Key factors of the functional ability of older people to self-manage medications

Abstract Daily medication use can be affected by the gradual loss of functional ability. Thus, elderly patients are at risk for nonadherence due to functional decline, namely, decreases in cognitive skills and visual and manual dexterity. The main objective was to assess the ability of older people...

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Autores principales:	Ana Margarida Advinha, Carla Nunes, Carla Teixeira de Barros, Manuel José Lopes, Sofia de Oliveira-Martins
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/191da680d9fa45fb93b0883a9e59c4be
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spelling	oai:doaj.org-article:191da680d9fa45fb93b0883a9e59c4be2021-11-14T12:23:30ZKey factors of the functional ability of older people to self-manage medications10.1038/s41598-021-01434-92045-2322https://doaj.org/article/191da680d9fa45fb93b0883a9e59c4be2021-11-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-01434-9https://doaj.org/toc/2045-2322Abstract Daily medication use can be affected by the gradual loss of functional ability. Thus, elderly patients are at risk for nonadherence due to functional decline, namely, decreases in cognitive skills and visual and manual dexterity. The main objective was to assess the ability of older people to self-manage their medication and to identify the main predictors for unintentional nonadherence. A cross-sectional study was conducted (2014–2017) in community centers and pharmacies. Functional assessment was performed with the Portuguese versions of the Drug Regimen Unassisted Grading Scale (DRUGS-PT) and the Self-Medication Assessment Tool (SMAT-PT). A purposive sample including 207 elderly patients was obtained. To identify the main predictors, binary logistic regression was performed. The average DRUGS-PT score was slightly lower than that in other studies. On the SMAT-PT, the greatest challenge for patients was identifying medications by reading labels/prescriptions. The main difficulties identified were medication memorization and correct schedule identification. The scores were higher with the real regimen than with the simulated regimen, underlining the difficulties for patients in receiving new information. Regarding the predictors of an older individual’s ability to self-manage medications, two explanatory models were obtained, with very high areas under the curve (> 90%). The main predictors identified were cognitive ability, level of schooling and daily medication consumption.Ana Margarida AdvinhaCarla NunesCarla Teixeira de BarrosManuel José LopesSofia de Oliveira-MartinsNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Ana Margarida Advinha Carla Nunes Carla Teixeira de Barros Manuel José Lopes Sofia de Oliveira-Martins Key factors of the functional ability of older people to self-manage medications
description	Abstract Daily medication use can be affected by the gradual loss of functional ability. Thus, elderly patients are at risk for nonadherence due to functional decline, namely, decreases in cognitive skills and visual and manual dexterity. The main objective was to assess the ability of older people to self-manage their medication and to identify the main predictors for unintentional nonadherence. A cross-sectional study was conducted (2014–2017) in community centers and pharmacies. Functional assessment was performed with the Portuguese versions of the Drug Regimen Unassisted Grading Scale (DRUGS-PT) and the Self-Medication Assessment Tool (SMAT-PT). A purposive sample including 207 elderly patients was obtained. To identify the main predictors, binary logistic regression was performed. The average DRUGS-PT score was slightly lower than that in other studies. On the SMAT-PT, the greatest challenge for patients was identifying medications by reading labels/prescriptions. The main difficulties identified were medication memorization and correct schedule identification. The scores were higher with the real regimen than with the simulated regimen, underlining the difficulties for patients in receiving new information. Regarding the predictors of an older individual’s ability to self-manage medications, two explanatory models were obtained, with very high areas under the curve (> 90%). The main predictors identified were cognitive ability, level of schooling and daily medication consumption.
format	article
author	Ana Margarida Advinha Carla Nunes Carla Teixeira de Barros Manuel José Lopes Sofia de Oliveira-Martins
author_facet	Ana Margarida Advinha Carla Nunes Carla Teixeira de Barros Manuel José Lopes Sofia de Oliveira-Martins
author_sort	Ana Margarida Advinha
title	Key factors of the functional ability of older people to self-manage medications
title_short	Key factors of the functional ability of older people to self-manage medications
title_full	Key factors of the functional ability of older people to self-manage medications
title_fullStr	Key factors of the functional ability of older people to self-manage medications
title_full_unstemmed	Key factors of the functional ability of older people to self-manage medications
title_sort	key factors of the functional ability of older people to self-manage medications
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/191da680d9fa45fb93b0883a9e59c4be
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Key factors of the functional ability of older people to self-manage medications

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