Self-reported memory of medication use by the elderly

Spiers, Mary; Kutzik, David M.

doi:10.1093/ajhp/52.9.985

Cited by 34 publications

(22 citation statements)

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“…In their review of 30 years of published literature on antihypertensive drug adherence, Kjellgren and colleagues14 found only one reference where gender was a factor. In some studies, the elderly are more at risk, possibly related to impaired cognition or depression 15. In other reports, a variety of cultural or economic factors, complex drug schedules, level of education, or presence of other chronic illnesses influenced drug adherence 14, 16, 17.…”

Section: Discussionmentioning

confidence: 99%

Drug adherence in Parkinson's disease

2004

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Physicians modify drug schedules in response to their patients' clinical responses. Failure to relieve patients' symptoms or the emergence of drug-related side effects may reflect nonadherence to a prescribed drug schedule rather than incorrect therapeutic physician decisions. Using a medication questionnaire and a computerized medication event monitoring system (MEMS) to monitor medication use, nonadherence of drug use was examined in subjects with Parkinson's disease (PD). We report that prescription nonadherence in PD subjects was common and approximated that reported in other chronic diseases. During a 28-day observation period, only 4 of 39 subjects had complete schedule adherence, i.e., no missed, extra, or mistimed doses. Using a questionnaire, 24.3% of subjects acknowledged missing any doses but the computerized MEMS recorded that 51.3% of subjects missed at least one dose per week and 20.5% of subjects missed three or more doses per week. Mistiming of doses was admitted by 73% of subjects but 82.1% had recorded mistimed doses. Of multiple sociodemographic and disease-related items examined, only gender and level of education were statistically related to nonadherence.

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Section: Discussionmentioning

confidence: 99%

Drug adherence in Parkinson's disease

2004

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“…An individual's perception of his/her health status can play as important a role in determining medication adherence as objective disease variables (Park, 1992). Level of depression may be a predictor of self-rated success in remembering to take medications (Spiers & Kutzik, 1995). In the medication adherence literature, there are surprisingly few studies on the influence of social support, health status, and depression on memory strategies used by older adults.…”

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confidence: 99%

The Role of Memory Strategies in Medication Adherence Among the Elderly

Branin

2001

Home Health Care Services Quarterly

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Research shows that older adults use memory strategies as a compensatory mechanism for coping with age-related memory loss. This research investigated the type of memory strategies used by older adults living independently in the community in adhering to their prescription medications. Older adults reported greater use of internal memory strategies and a preference for event-based over time-based prescription medication instructions. Depression and memory anxiety were significant predictors of type of medication adherence strategies used among the elderly. Health status and social support were not major determinants of the type of medication adherence strategy used.

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“…GPs were more likely to select patients for medication review if they had risk factors indicated on the Medication Risk Assessment Form and if they were older. There are many studies that have found that increasing age affects inappropriate medication use 13–15 . For example, a recent study 13 found that inappropriate prescribing increases with age, although the findings were not adjusted for polypharmacy and comorbidities.…”

Section: Discussionmentioning

confidence: 99%