical for developing interventions to help ensure safe and appropriate OTC use. For this reason, The Gerontological Society of America (GSA), in partnership with the Consumer Healthcare Products Association (CHPA), convened a summit of experts to set an agenda for research in OTC behaviors among older adults. The panel suggested a need for research in 5 key areas: Health literacy and OTC behavior, decision making and OTC use, the role of clinicians in OTC medication behavior, older adult OTC behavior and family care, and technologies to promote optimal use of OTC medications.

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“…15,16 Based on international data, the trend of self-medication was found to be particularly high among the elderly. [17][18][19][20][21] Most of these studies attributed self-medication and especially SMNPA in older adults to socioeconomic factors and lack of access to medical care. [15][16][17]22,23 Other research cites chronic illness, living alone, and increased use of medications with age.…”

Section: Introductionmentioning

confidence: 99%

“…Based on international data, the trend of self‐medication was found to be particularly high among the elderly 17‐21 . Most of these studies attributed self‐medication and especially SMNPA in older adults to socioeconomic factors and lack of access to medical care 15‐17,22,23 .…”

Section: Introductionmentioning

confidence: 99%

Prevalence and dental professional awareness of antibiotic self‐medication among older adults: Implications for dental education

Roberts

Burns

et al. 2020

Journal of Dental Education

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Objective: Antibiotic stewardship has been recognized as an essential component of dental education. A notable threat to stewardship is the growing trend toward self-medication with nonprescribed antibiotics (SMNPA), particularly among older adults who may be at increased risk for adverse outcomes. This study aimed to assess the need to incorporate SMNPA into dental education by researching (1) professional awareness and (2) self-medication behaviors among older adults. Methods: A SMNPA awareness survey was administered to dentists in Arizona with 148 respondents including general dentists, dental school faculty, and public health clinicians. A second survey was distributed to 410 households in an independent and assisted living facility. Results: The dentists were aware of sources of SMNPA such as friends/family, leftover prescriptions, as well as sources outside of the United States; however, most (>80%) were not aware that ornamental fish antibiotics could be obtained online or in pet stores. The survey response rate for the older adults was 46.3%, of which 68.3% reported antibiotic use within the past 2 years (several for dental premedication) and 6.4% (n = 12) admitted to SMNPA for treating cold symptoms or pain. The main reason given for self-treatment was the belief that antibiotics had resolved similar symptoms in the past. One-third of the older adult respondents were unaware that antibiotics only treat bacterial infections. Conclusion: Approximately 1 in 16 older adults surveyed reported SMNPA. Dental professionals reported some knowledge of SMNPA but were unaware of all sources. This study highlights the need for SMNPA education, awareness, and implementation within dental curricula.

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Educating older adults to avoid harmful self-medication

Cited by 12 publications

References 16 publications

Reducing adverse self-medication behaviors in older adults with the Next Generation Personal Education Program (PEP-NG): Design and methodology

Reducing adverse self-medication behaviors in older adults with the Next Generation Personal Education Program (PEP-NG): Design and methodology

Promoting Safe and Effective Use of OTC Medications: CHPA-GSA National Summit

Prevalence and dental professional awareness of antibiotic self‐medication among older adults: Implications for dental education

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