Determinants of Medication Adherence Among Iranian Elderly Patients with Chronic Diseases (original) (raw)
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The Pharma Innovation Journal, 2019
Objective: The purpose of this study is to explore the medication adherence or non-compliance among old adult patients ≥50years old. Methods: A cross-sectional, observational study was conducted, with a representative sample of 150individuals, female and male. The data was collected using a questionnaire by personal interviews. It was, then was tabulated and interpreted. Results: Our old adults patients tend to be adherent to their medications and have defects in counseling, especially by pharmacist. They have poor practice in terms of using and buying their medications, however not to a major extent. Conclusion: Old adult population need to be adherent to their medications in order to get the maximum benefits from these medications. The role as pharmacists who work with them must be magnified and a specialty as "elderly clinical pharmacist" must be taken in consideration. Apps in Arabic language can be a good option for them.
Saudi Journal of Medicine, 2022
Background: currently the Elderly population is rapidly increasing and with this increment comes more challenges for the healthcare system, non-adherence to medications especially in elderly can lead to economic and human lost that is avoidable by improving patients' compliance and address the related issues leading to the non-adherence. Objectives: 1-assess the level of adherence knowledge and belief to medications. 2-identify the related factors causing the non-adherence. Methodology: A cross sectional study was conducted in primary healthcare centers in Baghdad targeting geriatric age group of both genders attending the primary healthcare centers and having at least one diagnosed chronic disease, the study enrolled10 healthcare centers from both sides of Baghdad. Patients were directly interviewed and data was collected using a questionnaire. Results: The study showed that (83.4%) of the sample (n=385) had low adherence level, this percentage tend to increase as the age incre...
Scientific Reports
Management of chronic diseases is complex and requires a long-term commitment to therapeutic medications. However, medication adherence is suboptimal. There is limited understanding of factors predicting medication adherence in chronic diseases in Oman. This study aimed to examine predictors of medication adherence (i.e. patient clinical and demographic data, patient-physician relationship, health literacy, social support) among Omani patients with chronic diseases. This study used a cross-sectional correlation design. Data were collected from 800 participants using convenience sampling between December 2019 and April 2020. Arabic versions of the Brief Health Literacy Screening tool, Multidimensional Scale of Perceived Social Support, Patient-Doctor Relationship Questionnaire, and Adherence in Chronic Disease Scale were used to measure study variables. Descriptive statistics, independent t tests, one-way ANOVA, Pearson correlations, and multivariate linear regression were used for a...
Medication Non-Adherence among Patients with Chronic Diseases in Makkah Region
Pharmaceutics
Background: The Makkah region is the most populated region in Saudi Arabia. Studying medication adherence levels may help to improve general health outcomes and decrease overall health care expenditures. Methods: We used the ARMS scale to assess medication adherence. Bivariable analysis of medication non-adherence was performed. Simple and multiple logistic regression models were built to identify factors associated with medication non-adherence. Results: Participants from the Makkah region were more than two times more likely to be non-adherent to their medications compared to other regions (adjusted OR = 2.58, 95% CI: 1.49–4.46). Patients who dispensed their prescriptions at their own expense were two times more likely to be non-adherents (adjusted OR = 2.36, 95% CI: 1.11–4.98). Patients who had a monthly income ≤6000 SR were almost two times more likely to be non-adherents (unadjusted OR = 1.73, 95% CI: 1.05–2.84). Conclusion: Medication adherence is one of the most important fac...
Objective: The extent to which a person’s health‑related behavior corresponds with medical instructions (adherence) is an important modifier of health system effectiveness. This study was designed to determine the patients’ adherence to Iranian traditional medicine in a group of patients with chronic disease. Methods: Convenience sampling was used to enroll 320 patients with chronic diseases from January 2014 to January 2015 in clinics of traditional medicine affiliated with medical universities in Tehran. Morisky Medication Adherence Scale (MMAS) was used to measure the adherence. After describing the variables and the frequency of adherence, logistic regression analysis was used to determine the influencing factors. Findings: Mean age was 40.8 (standard deviation [SD] =13) years. The mean of the duration of disease was 54.6 (SD = 56.1) months and mean of the duration of referring to the clinics 6.5 (SD = 6.9) months. Total score of MMAS was zero in 33 (10.3%) of patients (high adherence), one or two in 128 (40%) of patients (moderate adherence), and more than two in 159 (49.7%) of patients (low adherence). Forgetfulness, bad taste, not availability, and the high cost of the drugs were the most commonly reported causes of non‑adherence. Adherence was associated with age (odds ratio [OR] =1.05, 95% confidence interval [95% CI] 1–1.1), marriage (OR = 10.8, 95% CI 2.05–57.6), number of prescribed drugs (OR = 0.05, 95% CI 0.02–0.14), and duration of disease (OR = 1.01, 95% CI 1–1.02). Conclusion: Considering the low adherence in users of medications of Iranian traditional medicine, health care practitioners need to be trained in adherence and influencing factors and also to use some interventions to increase the adherence. Keywords: Adherence; compliance; Iran; traditional medicine